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… 

Systematic review: Electroconvulsive therapy for treatment-resistant mood disorders in children and adolescents

The data suggest that ECT is safe and effective for the treatment of mood disorders in child and adolescent populations, and should be considered in severe and treatment-refractory cases.

Electroconvulsive Therapy in Children and Adolescents

The overall level of evidence for ECT in children and adolescents with mood disorders, catatonia, schizophrenia, intellectual disability, self-injurious behavior, and other indications is found to be of low quality.

Electroconvulsive Therapy in Children and Adolescents in Germany—A Case Series From 3 University Hospitals

This retrospective analysis found ECT to be effective and safe in children and adolescents irrespective of their main diagnosis, and the reported data point to the importance of an early use of ECT for severe psychiatric diseases in child and adolescent psychiatry.

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.

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.

-12589-Evaluate the effect of Electroconvulsive therapy in treatment of children with depression: a systematic review and meta-analysis

It should be noted that children should first undergo medication and psychotherapy, and after resistance to treatment, Electroconvulsive therapy should be used, and in general, Electro Convulsive therapy is effective in the treatment process.

A comparison of the safety, feasibility, and tolerability of ECT and ketamine for treatment-resistant depression

The safety, efficacy, and tolerability of ketamine and ECT are compared; whether ketamine is a reasonable alternative to ECT is clarified; and improved treatment assignment for TRD is facilitated.

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.

Suïcidepoging tijdens elektroconvulsietherapie bij een adolescente met een bipolaire stemmingsstoornis

The case report emphasizes the importance of continued alertness for suicidal ideation during ECT and different variables to take into account when administering ECT to adolescents with a mood disorder.

Working memory deficits in children with schizophrenia and its mechanism, susceptibility genes, and improvement: A literature review

This study aims to review the recent studies from both behavior and neuroimaging aspects to summarize the working memory deficits of children with schizophrenia and to discuss the pathogenic factors such as genetic susceptibility.



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.

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.

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 been

Electroconvulsive Therapy in Children and Adolescents : Brief Overview and Ethical Issues

Clinical issues related to ECT use in minors are reviewed, ethical implications of this procedure in the pediatric population are discussed, and questions about its use and effectiveness are discussed.

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.

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.

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.

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.

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.

ECT and the youth: catatonia in context.

  • F. Zaw
  • Psychology, Medicine
    International review of neurobiology
  • 2006