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ECT in the Treatment of Mixed Depression and Dementia

Published online by Cambridge University Press:  02 January 2018

Raymond A. Liang
Affiliation:
Department of Psychiatry, Emory University, Atlanta, GA, USA, and Visiting Resident in Geriatric Psychiatry, Riverview Hospital, University of British Columbia, Canada
Raymond W. Lam
Affiliation:
Department of Psychiatry, University of British Columbia
Raymond J. Ancill*
Affiliation:
Department of Psychiatry, University of British Columbia, and Director, Clinical Research, Riverview Hospital
*
Riverview Hospital, 500 Lougheed Highway, Port Coquitlam, Canada V3C 4J2

Abstract

Recent work has demonstrated the coexistence of depressive illness in some patients with dementing disorders. Two cases of mixed depression and dementia showed behavioural and mood improvement after treatment with ECT, but without improvement in cognition. The role of ECT in the treatment of affective symptoms in dementia is discussed.

Type
Brief Reports
Copyright
Copyright © Royal College of Psychiatrists, 1988 

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References

American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM-III). Washington, DC: APA.Google Scholar
Avery, D. & Winokur, G. (1977) The efficacy of electroconvulsive therapy and antidepressants in depression. Biological Psychiatry, 12, 507523.Google ScholarPubMed
Dornbush, R. L. & Williams, M. (1974) Memory and ECT. Psychobiology of Convulsive Therapy (eds Fink, M., Kety, S., McGough, J. et al). Washington, DC: V. H. Winston and Sons.Google Scholar
Folstein, M. F., Folstein, E. & McHugh, P. R. (1975) Mini-mental state: a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189198.CrossRefGoogle Scholar
Gaspar, D. & Samarasinghe, L. A. (1982) ECT in psychogeriatric practice – a study of risk factors, indications and outcome. Comprehensive Psychiatry, 23, 170175.CrossRefGoogle Scholar
Heshe, J., Roeder, E. & Theilvarrd, A. (1978) Unilateral and bilateral ECT: a psychiatric and psychological study of therapeutic effects and of the side effects. Acta Psychiatrica Scandinavica, Suppl. 275, 1180.Google Scholar
Hollister, L. E. (1978) Treatment of depression with drugs, Annals of Internal Medicine, 89, 7884.CrossRefGoogle ScholarPubMed
Jenike, M. A. (1985) Monoamine oxidase inhibitors as treatment for depressed patients with primary degenerative dementia (Alzheimer's disease). American Journal of Psychiatry, 142, 763764.Google ScholarPubMed
Kral, V. A. (1983) The relationship between senile dementia (Alzheimer type) and depression. Canadian Journal of Psychiatry, 28, 304306.CrossRefGoogle ScholarPubMed
Lipsey, J. R., Robinson, R. G., Pearlson, G. D. et al (1984) Nortriptyline treatment of post-stroke depression: a double blind study. The Lancet, i, 297300.CrossRefGoogle Scholar
McAllister, T. W. (1983) Overview: pseudodementia. American Journal of Psychiatry, 140, 528533.Google ScholarPubMed
McAllister, T. W. & Price, T. R. P. (1982) Severe depressive pseudodementia with and without dementia. American Journal of Psychiatry, 139, 626629.Google ScholarPubMed
Post, F. & Shulman, K. (1985) New views on old age affective disorders. In Recent Advances in Psychogeriatrics (ed. Arie, T.). Edinburgh: Churchill Livingstone.Google Scholar
Rabins, P. V., Merchant, A. & Nestadt, G. (1984) Criteria for diagnosing reversible dementia caused by depression. British Journal of Psychiatry, 144, 488492.CrossRefGoogle ScholarPubMed
Reifler, B. V. (1986) Mixed cognitive-affective disturbances in the elderly: a new classification. Journal of Clinical Psychiatry, 47, 354356.Google ScholarPubMed
Reifler, B. V., Larson, E. & Hanley, R. (1982) Coexistence of cognitive impairment and depression in geriatric outpatients. American Journal of Psychiatry, 139, 623626.Google ScholarPubMed
Rovner, B. W., Kafonek, S., Filipp, L. et al (1986) Prevalence of mental illness in a community nursing home. American Journal of Psychiatry, 143, 14461449.Google Scholar
Scovern, A. W. & Kilmann, P. R. (1980) Status of ECT: a review of the outcome literature. Psychological Bulletin, 87, 260303.CrossRefGoogle Scholar
Stromgren, L. S. (1973) Unilateral vs bilateral electroconvulsive therapy. Acta Psychiatrica Scandinavica, Suppl. 240, 865.Google Scholar
Tindale, J. & Ancill, R. J. (1987) A geriatric psychiatry nurse rating scale. Gerontion, 2, 1113.Google ScholarPubMed
Wamboldt, M. Z., Kalin, N. H. & Weiler, S. J. (1985) Consistent reversal of abnormal DSTs after different antidepressant therapies in a patient with dementia. American Journal of Psychiatry, 142, 100103.Google Scholar
Weiner, R. D. (1982) The role of electroconvulsive therapy in the treatment of depression in the elderly. Journal of the American Geriatrics Society, 30, 710712.CrossRefGoogle ScholarPubMed
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