The effects of electroconvulsive therapy on neurocognitive function in elderly adults
Electroconvulsive therapy (ECT) is a commonly used treatment for elderly adults with severe major depressive disorder. Technical advances have maximized the efficacy of ECT while reducing side effects, particularly cognitive adverse effects. Careful monitoring of depressive symptomatology and neurocognitive functions using measurement-based care methods are recommended during the treatment course to systematically guide the administration of ECT. In this systematic review, the authors describe the advances in ECT administration that have improved its efficacy and summarize the available information regarding the associated adverse cognitive effects in elderly adults.