Evidence map›Paper›PMID 41070529›Full record

ArticleCNS spectrums2025

The effects of electroconvulsive therapy on cognition: an exploratory retrospective study.

Susanna Riessland, Pia Baldinger-Melich, Nicoletta Margreiter-Neuwirth, Ursula Kainzmayer, Ina Bozic, Rupert Lanzenberger, Richard Frey, Dan Rujescu, Vincent Millischer

Abstract read
In one paragraph

Article in CNS spectrums, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Susanna RiesslandDepartment of Psychiatry and Psychotherapy, Clinical Division of General Psychiatry, https://ror.org/05n3x4p02Medical University of Vienna, Spitalgasse 23, 1090 Vienna, Austria.
Pia Baldinger-MelichDepartment of Psychiatry and Psychotherapy, Clinical Division of General Psychiatry, https://ror.org/05n3x4p02Medical University of Vienna, Spitalgasse 23, 1090 Vienna, Austria.ORCID 0000-0001-8382-6665
Nicoletta Margreiter-NeuwirthDepartment of Psychiatry and Psychotherapy, Clinical Division of General Psychiatry, https://ror.org/05n3x4p02Medical University of Vienna, Spitalgasse 23, 1090 Vienna, Austria.
Ursula KainzmayerDepartment of Psychiatry and Psychotherapy, Clinical Division of General Psychiatry, https://ror.org/05n3x4p02Medical University of Vienna, Spitalgasse 23, 1090 Vienna, Austria.
Ina BozicDepartment of Psychiatry and Psychotherapy, Clinical Division of General Psychiatry, https://ror.org/05n3x4p02Medical University of Vienna, Spitalgasse 23, 1090 Vienna, Austria.
Rupert LanzenbergerDepartment of Psychiatry and Psychotherapy, Clinical Division of General Psychiatry, https://ror.org/05n3x4p02Medical University of Vienna, Spitalgasse 23, 1090 Vienna, Austria.
Richard FreyDepartment of Psychiatry and Psychotherapy, Clinical Division of General Psychiatry, https://ror.org/05n3x4p02Medical University of Vienna, Spitalgasse 23, 1090 Vienna, Austria.
Dan RujescuDepartment of Psychiatry and Psychotherapy, Clinical Division of General Psychiatry, https://ror.org/05n3x4p02Medical University of Vienna, Spitalgasse 23, 1090 Vienna, Austria.
Vincent MillischerDepartment of Psychiatry and Psychotherapy, Clinical Division of General Psychiatry, https://ror.org/05n3x4p02Medical University of Vienna, Spitalgasse 23, 1090 Vienna, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesElectroconvulsive therapy (ECT) is one of the most effective treatments for depression, but worries about cognitive side effects remain. This retrospective study evaluated cognitive outcomes and the antidepressant efficacy of ECT in a real-life sample of patients with treatment-resistant uni- or bipolar depression.

methodsWe included 90 depressed inpatients aged 49 ± 13.8 (SD) years who underwent 10 ± 2.1 (SD) unilateral or bitemporal ECT treatments and completed an extensive pre- and post-treatment psychological test battery. The Hamilton Depression Rating Scale (HAMD) and the Mini-Mental State Examination (MMSE) were evaluated as main outcomes pre-/post-ECT treatment.

resultsThere was no significant change in MMSE scores between pre-/post-treatment assessments (

conclusionsNo major cognitive changes were observed. While test results indicated deterioration in verbal learning and improvement in visual learning and motoric reaction time, effect sizes were small, and other cognitive tests showed no significant changes. The main limitation is the absence of retrograde memory assessment.

Indexed as

Bipolar DisorderCognitionDepressive Disorder, Treatment-ResistantElectroconvulsive TherapyAdultAgedFemaleHumansMaleMiddle AgedNeuropsychological TestsRetrospective StudiesTreatment Outcomecognitioncognitive side effectsdepressionElectroconvulsive therapytreatmenttreatment-resistant depression

Identifiers

PMID41070529
PMCPMC13064711

What Socratic holds

Textmetadata
LicenceCC BY
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.