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Sökning: onr:"swepub:oai:DiVA.org:oru-53877" > Subjective Memory I...

Subjective Memory Immediately Following Electroconvulsive Therapy

Brus, Ole, (författare)
Region Örebro län, Clinical Epidemiology and Biostatistics
Nordanskog, Pia, (författare)
Center for Social and Affective Neuroscience, Department of Clinical and Experimental Medicine, Faculty of Health Sciences, Linköping University, Linköping, Sweden; Department of Psychiatry, Region Östergötland, Linköping, Sweden
Båve, Ullvi, (författare)
Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
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Cao, Yang, 1972- (författare)
Örebro universitet, Institutionen för medicinska vetenskaper, Region Örebro län, Unit of Biostatistics, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
Hammar, Åsa, (författare)
Department of Biological and Medical Psychology, University of Bergen, Bergen, Norway; Division of Psychiatry, Haukeland University Hospital, Bergen, Norway
Landén, Mikael, (författare)
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden; Institute of Neuroscience and Physiology, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden
Lundberg, Johan, (författare)
Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
Nordenskjöld, Axel, 1977- (författare)
Örebro universitet, Institutionen för medicinska vetenskaper, Region Örebro län
Ole, Brus, (författare)
Clinical Epidemiology and Biostatistics, School of Medical Sciences, Örebro University, Örebro
Ullvi, Båve, (författare)
Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
Yang, Cao, (författare)
Clinical Epidemiology and Biostatistics, School of Medical Sciences, Örebro University, Örebro; Unit of Biostatistics, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
Åsa, Hammar, (författare)
Department of Biological and Medical Psychology, University of Bergen, Bergen Division of Psychiatry, Haukeland University Hospital, Bergen, Norway
Mikael, Landén, (författare)
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm; Institute of Neuroscience and Physiology, The Sahlgrenska Academy at Gothenburg University, Gothenburg
Johan, Lundberg, (författare)
Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm
Axel, Nordenskjöld, (författare)
School of Medical Sciences, Örebro University, Örebro, Sweden
Bave, U (författare)
Hammar, A (författare)
Landen, M, (författare)
Karolinska Institutet
Nordenskjold, A (författare)
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Region Örebro län (creator_code:org_t)
Örebro universitet Institutionen för medicinska vetenskaper. (creator_code:org_t)
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Linköpings universitet Institutionen för klinisk och experimentell medicin. Centrum för social och affektiv neurovetenskap. (creator_code:org_t)
Linköpings universitet Medicinska fakulteten. (creator_code:org_t)
Region Östergötland Närsjukvården i centrala Östergötland. Psykiatriska kliniken. (creator_code:org_t)
Göteborgs universitet Sahlgrenska akademin. Institutionen för neurovetenskap och fysiologi. 
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2017
Engelska.
Ingår i: Journal of ECT. - Philadelphia, USA : Lippincott Williams & Wilkins. - 1095-0680. ; 33:2, s. 96-103
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  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • Objectives: The aims of the present study were to describe the short-term rate of subjective memory worsening (SMW) and identify factors of importance for SMW in a large clinical sample treated for depression with electroconvulsive therapy (ECT).Methods: This register-based study included 1212 patients from the Swedish National Quality Register for ECT. Subjective memory worsening was defined as a 2-point worsening on the memory item of the Comprehensive Psychopathological Rating Scale from before to within 1 week after treatment. Associations between patient characteristics and treatment factors were examined using logistic regression.Results: Subjective memory worsening was experienced in 26%. It was more common in women than in men (31% vs 18%; P < 0.001) and more common in patients aged 18 to 39 years than in patients 65 years or older (32% vs 22%; P = 0.008). Patients with less subjective memory disturbances before ECT had a greater risk of SMW. Patients in remission after ECT had a lower risk of SMW. A brief pulse width stimulus gave higher risk of SMW compared with ultrabrief pulse (odds ratio, 1.61; 95% confidence interval, 1.05-2.47).Conclusions: Subjective memory worsening is reported by a minority of patients. However, young women are at risk of experiencing SMW. Ultrabrief pulse width stimulus could be considered for patients treated with unilateral electrode placement who experience SMW. Each patient should be monitored with regard to symptoms and adverse effects, and treatment should be adjusted on an individual basis to maximize the clinical effect and with efforts to minimize the cognitive adverse effects.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Psykiatri (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Psychiatry (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine (hsv//eng)

Nyckelord

Amnesia
electroconvulsive therapy
memory

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