Study of Electroconvulsive Therapy (ECT) Treatment for Agitation and Aggression in Dementia
NCT01856010 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 23
Last updated 2015-02-16
Summary
Agitation/aggression is one of the most common and serious behavioral complications of dementia. If the behavior is refractory to standard care (behavior approaches and off label use of psychotropic medications), other evidence based treatment options are not currently available. Retrospective reviews and preliminary studies have indicated Electroconvulsive Therapy (ECT) may be a safe, effective intervention in this patient population. This study will measure the impact of open-label ECT on symptoms of agitation, aggression, cognition, mood and psychosis for patients referred for ECT who accept this intervention vs. those patients referred for ECT but decline this intervention (i.e. standard care controls). It will also assess adverse events, activities of daily living and caregiver burden during study participation. The hypothesis is that subjects with dementia related aggression/agitation who receive ECT will show significantly greater reductions in these behaviors than subjects who do not consent for ECT and continue with standard care. Pine Rest is partnering with McLean Hospital (Massachusetts) to answer this question. To our knowledge, this is the first prospective study to examine whether patients receiving ECT or standard care differ in reduction of aggression and agitation symptom severity and changes in cognition pre- and post- treatment.
Conditions
- Dementia
- Aggression
- Agitation
Interventions
- OTHER
-
ECT treatment
The decision to administer ECT treatment will have already been made before the subject is approached about study participation. Only individuals who were referred for ECT due to behavior refractory to standard care will be eligible to participate. If they decide to do ECT treatment, they are in the ECT group.
- OTHER
-
Standard Care (Non-ECT group)
The decision to administer ECT treatment will have already been made before the subject is approached about study participation. Only individuals who were referred for ECT due to behavior refractory to standard care will be eligible to participate. If they decide not to do ECT treatment and continue with standard care, they are in the Standard Care (Non-ECT) Group.
Sponsors & Collaborators
-
Mclean Hospital
collaborator OTHER -
Pine Rest Christian Mental Health Services
lead OTHER
Principal Investigators
-
Jack Mahdasian, MD · Pine Rest Christian Mental Health Services
-
Brent P Forester, MD · Mclean Hospital
Eligibility
- Min Age
- 50 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2011-03-31
- Primary Completion
- 2012-10-31
- Completion
- 2012-10-31
Countries
- United States
Study Locations
More Related Trials
-
Electroconvulsive Therapy for Traumatic Memories
NCT04027452 ·Status: COMPLETED ·Phase: NA
-
TMS in Preclinical and Prodromal AD: Modulation of Brain Networks and Memory
NCT04294888 ·Status: TERMINATED ·Phase: NA
-
Comparison of the Efficacy, Safety, and Relapse of ECT to ECT Plus Agomelatine for Depressed Patients
NCT04181567 ·Status: COMPLETED ·Phase: PHASE4
-
Longitudinal Study to Investigate Different Transcranial Electrical Stimulation
NCT06877312 ·Status: RECRUITING ·Phase: NA
-
Effects of a Combined Transcranial Magnetic Stimulation (TMS) and Cognitive Training in Alzheimer Patients
NCT01504958 ·Status: COMPLETED ·Phase: NA
-
Evaluation of Three Continuation Therapies After ECT Concerning Efficacy and Cognition in Severly Depressed Patients
NCT00437385 ·Status: COMPLETED ·Phase: PHASE1
-
The Underlying Neural Mechanism of TMS in Improving the Imbalance of "Microbiota-brain-gut Axis" in Alzheimer 's Disease Population
NCT07346794 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Transcranial Magnetic Stimulation in Mild Cognitive Impairment and Alzheimer Disease
NCT04771845 ·Status: COMPLETED
-
Repetitive Transcranial Magnetic Stimulation (rTMS) for Dystonia and Tremor
NCT04299087 ·Status: COMPLETED ·Phase: NA
-
TMS for Cognitive Decline in Aging and Preclinical AD
NCT06956300 ·Status: RECRUITING ·Phase: NA
-
Prevention of Alzheimer's Disease With CR Plus tDCS in Mild Cognitive Impairment and Depression (PACt-MD)
NCT02386670 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Mechanism of Action of Electroconvulsive Therapy
NCT04059952 ·Status: COMPLETED
-
Non-Invasive Brain Stimulation and Delirium
NCT03518996 ·Status: WITHDRAWN ·Phase: NA
-
MR Guided tDCS in Alzheimer's Disease
NCT03325205 ·Status: COMPLETED ·Phase: NA
-
Deep Transcranial Magnetic Stimulation in Patients With Alzheimer's Disease
NCT00753662 ·Status: UNKNOWN ·Phase: PHASE2
-
The Effect of Transcranial Direct Current Stimulation on Cognitive Side Effects of Electroconvulsive Therapy
NCT02897843 ·Status: COMPLETED ·Phase: NA
-
Ketamine as an Augmentation Strategy for Electroconvulsive Therapy (ECT) in Depression
NCT01881763 ·Status: COMPLETED ·Phase: PHASE4
-
Efficacy and Safety of Transcranial Magnetic Stimulation in Treatment of Alzheimer's Disease
NCT07324161 ·Status: RECRUITING ·Phase: NA
-
Repetitive Transcranial Magnetic Stimulation With H-coil in Alzheimer's Disease
NCT04562506 ·Status: COMPLETED ·Phase: NA
-
Brain Changes in Severely Depressed Patients Before and After Treatment With Electroconvulsive Therapy
NCT02715986 ·Status: COMPLETED ·Phase: NA
-
Neurostimulation Versus Therapy for Problems With Emotions
NCT05712057 ·Status: RECRUITING ·Phase: NA
-
Acute Effect of Low-intensity Gamma rTMS on Cognitive and EEG Parameters in Adults With Mild Dementia by Alzheimer's Disease
NCT05784298 ·Status: COMPLETED ·Phase: NA
-
Transcranial Direct Current Stimulation (tDCS) as a Cognitive Enhancer for Patients With Alzheimers Disease
NCT02518412 ·Status: UNKNOWN ·Phase: NA
-
Delirium Treatment With Transcranial Electrical Stimulation
NCT06285721 ·Status: RECRUITING ·Phase: NA
-
Investigating the Effect of Repetitive Transcranial Magnetic Stimulation (rTMS) as a Treatment for Alzheimer's Disease
NCT02908815 ·Status: COMPLETED ·Phase: NA