Electroconvulsive Therapy in Children and Adolescents: Clinical Indications and Special Considerations.

  title={Electroconvulsive Therapy in Children and Adolescents: Clinical Indications and Special Considerations.},
  author={Nicole M. Benson and Stephen J. Seiner},
  journal={Harvard Review of Psychiatry},
Electroconvulsive therapy (ECT) is a well-tolerated, well-established, and efficacious treatment in adults, particularly in the setting of severe mood and psychotic disorders. In children and adolescents, however, ECT is infrequently administered and likely underutilized. Results from older studies evaluating the utility of ECT in children and adolescents were mixed, but recent studies have supported ECT treatment success in these patients, with particularly high response rates for treating… Expand
5 Citations
Electroconvulsive Therapy in Children and Adolescents
Supplemental digital content is available in the text. Abstract There is a lack of studies regarding the efficacy of electroconvulsive therapy (ECT) in children and adolescents. In this study, weExpand
Electroconvulsive Therapy (ECT) for Autism Spectrum Disorder Associated with Catatonia and Self-Injury: a Clinical Review
There appears to be sufficient evidence that supports therapeutic benefits from ECT in persons with ASD, catatonia, and self-injury, and more rigorous clinical research is necessary particularly concerning optimization of maintenance ECT to maximize benefit and monitor for any adverse response. Expand
The Safety and Efficacy of Repetitive Transcranial Magnetic Stimulation in the Treatment of Major Depression Among Children and Adolescents: A Systematic Review
A systematic review indicates level 1 evidence that rTMS is safe but failed to show its superiority to placebo as a stand-alone treatment for resistant depression among children and adolescents and there is level 2 evidence favoring add-on rT MS to treat major depression amongChildren and adolescents. Expand
Psychiatric Comorbidities in Pediatric Epilepsy
Early diagnosis and management of psychiatric comorbidities leads to improvement in HRQOL of CYE, which requires routine screening and a multidisciplinary teamwork. Expand
Suïcidepoging tijdens elektroconvulsietherapie bij een adolescente met een bipolaire stemmingsstoornis
Suicide attempt during electroconvulsive therapy by a female adolescent with bipolar disorder Electroconvulsive therapy (ECT) is an effective treatment for certain psychiatric disorders, includingExpand


Electroconvulsive therapy in children and adolescents
The use of ECT in the adolescent population; its indications, administration, contraindications and risks, with emphasis on articles published after the American Academy of Child and Adolescent Psychiatry practice parameters were formulated are reviewed. Expand
Use of electroconvulsive therapy in adolescents.
It is concluded that ECT is a safe and effective treatment for adolescents with severe and intractable mental illness, and it has the same indications and effects as in adults. Expand
Acute Phase Treatment Outcomes of Electroconvulsive Therapy in Adolescents and Young Adults.
Adolescents and young adults screening positive for SUD had better acute phase ECT outcomes in self-reported depression/functioning, interpersonal relationships, and emotional lability than those screening negative. Expand
Practice parameter for use of electroconvulsive therapy with adolescents.
Electroconvulsive therapy (ECT) may be an effective treatment for adolescents with severe mood disorders and other Axis I psychiatric disorders when more conservative treatments have beenExpand
Electroconvulsive Therapy in Children and Adolescents : Brief Overview and Ethical Issues
The use of electroconvulsive therapy (ECT) in the <18 years old population is a complex topic that ties together elements of psychiatry, neurology, and ethics. The purposes of this brief discussionExpand
Clinical experience using electroconvulsive therapy in adolescents with schizophrenia spectrum disorders.
The clinical experience supports the assertion that ECT is a safe and effective treatment for SSD in adolescent patients. Expand
A Follow-up Study of Electroconvulsive Therapy in Children and Adolescents
The majority of participants who had received ECT before age 18 years reported mild or absence of depression and anxiety on self-rated follow-up measures after treatment with ECT, most notably, the majority reported absence of suicidality and adequate academic performance. Expand
Use of Electroconvulsive Therapy in Adolescents With Treatment-Resistant Depressive Disorders: A Case Series
It is suggested that ECT is a potential treatment option for refractory depression in selected adolescents and more data are needed to draw conclusions about efficacy and possible predictors of treatment response. Expand
Electroconvulsive treatment in adolescents with pharmacotherapy-refractory depression.
ECT can be an effective and relatively safe treatment for depressed adolescents who have failed to respond to antidepressant pharmacotherapy, and all regularly administered psychotropic medications should be discontinued before ECT and restarted after the final administration. Expand
Cognitive side effects of electroconvulsive therapy in adolescents.
Cognitive parameters found to be impaired during the first few days of ECT recovered over several months following the treatment, and there was no evidence of long-term damage to concentration, attention, verbal and visual memory, or verbal fluency. Expand