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Verbal perseveration after right-unilateral ECT

Published online by Cambridge University Press:  16 April 2020

G. Adler  and
C. Achenbach
G. Adler*
Affiliation:
Day-Clinic for the Elderly, Central Institute of Mental Health, J5, 68159, Mannheim, Germany
*
*Correspondence and reprints. E-mail address: [email protected] (G. Adler).
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Abstract

After electroconvulsive therapy (ECT), many patients experience a decrement in their mnestic capacity. We studied episodic memory in eight severely depressed patients treated with a course of right-unilateral ECT. For this purpose, a testing instrument was constructed by the authors. It was made of paper cards that held four pieces of information, namely a word, a number, a figure, and the color of the card. One of the cards was presented to the patients and the respective information was asked for on the subsequent day. Patients were tested every morning during the first two weeks of the ECT course. About half of the responses were correct. Patients did best in recalling the color; they did worst in recalling the number. Seven of the patients showed verbal perseverations. This is in accordance with the literature on perseveration in patients with neurologic deficits, especially in proactive-inhibitory tasks. Perseveration may be attributed to a deficit in selective attention, producing an arousal of irrelevant cues.

Type
Short communication
Information
European Psychiatry , Volume 16 , Issue 1 , February 2001 , pp. 75 - 78
Copyright
Copyright © Éditions scientifiques et médicales Elsevier SAS.

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References

Buckingham, HWhitaker, HWhitaker, H.On linguistic perseveration In: Whitaker, HWhitaker, HStudies in neurolinguistics. Vol.4 New York: Academic Press; 1981.Google Scholar
Cronholm, BMolander, L.Memory disturbances after electroconvulsive therapy. 1. Conditions 6 hours after electroshock treatment Acta Psych Scand, 1957; 32: 280–306.Google Scholar
Cronholm, BOttosson, J.OMemory functions in endogenous depression before and after electroconvulsive therapy Arch Gen Psychiatry 1961; 5: 193–199.Google Scholar
Daniel, W.FCrovitz, H.FRecovery of orientation after electroconvulsive therapy Acta Psych Scand 1982; 66: 421–428.Google Scholar
Daniel, W.FCrovitz, H.FAcute memory impairment following electroconvulsive therapy Acta Psych Scand 1983; 67: 1–7.Google Scholar
D’Elia, GRaotma, HIs unilateral ECT less effective than bilateral ECT? Br J Psychiatry 1975; 126: 83–89.Google Scholar
Halliday, A.MDavison, KBrowne, M.WKreeger, L.CA comparison of the effects on depression and memory of bilateral E.C.T. and unilateral E.C.T. to the dominant and non-dominant hemispheres Br J Psychiatry 1968; 114: 997–1012.Google Scholar
Hamilton, MDevelopment of a rating scale for primary depressive illness Br J Soc Clin Psychology 1967; 6: 278–296.Google Scholar
Hautzinger, MBailer, MWorall, HKeller, FDas Beck Depressionsinventar-BDI Bern: Huber; 1992.Google Scholar
Horn, RRaven-Matrices-Test: advanced progressive matrices Weinheim: Beltz Test; 1980.Google Scholar
Hufnagel, ANoachtar, SEpilepsien und ihre medikamentöse Behandlung In: Brandt, TDichgaus, JDiener, H.CTherapie und Verlauf neurologischer Erkrankungen Stuttgart: Kohlhammer; 1998. p. 179–203.Google Scholar
Janicak, P.GSharma, R.PIsrani, T.HDowd, S.MAltman, EDavis, J.MEffects of unilateral-nondominant vs. bilateral ECT on memory and depression: a preliminary report Psychopharm Bull 1991; 27: 353–357.Google Scholar
Koch, JNeuropsychologie des Frontalhirnsyndroms Beltz, Psychologie-Verlags-Union: Weinheim; 1994.Google Scholar
Lerer, BShapira, BCalev, ATubi, NDrexler, HKindler, Set al.Antidepressant and cognitive effects of twice- versus three-times-weekly ECT Am J Psychiatry 1995; 152: 564–570.Google Scholar
Liepmann, HÜber Störungen des Handelns bei Gehirnkranken Berlin: Karger; 1905.Google Scholar
Luria, A.RThe neuropsychology of memory Washington, DC: Winston; 1976.Google Scholar
Markowitsch, H.JNeuropsychologie des Gedächtnisses Göttingen: Hogrefe; 1992.Google Scholar
Moscovitch, MConfabulation and the frontal systems: strategic vs associative retrieval in neuropsychological theories of memoryRoediger, H.LCraik, F.I.MFestschrift for Endel Tulving Hillsdale, NJ: LEA; 1989. p. 23–33.Google Scholar
Perecman, E.Consciousness and the meta-functions of the frontal lobes: setting the stagePerecman, EThe frontal lobes revisit New York: The IRBN Press; 1987. p. 1–10.Google Scholar
Pribram, K.HLanguages of the brain Englewood Cliffs, NJ: Prentice-Hall Inc; 1971.Google Scholar
Sandson, JAlbert, M.LVarieties of perseveration Neuropsychologia 1984; 22: 715–732.CrossRefGoogle Scholar
Sandson, JAlbert, M.LPerseveration in behavioral neurology Neurology 1987; 37: 1736–1741.Google Scholar
Stoudemire, AHill, C.DMorris, RDalton, S.TImprovement in depression-related cognitive dysfunction following ECT J Neuropsych Clin Neurosci 1995; 7: 31–34.Google Scholar
Stuss, D.TBenson, D.FThe frontal lobes and control of cognition and memory Perecman, EThe frontal lobes revisit New York: The IRBN Press; 1987. p. 141–154.Google Scholar
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