Battery for ECT Related Cognitive Deficits (B4ECT-ReCoDe): development and validation

Asian J Psychiatr. 2013 Jun;6(3):243-8. doi: 10.1016/j.ajp.2012.12.010. Epub 2013 Feb 19.

Abstract

Background: The use of electroconvulsive therapy (ECT) in treatment of psychiatric disorders is associated with adverse cognitive effects. There is a need to develop a short assessment tool of cognitive functions during the course of ECT.

Objective: This study aimed at developing and validating a short, sensitive battery to assess cognitive deficits associated with ECT in India.

Methods: Battery for ECT Related Cognitive Deficits (B4ECT-ReCoDe), a brief cognitive battery (20-30 min) to assess verbal, visual, working and autobiographic memory, sustained attention, psychomotor speed and subjective memory impairment, was administered to 30 in-patients receiving bilateral ECT, one day after the 1st, 3rd and 6th ECT. Data was analysed using repeated measures analysis of variance and Pearson's correlation.

Results: Significant deficits were found in verbal, visual and autobiographic memory, psychomotor speed. Subjective experience of memory loss correlated positively with verbal memory impairment.

Conclusions: B4ECT-ReCoDe, a brief, sensitive measure of cognitive impairments associated with ECT can be used in routine clinical practice.

Publication types

  • Validation Study

MeSH terms

  • Adult
  • Bipolar Disorder / therapy
  • Electroconvulsive Therapy / adverse effects*
  • Female
  • Humans
  • India
  • Male
  • Memory Disorders / diagnosis*
  • Memory Disorders / etiology
  • Neuropsychological Tests / standards*
  • Surveys and Questionnaires