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  • The International Journal of Neuropsychopharmacology, Volume 11, Issue 7
  • November 2008, pp. 883-890

A comparison of RUL ultrabrief pulse (0.3 ms) ECT and standard RUL ECT

  • Colleen K. Loo (a1) (a2) (a3) (a4), Kirby Sainsbury (a2), Patrick Sheehan (a2) and Bill Lyndon (a2) (a5)
  • DOI: http://dx.doi.org/10.1017/S1461145708009292
  • Published online: 28 August 2008
Abstract
Abstract

An important goal in electroconvulsive therapy (ECT) research is to minimize associated cognitive side-effects while maintaining its high efficacy. This study explored the use of a novel approach, right unilateral (RUL) ECT with an ultrabrief pulsewidth (0.3 ms) (RUL-UB), in comparison with standard RUL ECT. Seventy-four depressed in-patients received RUL-UB ECT at six times seizure threshold, and 22 patients received standard RUL ECT (1.0 ms pulsewidth) at five times seizure threshold. Formal, prospective evaluations of mood and cognitive functioning over the treatment course were done by a rater blinded to treatment condition. Efficacy was maintained using the ultrabrief pulsewidth, with equivalent numbers of responders and remitters to the standard RUL ECT group, although the speed of response was slower. Cognitive outcomes were superior in the RUL-UB ECT group, particularly in the retention of verbal and visual information, as well as in retrograde autobiographical memory.

Copyright
Corresponding author
Address for correspondence: Associate Professor C. K. Loo, Level 2, James Laws House, St George Hospital, Kogarah, NSW 2217, Australia. Tel.: 61-2-9113-2039Fax: 61-2-9113-3734E-mail: colleen.loo@unsw.edu.au
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  • ISSN: 1461-1457
  • EISSN: 1469-5111
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