A comparative study of effects on working and logical memory in psychiatry patients receiving combined electroconvulsive therapy with pharmacotherapy and pharmacotherapy only
Journal Title: Medpulse International Journal of Psychology - Year 2019, Vol 9, Issue 1
Abstract
Background: Electroconvulsive therapy, psychotropic drugs have their own effects on cognition. It is necessary to know how much of the cognitive impairment is due to the psychiatric disability, psychotropic drugs and how much of it is due topassage of electricity. Aim: To compare the effects of ECT-psychotropic drug combination therapy and pharmacotherapy only on working and logical memory. Material and Methods: All the cases were diagnosed as per ICD10 Diagnostic criteria6 for Research by experienced psychiatrists. Study group consisted of 50 patients prescribed psychopharmacological agents and ECT. Control group consisted of 50 patients undergoing treatment with drugs only. Evaluation was carried out by psychological tests. Pre-treatment evaluation was carried out oneday before ECT treatment and post-treatment evaluation was carried out at week 3 and 7. Results: All patients with severe psychiatric disorders have significant impairment in working memory which appear to be a state marker of symptomatic status. Working memory improved with pharmacotherapy. ECT didn’t confer any additional advantage or disadvantage. ECT contributed to impaired short anterograde memory impairment which resolves by week 7 post-treatment.36% of patients of ECT group had subjective impairment of memory, while none in the control group had this type of memory impairment. Conclusion: ECT does impose short lasting impairment of subjective impairment of memory. Working memory and new learning improve with combined ECT and pharmacotherapy.
Authors and Affiliations
Nitin P Patil, M S V K Raju, Shivaji Marella, Sudhir J Gaikwad, Abhishek Kumar, Aditi N Patil
Keywords
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- EP ID EP486284
- DOI 10.26611/107911
- Views 86
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