Use of Electroconvulsive Therapy in Dementia-Related Agitation: A Case Series

M. Caroline Burton; Sandra L. Koeller; Frank M. Brekke; Adonye T. Afonya; Bruce Sutor; Maria Isabel Lapid

doi:10.1097/YCT.0000000000000432

Use of Electroconvulsive Therapy in Dementia-Related Agitation: A Case Series

M. Caroline Burton, Sandra L. Koeller, Frank M. Brekke, Adonye T. Afonya, Bruce Sutor, Maria Isabel Lapid

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

OBJECTIVES: This naturalistic prospective observation study examines the efficacy of electroconvulsive therapy (ECT) in treating dementia-related agitation. METHODS: Patients with dementia-related agitation who received ECT were compared with patients with the same condition who did not receive ECT using Cohen-Mansfield Agitation Inventory (CMAI), Neuropsychiatric Inventory (NPI)—nursing home version, and Clinical Global Impression Scale (CGI). Outcomes were compared between ECT-treated and non–ECT-treated patients. RESULTS: A total of 9 patients were included in the study. Six received ECT, and 3 did not. Patients in the ECT and non–ECT-treated groups had comparable baseline scores (CMAI, P = 0.880; NPI, P = 0.814; and CGI, P = 0.445). The CMAI, NPI, and CGI scores were lower on final assessment in both groups with no statistically significant difference (CMAI, P = 0.771; NPI, P = 0.243; and CGI, P = 0.519). CONCLUSIONS: Electroconvulsive therapy should be considered as a treatment option in the management of severe treatment refractory dementia-related agitation.

Original language	English (US)
Journal	Journal of ECT
DOIs	https://doi.org/10.1097/YCT.0000000000000432
State	Accepted/In press - Jun 28 2017

ASJC Scopus subject areas

Neuroscience (miscellaneous)
Psychiatry and Mental health

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title = "Use of Electroconvulsive Therapy in Dementia-Related Agitation: A Case Series",

abstract = "OBJECTIVES: This naturalistic prospective observation study examines the efficacy of electroconvulsive therapy (ECT) in treating dementia-related agitation. METHODS: Patients with dementia-related agitation who received ECT were compared with patients with the same condition who did not receive ECT using Cohen-Mansfield Agitation Inventory (CMAI), Neuropsychiatric Inventory (NPI)—nursing home version, and Clinical Global Impression Scale (CGI). Outcomes were compared between ECT-treated and non–ECT-treated patients. RESULTS: A total of 9 patients were included in the study. Six received ECT, and 3 did not. Patients in the ECT and non–ECT-treated groups had comparable baseline scores (CMAI, P = 0.880; NPI, P = 0.814; and CGI, P = 0.445). The CMAI, NPI, and CGI scores were lower on final assessment in both groups with no statistically significant difference (CMAI, P = 0.771; NPI, P = 0.243; and CGI, P = 0.519). CONCLUSIONS: Electroconvulsive therapy should be considered as a treatment option in the management of severe treatment refractory dementia-related agitation.",

author = "Burton, {M. Caroline} and Koeller, {Sandra L.} and Brekke, {Frank M.} and Afonya, {Adonye T.} and Bruce Sutor and Lapid, {Maria Isabel}",

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month = jun,

day = "28",

doi = "10.1097/YCT.0000000000000432",

language = "English (US)",

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T1 - Use of Electroconvulsive Therapy in Dementia-Related Agitation

T2 - A Case Series

AU - Burton, M. Caroline

AU - Koeller, Sandra L.

AU - Brekke, Frank M.

AU - Afonya, Adonye T.

AU - Sutor, Bruce

AU - Lapid, Maria Isabel

PY - 2017/6/28

Y1 - 2017/6/28

N2 - OBJECTIVES: This naturalistic prospective observation study examines the efficacy of electroconvulsive therapy (ECT) in treating dementia-related agitation. METHODS: Patients with dementia-related agitation who received ECT were compared with patients with the same condition who did not receive ECT using Cohen-Mansfield Agitation Inventory (CMAI), Neuropsychiatric Inventory (NPI)—nursing home version, and Clinical Global Impression Scale (CGI). Outcomes were compared between ECT-treated and non–ECT-treated patients. RESULTS: A total of 9 patients were included in the study. Six received ECT, and 3 did not. Patients in the ECT and non–ECT-treated groups had comparable baseline scores (CMAI, P = 0.880; NPI, P = 0.814; and CGI, P = 0.445). The CMAI, NPI, and CGI scores were lower on final assessment in both groups with no statistically significant difference (CMAI, P = 0.771; NPI, P = 0.243; and CGI, P = 0.519). CONCLUSIONS: Electroconvulsive therapy should be considered as a treatment option in the management of severe treatment refractory dementia-related agitation.

AB - OBJECTIVES: This naturalistic prospective observation study examines the efficacy of electroconvulsive therapy (ECT) in treating dementia-related agitation. METHODS: Patients with dementia-related agitation who received ECT were compared with patients with the same condition who did not receive ECT using Cohen-Mansfield Agitation Inventory (CMAI), Neuropsychiatric Inventory (NPI)—nursing home version, and Clinical Global Impression Scale (CGI). Outcomes were compared between ECT-treated and non–ECT-treated patients. RESULTS: A total of 9 patients were included in the study. Six received ECT, and 3 did not. Patients in the ECT and non–ECT-treated groups had comparable baseline scores (CMAI, P = 0.880; NPI, P = 0.814; and CGI, P = 0.445). The CMAI, NPI, and CGI scores were lower on final assessment in both groups with no statistically significant difference (CMAI, P = 0.771; NPI, P = 0.243; and CGI, P = 0.519). CONCLUSIONS: Electroconvulsive therapy should be considered as a treatment option in the management of severe treatment refractory dementia-related agitation.

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Use of Electroconvulsive Therapy in Dementia-Related Agitation: A Case Series

Abstract

ASJC Scopus subject areas

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