Evidence map›Paper›PMID 34074611›Full record

Trial reportThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2022

Longitudinal Neurocognitive Effects of Combined Electroconvulsive Therapy (ECT) and Pharmacotherapy in Major Depressive Disorder in Older Adults: Phase 2 of the PRIDE Study.

Sarah H Lisanby, Shawn M McClintock, William V McCall, Rebecca G Knapp, C Munro Cullum, Martina Mueller, Zhi-De Deng, Abeba A Teklehaimanot, Matthew V Rudorfer, Elisabeth Bernhardt and 18 more

Open access · greenAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
4.7field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 40 citations in OpenAlex.

  1. Trial
  2. Extended course accelerated intermittent theta burst stimulation as a substitute for depressed patients needing electroconvulsive therapy.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
    Trial
  3. Trial
  4. Article
  5. Review
  6. Article
  7. How electroconvulsive therapy works in the treatment of depression: is it the seizure, the electricity, or both?Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Review
  8. Review
  9. Article
  10. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

28 authors at 13 institutions in 1 country.

Sarah H LisanbyNoninvasive Neuromodulation Unit, Experimental Therapeutics and Pathophysiology Branch, Intramural Research Program (SHL, ZDD), National Institute of Mental Health, National Institutes of Health, Bethesda, MD; Division of Brain Stimulation and Neurophysiology, Department of Psychiatry and Behavioral Sciences (SHL, EB, RDW), Duke University School of Medicine, Durham, NC. Electronic address: Sarah.Lisanby@NIH.gov.
Shawn M McClintockDivision of Psychology, Department of Psychiatry (SMM, CMC, MMH), UT Southwestern Medical Center, Dallas, TX.
William V McCallDepartment of Psychiatry and Health Behavior (WVM, PBR), Medical College of Georgia, Augusta University, Augusta, GA.
Rebecca G KnappMedical University of South Carolina (RGK, MM, AAT), Charleston, SC.
C Munro CullumDivision of Brain Stimulation and Neurophysiology, Department of Psychiatry and Behavioral Sciences (SHL, EB, RDW), Duke University School of Medicine, Durham, NC.
Martina MuellerMedical University of South Carolina (RGK, MM, AAT), Charleston, SC.
Zhi-De DengNoninvasive Neuromodulation Unit, Experimental Therapeutics and Pathophysiology Branch, Intramural Research Program (SHL, ZDD), National Institute of Mental Health, National Institutes of Health, Bethesda, MD.
Abeba A TeklehaimanotMedical University of South Carolina (RGK, MM, AAT), Charleston, SC.
Matthew V RudorferDivision of Services and Intervention Research (MVR), National Institute of Mental Health, National Institutes of Health, Bethesda, MD.
Elisabeth BernhardtDivision of Brain Stimulation and Neurophysiology, Department of Psychiatry and Behavioral Sciences (SHL, EB, RDW), Duke University School of Medicine, Durham, NC.
George AlexopoulosDepartment of Psychiatry and Behavioral Sciences (GA, VL, RCY), New York Presbyterian/Weill Cornell Medical Center, White Plains, NY.
Samuel H BailineDepartment of Psychiatry (SHB, SB, GP), Zucker Hillside Hospital/North Shore-LIJ Health System, New York, NY.
Mimi C BriggsDepartment of Psychiatry (MCB, ETG, LSL, CHK), Icahn School of Medicine at Mount Sinai, New York, NY.
Emma T GeduldigDepartment of Psychiatry (MCB, ETG, LSL, CHK), Icahn School of Medicine at Mount Sinai, New York, NY.
Robert M GreenbergNYU Langone (RMG), New York, NY.
Mustafa M HusainDivision of Psychology, Department of Psychiatry (SMM, CMC, MMH), UT Southwestern Medical Center, Dallas, TX.
Styliani KalioraDepartment of Psychiatry (SHB, SB, GP), Zucker Hillside Hospital/North Shore-LIJ Health System, New York, NY.
Vassilios LatoussakisDepartment of Psychiatry and Behavioral Sciences (GA, VL, RCY), New York Presbyterian/Weill Cornell Medical Center, White Plains, NY.
Lauren S LiebmanDepartment of Psychiatry (MCB, ETG, LSL, CHK), Icahn School of Medicine at Mount Sinai, New York, NY.
Georgios PetridesDepartment of Psychiatry (SHB, SB, GP), Zucker Hillside Hospital/North Shore-LIJ Health System, New York, NY.
Joan PrudicDepartment of Psychiatry (JP), Columbia University/New York State Psychiatric Institute, New York, NY.
Peter B RosenquistDepartment of Psychiatry and Health Behavior (WVM, PBR), Medical College of Georgia, Augusta University, Augusta, GA.
Shirlene SampsonDepartment of Psychiatry and Psychology (SS), Mayo Clinic, Rochester, MN.
Kristen G TobiasVA New Jersey Health Care System (KGT), East Orange, NJ.
Richard D WeinerDivision of Psychology, Department of Psychiatry (SMM, CMC, MMH), UT Southwestern Medical Center, Dallas, TX.
Robert C YoungDepartment of Psychiatry and Behavioral Sciences (GA, VL, RCY), New York Presbyterian/Weill Cornell Medical Center, White Plains, NY.
Charles H KellnerDepartment of Psychiatry (MCB, ETG, LSL, CHK), Icahn School of Medicine at Mount Sinai, New York, NY.
Prolonging Remission in Depressed Elderly (PRIDE) Work Group
Icahn School of Medicine at Mount Sinai · USMedical University of South Carolina · USNational Institutes of Health · USNorthwell Health · USAugusta University · USDuke University · USPresbyterian Hospital · USSouthwestern Medical Center · USCornell University · USMayo Clinic in Arizona · USNew York State Psychiatric InstituteSouthwestern Medical CenterVA New Jersey Health Care System · US

Funding

Non-invasive Neuromodulation Unit (NNU)ZIAMH002955 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI ZARATE, CARLOS · 2016 to 2025
$40.3M
2/8-Prolonging Remission in Depressed Elderly (PRIDE)U01MH084241 · NIMH · DUKE UNIVERSITY · PI WEINER, RICHARD D. · 2009 to 2013
$2.1M
1/8-Prolonging Remission in Depressed Elderly (PRIDE)U01MH055495 · NIMH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI KELLNER, CHARLES H · 2009 to 2013
$2.0M
3/8-Prolonging Remission in Depressed Elderly (PRIDE)U01MH081362 · NIMH · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI KNAPP, REBECCA GRANT · 2009 to 2013
$1.8M
4/8-Prolonging Remission in Depressed Elderly (PRIDE)U01MH086123 · NIMH · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI PETRIDES, GEORGIOS · 2009 to 2013
$1.5M
7/8-Prolonging Remission in Depressed Elderly (PRIDE)U01MH086127 · NIMH · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI MCCALL, WILLIAM VAUGHN · 2009 to 2013
$1.1M
6/8-Prolonging Remission in Depressed Elderly (PRIDE)U01MH086120 · NIMH · UT SOUTHWESTERN MEDICAL CENTER · PI HUSAIN, MUSTAFA M. · 2009 to 2013
$1.1M
8/8-Prolonging Remission in Depressed Elderly (PRIDE)U01MH086122 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI YOUNG, ROBERT C. · 2009 to 2013
$1.0M
5/8-Prolonging Remission in Depressed Elderly (PRIDE)U01MH086130 · NIMH · MAYO CLINIC ROCHESTER · PI SAMPSON, SHIRLENE MARIE · 2009 to 2011
$610k
NIMH NIH HHS U01 MH055495NIMH NIH HHS U01 MH081362NIMH NIH HHS U01 MH084241NIMH NIH HHS U01 MH086120NIMH NIH HHS U01 MH086122NIMH NIH HHS U01 MH086123NIMH NIH HHS U01 MH086127NIMH NIH HHS U01 MH086130
6 · The paper itself

Abstract

objectiveThere is limited information regarding neurocognitive outcomes of right unilateral ultrabrief pulse width electroconvulsive therapy (RUL-UB ECT) combined with pharmacotherapy in older adults with major depressive disorder. We report longitudinal neurocognitive outcomes from Phase 2 of the Prolonging Remission in Depressed Elderly (PRIDE) study.

methodAfter achieving remission with RUL-UB ECT and venlafaxine, older adults (≥60 years old) were randomized to receive symptom-titrated, algorithm-based longitudinal ECT (STABLE) plus pharmacotherapy (venlafaxine and lithium) or pharmacotherapy-only. A comprehensive neuropsychological battery was administered at baseline and throughout the 6-month treatment period. Statistical significance was defined as a p-value of less than 0.05 (two-sided test).

resultsWith the exception of processing speed, there was statistically significant improvement across most neurocognitive measures from baseline to 6-month follow-up. There were no significant differences between the two treatment groups at 6 months on measures of psychomotor processing speed, autobiographical memory consistency, short-term and long-term verbal memory, phonemic fluency, inhibition, and complex visual scanning and cognitive flexibility.

conclusionTo our knowledge, this is the first report of neurocognitive outcomes over a 6-month period of an acute course of RUL-UB ECT followed by one of 2 strategies to prolong remission in older adults with major depression. Neurocognitive outcome did not differ between STABLE plus pharmacotherapy versus pharmacotherapy alone over the 6-month continuation treatment phase. These findings support the safety of RUL-UB ECT in combination with pharmacotherapy in the prolonging of remission in late-life depression.

Indexed as

Electroconvulsive TherapyMajor Depressive DisorderAgedHumansLithiumMiddle AgedTreatment OutcomeVenlafaxine HydrochlorideLithiumVenlafaxine HydrochlorideElectroconvulsive therapymajor depressionneurocognitive adverse effects

Identifiers

PMID34074611
PMCPMC8595359
OpenAlexW3161860686

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.