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"Cognitive impairment" after ECT treatment for depression?

Question:
"Cognitive impairment" after ECT treatment for depression?


Answer:
Spanish scientists have discovered that depressive patients appear to suffer cognitive dysfunction during maintenance treatment with electroconvulsive therapy (M-ECT). A small study published in the journal Psychological Medicine found that depressed patients receiving this treatment experienced impairments in both short-term memory and frontal function. Although previous studies have shown that acute courses of ECT can lead to adverse physical effects, this is the first report of cognitive side effects, the researchers said. I don't know what the point of these postings are, but Scientology has no Scientists, they don't do studies and they do not provide mental health care. The true science of mental health does indeed research the subject of treatment, good and bad, and publishes the results for criticism and further studies and actions. In Scientology, it's all "Hubbard said" - and Hubbard did nothing appreciable to further mental health. Scientology is now getting to be the modern-day equivalent of homeopathy - a cultish slavery to some old book and some old author who thought he had all the answers. Dianetics is class A drivel. Once you get past the lengthy introduction to what ails man, Hubbard embarked on a farcical affair with knitting needles and pregnant women, sprinkled with claims of his 100% success rates, a list of curable disease (by auditing) and a full deck of 'clears'. Scientology is nothing more than the best brainwashing in the business, feeding off the ready supply of emotionally unstable quasi-religious intellectuals who think they're something special and a little un-earthly. Really, what have they got of note? A lot of bad press, a short-list of actors and performers, and little else. If they hadn't been so successful in scamming so much money, they wouldn't exist - and fewer than the next-to-nobody that have heard of them would be reading about them in an encyclopedia under 'Failed Cults of the 20th century'.Not true. They DO provide mental health care. They're just really, really, REALLY bad at it. Reading what Hubbard says in his Scn technical dictionary will show better:
..."Help is the key button which admits auditing. Help is the make-break point between sanity and insanity. That a person cannot accept help along some minor line does not mean that he is insane, but it certainly means he has some neurotics traits." There is no way scientology can be a real help; help is not a system to ruin one's client when one is honestly selling services or things. Since day One in scientology, since hour one in most cases, scientology seeks the ruin of the client, by OCA testing first, then, by asking him money, more money, and asking him to make more money from others - ruining them as well. Background. Objective data regarding adverse cognitive deficits associated with maintenance electroconvulsive therapy (M-ECT) are lacking. This study examined the cognitive state of depressive patients during M-ECT. Method. A cross-sectional study was carried out in 11 depressive patients in remission, all with a DSM-IV diagnosis of major depressive disorder. The mean number of previous ECT sessions was 36·1, and the mean intersession interval was 52·7 days. A group of 11 patients who had not received ECT was selected for comparison and matched for diagnosis, sex, age and years of schooling. All subjects were assessed using a complete neuropsychological battery including memory, attention and frontal function tests. Results. Groups did not present differences in long delay verbal recall. Encoding of new information and results on the frontal function tests were significantly lower in the M-ECT patients. Conclusion. Depressed patients preserve long-term memory, but suffer short-term memory impairment and frontal function alteration during M-ECT. Further longitudinal studies are necessary to determine the influence of M-ECT on non-memory functions and different memory subtypes. Correspondence: c1 Address for correspondence to: Dr Miquel Bernardo, Servicio de Psiquiatría, Hospital Clínic, Villarroel, 170, 08015 ? Barcelona, Spain. My comments: N=11, is to small a number to draw any statistical scientifically valid conclusions at all! I could stop there, but continous: Cognitive impairment as a result of undergoing ECT treatment , eg, disturbances in active shortterm memory during treatment, is a well known sideeffect of ECT, hence nothing new here! It should be added that active shortterm memory are not effected after treatment stops. Hence no cognitive impairment after treatment. My reflection: Seems to me that the spanish group are running out of research fundings and have to produce something in writing to maybe get som more funding to continue their research. Nothing new, nothing of any particular interest ( but to the antipsychiatry talibans on the planet)and nothing at the least conclusive. Interesting though is that long-term memory was not affected during ECT treatment, despite the "findings" of shortterm memory "impairment" If shorttermmemory really was impaired , so would longtime memory. Consolidation into longterm memory was according to the article, not affected.



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