ECT Flashcards
What does ECT aim to do?
Prevent excess dopamine
Shock malfunctioning part of the brain
What did the first studies show?
Low recovery rates for people who didn’t receive ECT
How does ECT work?
Injected with short acting barbiturate (unconscious) and muscle relaxant to produce spasms
Electric current passed between two electrode of non dominant side and middle of the forehead
What did Tharyan and Adams do?
Compared ECT with other biological treatments and sham ECT
Reviewed 26 studies with 798 participants
What did T&A find when compared with antipsychotic drugs?
Drugs had a better effect
What did T&A find when comparing it to sham ECT?
More people improved with actual ECT
No indication as to whether this improvement was maintained
What did T&A conclude?
A combination of ECT and drugs resulted in the greatest improvement
Use drugs when ECT alone doesn’t work
How does Sarita et al contradict T&A’s conclusion?
Found no symptom reduction between 36!schizophrenics when given sham and actual ECT
Why is ECT not appropriate?
It has significant risks such as
Death
Brain damage/memory loss