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Psychiatr. Clin. North Am. · Dec 2013
ReviewThe role of electroconvulsive and neuromodulation therapies in the treatment of geriatric depression.
- Patricio Riva-Posse, Adriana P Hermida, and William M McDonald.
- Department of Psychiatry and Behavioral Sciences, Emory University, 101 Woodruff Cir NE, Suite 4000, Atlanta, GA 30322, USA.
- Psychiatr. Clin. North Am. 2013 Dec 1; 36 (4): 607-30.
AbstractGeriatric depression is associated with increased mortality because of suicide and decreases in functional and physical health. Many elders' depression is resistant to psychotherapy and medication and can become chronic. Electroconvulsive therapy (ECT) is increasingly used in the treatment of medication-resistant or life-threatening geriatric depression. Neuromodulation therapies (subconvulsive, focal, or subconvulsive and focal) are alternatives for the management of treatment-resistant depression in the elderly. Therapies that combine both strategies could be safer but may not be as effective as ECT. This review covers the evidence on the safety and efficacy of ECT and the neuromodulation therapies in geriatric depression. Copyright © 2013 Elsevier Inc. All rights reserved.
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