ECT: the search for the perfect stimulus.

Abstract:

:Animal studies indicate that seizures can be produced reliably with a fraction of the electrical energy now required by currently available electroconvulsive therapy (ECT) instruments. This may result in further reduction of the side effects of ECT. The stimulus energy does not necessarily correspond to the energy deposited in the brain tissue, and electrostimulatory dosimetry needs further refinement. With these reservations, data are presented suggesting that the optimal stimulus, i.e., the stimulus capable of producing seizures reliably with the least energy, consists of brief, unidirectional pulses, between 40 and 60 microseconds in duration, applied at a frequency between 100 and 300 Hz. The relevance of these findings to the use of existing ECT instruments is discussed. A device capable of producing such a stimulus has been built and is awaiting clinical trials.

journal_name

Biol Psychiatry

journal_title

Biological psychiatry

authors

Hyrman V,Palmer LH,Cernik J,Jetelina J

doi

10.1016/0006-3223(85)90098-8

subject

Has Abstract

pub_date

1985-06-01 00:00:00

pages

634-45

issue

6

eissn

0006-3223

issn

1873-2402

pii

0006-3223(85)90098-8

journal_volume

20

pub_type

杂志文章
  • Neural responses to monetary incentives in major depression.

    abstract:BACKGROUND:Reduced responsiveness to positive incentives is a central feature of Major Depressive Disorder (MDD). In the present study, we compared neural correlates of monetary incentive processing in unmedicated depressed participants and never-depressed control subjects. METHODS:Fourteen currently depressed and 12 ...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.biopsych.2007.07.023

    authors: Knutson B,Bhanji JP,Cooney RE,Atlas LY,Gotlib IH

    更新日期:2008-04-01 00:00:00

  • Benzodiazepines counteract rostral anterior cingulate cortex activation induced by cholecystokinin-tetrapeptide in humans.

    abstract:BACKGROUND:Benzodiazepines modulate γ-aminobutyric acid type A (GABA(A)) receptors throughout the brain. However, it is not fully understood which brain regions within anxiety-related brain circuits are really responsible for their anxiolytic effects and how these regions interact. METHODS:We investigated whether the ...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.biopsych.2012.09.004

    authors: Leicht G,Mulert C,Eser D,Sämann PG,Ertl M,Laenger A,Karch S,Pogarell O,Meindl T,Czisch M,Rupprecht R

    更新日期:2013-02-15 00:00:00

  • Appetite and food preference in depression: effects of imipramine treatment.

    abstract::A nutritional survey, the Pittsburgh Appetite Test (PAT), was developed to study potential changes in appetite and food preference reported by patients during a depressive episode and during antidepressant treatment. We examined a group of 50 depressed outpatients who were drug-free for 2 weeks prior to treatment with...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:10.1016/0006-3223(87)90180-6

    authors: Fernstrom MH,Krowinski RL,Kupfer DJ

    更新日期:1987-05-01 00:00:00

  • Quantitative assessment of smooth pursuit gain and catch-up saccades in schizophrenia and affective disorders.

    abstract::The smooth pursuit responses to 5 degrees and 20 degrees/sec constant-velocity stimuli were recorded from 23 patients with schizophrenia, 16 affective disorder patients, and 21 normals using low-noise infrared oculography. Pursuit gain, catch-up saccade (CUS) rate and amplitude, and their interrelationships were exami...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:10.1016/0006-3223(91)90248-k

    authors: Abel LA,Friedman L,Jesberger J,Malki A,Meltzer HY

    更新日期:1991-06-01 00:00:00

  • Adolescent exposure to cannabinoids induces long-lasting changes in the response to drugs of abuse of rat midbrain dopamine neurons.

    abstract:BACKGROUND:Recent studies have raised concerns about subtle long-lasting neurobiological changes that might be triggered by exposure to Cannabis derivatives, especially in a critical phase of brain maturation, such as puberty. The mesolimbic dopamine (DA) system, involved in the processing of drug-induced reward, is a ...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.biopsych.2004.05.006

    authors: Pistis M,Perra S,Pillolla G,Melis M,Muntoni AL,Gessa GL

    更新日期:2004-07-15 00:00:00

  • Neurogenic effects of fluoxetine are attenuated in p11 (S100A10) knockout mice.

    abstract:BACKGROUND:Chronic but not acute treatment with antidepressants increases hippocampal neurogenesis. Because chronic treatment with antidepressants also upregulates p11, we hypothesized that p11 might regulate effects of antidepressants on aspects of neurogenesis. METHODS:Fluoxetine was administered chronically to wild...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.biopsych.2010.01.024

    authors: Egeland M,Warner-Schmidt J,Greengard P,Svenningsson P

    更新日期:2010-06-01 00:00:00

  • Long-term social recognition memory is mediated by oxytocin-dependent synaptic plasticity in the medial amygdala.

    abstract:BACKGROUND:Recognition of specific individuals is fundamental to mammalian social behavior and is mediated in most mammals by the main and accessory olfactory systems. Both these systems innervate the medial amygdala (MeA), where activity of the neuropeptide oxytocin is thought to mediate social recognition memory (SRM...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.biopsych.2014.03.022

    authors: Gur R,Tendler A,Wagner S

    更新日期:2014-09-01 00:00:00

  • The Val66Met coding variant of the brain-derived neurotrophic factor (BDNF) gene does not contribute toward variation in the personality trait neuroticism.

    abstract:BACKGROUND:The val66met variant located within the brain-derived neurotrophic factor gene (BDNF) has previously been associated with human neuroticism, a dimension of personality strongly predictive of depressive illness. METHODS:Here we report an attempt to replicate this association using three populations of extrem...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.biopsych.2005.05.014

    authors: Willis-Owen SA,Fullerton J,Surtees PG,Wainwright NW,Miller S,Flint J

    更新日期:2005-11-01 00:00:00

  • A new pathophysiological aspect of S100B in schizophrenia: potential regulation of S100B by its scavenger soluble RAGE.

    abstract:BACKGROUND:Several studies have reported elevated S100B serum levels in schizophrenia. Our study focused on its scavenger, soluble receptor for advanced glycation end products (sRAGE). Given the benefits of sRAGE in metabolic and inflammatory diseases, we hypothesized a similar effect in schizophrenia. METHODS:S100B a...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.biopsych.2008.10.044

    authors: Steiner J,Walter M,Wunderlich MT,Bernstein HG,Panteli B,Brauner M,Jacobs R,Gos T,Rothermundt M,Bogerts B

    更新日期:2009-06-15 00:00:00

  • Autism and nonsyndromic mental retardation associated with a de novo mutation in the NLGN4X gene promoter causing an increased expression level.

    abstract:BACKGROUND:Pathogenic mutations in the X-linked Neuroligin 4 gene (NLGN4X) in autism spectrum disorders (ASDs) and/or mental retardation (MR) are rare. However, nothing is known regarding a possible altered expression level of NLGN4X that would be caused by mutations in regulatory sequences. We investigated this issue ...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.biopsych.2009.05.008

    authors: Daoud H,Bonnet-Brilhault F,Védrine S,Demattéi MV,Vourc'h P,Bayou N,Andres CR,Barthélémy C,Laumonnier F,Briault S

    更新日期:2009-11-15 00:00:00

  • Electrophysiological and behavioral correlates of psychomotor responsivity in depression.

    abstract::Psychomotor retardation is a frequently observed clinical feature of depressive states. This study attempted to assess the relationship between response slowness and central nervous system (CNS) activity by examining cortical evoked potentials (EPs) during psychomotor task performance. Patients consisted of 21 women w...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:10.1016/0006-3223(87)90149-1

    authors: Knott VJ,Lapierre YD

    更新日期:1987-03-01 00:00:00

  • Serotonin transporter genotype (5-HTTLPR): effects of neutral and undefined conditions on amygdala activation.

    abstract:BACKGROUND:A polymorphism of the human serotonin transporter gene (SCL6A4) has been associated with serotonin transporter expression and with processing of aversive stimuli in the amygdala. Functional imaging studies show that during the presentation of aversive versus neutral cues, healthy carriers of the short (s) al...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.biopsych.2006.08.019

    authors: Heinz A,Smolka MN,Braus DF,Wrase J,Beck A,Flor H,Mann K,Schumann G,Büchel C,Hariri AR,Weinberger DR

    更新日期:2007-04-15 00:00:00

  • Plasmatic vasopressin neurophysin in depression: basic levels and relations with HPA axis.

    abstract::A decreased secretion of arginine vasopressin (AVP) has been implicated in depression. In order to further investigate this hypothesis, we studied the plasma level of the specific peptidergic carrier of AVP, vasopressin neurophysin (hNpI), in 26 depressed inpatients and 16 matched normal controls. On the other hand, A...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:10.1016/0006-3223(90)90423-y

    authors: Laruelle M,Seghers A,Goffinet S,Bouchez S,Legros JJ

    更新日期:1990-06-01 00:00:00

  • Formation and metabolism of catecholestrogens in depressed patients.

    abstract::The evidence that catecholestrogens are formed in the brain and exert behavioral effects in animal models suggest that these steroids might have psychotropic activities. In the present investigation, the formation and metabolism of catecholestrogens were studied in depressed patients. Twenty-four-hr urine samples were...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:10.1016/0006-3223(90)90455-b

    authors: Banger M,Hiemke C,Knuppen R,Ball P,Haupt M,Wiedemann K

    更新日期:1990-10-15 00:00:00

  • Dopaminergic supersensitivity follows ferric chloride-induced limbic seizures.

    abstract::Injection of ferric chloride (FC) into the left amygdala of rats produced limbic seizures that lasted at least 3 weeks. In addition, FC-injected animals demonstrated motor impairment, decreased protesting vocalizations, and spontaneous stereotypies during a behavioral examination. An increase in apomorphine-induced st...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:10.1016/0006-3223(85)90151-9

    authors: Csernansky JG,Csernansky CA,Bonnet KA,Hollister LE

    更新日期:1985-07-01 00:00:00

  • Loss of function studies in mice and genetic association link receptor protein tyrosine phosphatase α to schizophrenia.

    abstract:BACKGROUND:Solid evidence links schizophrenia (SZ) susceptibility to neurodevelopmental processes involving tyrosine phosphorylation-mediated signaling. Mouse studies implicate the Ptpra gene, encoding protein tyrosine phosphatase RPTPα, in the control of radial neuronal migration, cortical cytoarchitecture, and oligod...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.biopsych.2011.06.016

    authors: Takahashi N,Nielsen KS,Aleksic B,Petersen S,Ikeda M,Kushima I,Vacaresse N,Ujike H,Iwata N,Dubreuil V,Mirza N,Sakurai T,Ozaki N,Buxbaum JD,Sap J

    更新日期:2011-10-01 00:00:00

  • Prominent reduction in pyramidal neurons density in the orbitofrontal cortex of elderly depressed patients.

    abstract:BACKGROUND:Elderly depressed patients have more vascular hyperintensities in frontal white matter and basal ganglia than elderly control subjects. Cell pathology that might be related to increased vascular hyperintensities has not been examined. METHODS:Postmortem samples from the orbitofrontal cortex (ORB) were colle...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.biopsych.2005.04.013

    authors: Rajkowska G,Miguel-Hidalgo JJ,Dubey P,Stockmeier CA,Krishnan KR

    更新日期:2005-08-15 00:00:00

  • Right prefrontal slow repetitive transcranial magnetic stimulation in schizophrenia: a double-blind sham-controlled pilot study.

    abstract:BACKGROUND:The aim of this study was to extend our previous work on the therapeutic efficacy of repetitive transcranial magnetic stimulation (rTMS) in major depression to patients with schizophrenia. METHODS:Thirty-five inpatients with schizophrenia were randomly assigned to either right prefrontal rTMS or sham treatm...

    journal_title:Biological psychiatry

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0006-3223(99)00182-1

    authors: Klein E,Kolsky Y,Puyerovsky M,Koren D,Chistyakov A,Feinsod M

    更新日期:1999-11-15 00:00:00

  • Increased prefrontal and hippocampal glutamate concentration in schizophrenia: evidence from a magnetic resonance spectroscopy study.

    abstract:BACKGROUND:Glutamatergic dysfunction has been implicated in the pathophysiology of schizophrenia. However, so far there is limited direct evidence of altered in vivo glutamate concentrations in the brains of patients with schizophrenia. To test the hypothesis that altered glutamatergic neurotransmission might play a ro...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.biopsych.2005.04.041

    authors: van Elst LT,Valerius G,Büchert M,Thiel T,Rüsch N,Bubl E,Hennig J,Ebert D,Olbrich HM

    更新日期:2005-11-01 00:00:00

  • Blockade of nicotine reward and reinstatement by activation of alpha-type peroxisome proliferator-activated receptors.

    abstract:BACKGROUND:Recent findings indicate that inhibitors of fatty acid amide hydrolase (FAAH) counteract the rewarding effects of nicotine in rats. Inhibition of FAAH increases levels of several endogenous substances in the brain, including the endocannabinoid anandamide and the noncannabinoid fatty acid ethanolamides oleoy...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.biopsych.2010.07.009

    authors: Mascia P,Pistis M,Justinova Z,Panlilio LV,Luchicchi A,Lecca S,Scherma M,Fratta W,Fadda P,Barnes C,Redhi GH,Yasar S,Le Foll B,Tanda G,Piomelli D,Goldberg SR

    更新日期:2011-04-01 00:00:00

  • Aberrant Salience, Information Processing, and Dopaminergic Signaling in People at Clinical High Risk for Psychosis.

    abstract::The aberrant salience hypothesis proposes that striatal dopamine dysregulation causes misattribution of salience to irrelevant stimuli leading to psychosis. Recently, new lines of preclinical evidence on information coding by subcortical dopamine coupled with computational models of the brain's ability to predict and ...

    journal_title:Biological psychiatry

    pub_type: 杂志文章,评审

    doi:10.1016/j.biopsych.2020.03.012

    authors: Howes OD,Hird EJ,Adams RA,Corlett PR,McGuire P

    更新日期:2020-08-15 00:00:00

  • Serotonin function and antiaggressive response to fluoxetine: a pilot study.

    abstract:BACKGROUND:The reported inverse relationship between indices of central serotonin (5-HT) function and indices of impulsive aggression in human subjects suggests the possibility that enhancement of 5-HT activity will reduce impulsive aggressive behavior. Although evidence for this hypothesis is emerging, the relationshi...

    journal_title:Biological psychiatry

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/S0006-3223(97)00309-0

    authors: Coccaro EF,Kavoussi RJ,Hauger RL

    更新日期:1997-10-01 00:00:00

  • Markers of Psychosis Risk in the General Population.

    abstract::The categorical approach to defining schizophrenia spectrum disorders requires meeting established criteria. To advance early identification and intervention in young people, the field has progressed to studying help-seeking individuals who are at clinical high risk based on subthreshold psychosis spectrum symptoms, a...

    journal_title:Biological psychiatry

    pub_type: 杂志文章,评审

    doi:10.1016/j.biopsych.2020.02.002

    authors: Taylor JH,Calkins ME,Gur RE

    更新日期:2020-08-15 00:00:00

  • Variation in the oxytocin receptor gene is associated with pair-bonding and social behavior.

    abstract:BACKGROUND:In specific vole and primate species the neuropeptide oxytocin plays a central role in the regulation of pair-bonding behavior. Here we investigate the extent to which genetic variants in the oxytocin receptor gene (OXTR) are associated with pair-bonding and related social behaviors in humans. METHODS:We fi...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.biopsych.2011.09.002

    authors: Walum H,Lichtenstein P,Neiderhiser JM,Reiss D,Ganiban JM,Spotts EL,Pedersen NL,Anckarsäter H,Larsson H,Westberg L

    更新日期:2012-03-01 00:00:00

  • Mice Lacking GPR88 Show Motor Deficit, Improved Spatial Learning, and Low Anxiety Reversed by Delta Opioid Antagonist.

    abstract:BACKGROUND:GPR88 is an orphan G protein coupled receptor highly enriched in the striatum, and previous studies have focused on GPR88 function in striatal physiology. The receptor is also expressed in other brain areas, and here we examined whether GPR88 function extends beyond striatal-mediated responses. METHODS:We c...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.biopsych.2015.05.020

    authors: Meirsman AC,Le Merrer J,Pellissier LP,Diaz J,Clesse D,Kieffer BL,Becker JA

    更新日期:2016-06-01 00:00:00

  • Harnessing Gut Microbes for Mental Health: Getting From Here to There.

    abstract::There has been an explosion of interest in the study of microorganisms inhabiting the gastrointestinal tract (gut microbiota) and their impact on host health and physiology. Accumulating data suggest that altered communication between gut microbiota and host systems could participate in disorders such as obesity, diab...

    journal_title:Biological psychiatry

    pub_type: 杂志文章,评审

    doi:10.1016/j.biopsych.2017.08.014

    authors: Bruce-Keller AJ,Salbaum JM,Berthoud HR

    更新日期:2018-02-01 00:00:00

  • Lymphocyte subset, lymphocyte proliferative response, and soluble interleukin-2 receptor in anorexic patients.

    abstract:BACKGROUND:Despite a prominent malnourished state, anorexics are unexpectedly free from infection. Several studies have shown that the cell-mediated immunity of anorexics might be well preserved, but results are conflicting. METHODS:Lymphocyte subsets, lymphoproliferative response to phytohemagglutinin, and soluble in...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:10.1016/s0006-3223(98)00082-1

    authors: Nagata T,Kiriike N,Tobitani W,Kawarada Y,Matsunaga H,Yamagami S

    更新日期:1999-02-15 00:00:00

  • Prediction of sleep deprivation outcome by diurnal variation of mood.

    abstract::This study investigates whether response to total sleep deprivation in depressed patients may be predicted by the presence of diurnal variation of mood. Diurnal variation was measured with two different self-rating scales in 140 untreated depressed patients. Sleep deprivation responders manifest a higher percentage of...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:10.1016/0006-3223(92)90050-a

    authors: Haug HJ

    更新日期:1992-02-01 00:00:00

  • Antidepressant effects of ketamine in depressed patients.

    abstract:BACKGROUND:A growing body of preclinical research suggests that brain glutamate systems may be involved in the pathophysiology of major depression and the mechanism of action of antidepressants. This is the first placebo-controlled, double-blinded trial to assess the treatment effects of a single dose of an N-methyl-D-...

    journal_title:Biological psychiatry

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0006-3223(99)00230-9

    authors: Berman RM,Cappiello A,Anand A,Oren DA,Heninger GR,Charney DS,Krystal JH

    更新日期:2000-02-15 00:00:00

  • No association between the Val66Met polymorphism of the brain-derived neurotrophic factor gene and bipolar disorder in a Japanese population: a multicenter study.

    abstract:BACKGROUND:Two previous studies reported a significant association between a missense polymorphism (Val66Met) in the brain-derived neurotrophic factor (BDNF) gene and bipolar disorder; however, contradictory negative results have also been reported, necessitating further investigation. METHODS:We organized a multicent...

    journal_title:Biological psychiatry

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.biopsych.2004.06.017

    authors: Kunugi H,Iijima Y,Tatsumi M,Yoshida M,Hashimoto R,Kato T,Sakamoto K,Fukunaga T,Inada T,Suzuki T,Iwata N,Ozaki N,Yamada K,Yoshikawa T

    更新日期:2004-09-01 00:00:00