Cognitive Effects Associated With Hippocampal Neurogenesis Induced by Electroconvulsive Therapy in the Treatment of Depression
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Major Depressive Disorder (MDD)
- Sponsor
- Centre Hospitalier St Anne
- Enrollment
- 87
- Locations
- 1
- Primary Endpoint
- Correlation between increased hippocampal volume and post-ECT retrograde amnesia
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
Electroconvulsive therapy (ECT) is the treatment of choice for drug-resistant depression (30% of patients), or when there is a short-term risk to the patient's life. Despite its robust efficacy and rapid onset of action, its use is limited both by the limited range of treatment available and by the cognitive effects sometimes induced. The present study focuses on the links between the efficacy of ECT, its cognitive effects and the formation of new neurons in the hippocampus (hippocampal neurogenesis) associated with this treatment.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Study population: depressed subjects treated with ECT
- •Male or female over 18 years of age
- •Hospitalised at the Centre Hospitalier Sainte-Anne
- •Suffering from a unipolar or bipolar major depressive episode, according to DSM5 criteria
- •Indication for ECT treatment
- •Patient has given informed written consent
- •Beneficiary of a social security scheme
- •Control population: depressed subjects treated without ECT
- •Male or female over 18 years of age
- •Hospitalised at the Centre Hospitalier Sainte-Anne
Exclusion Criteria
- •Study population: depressed subjects with ECT
- •Psychiatric comorbidity: schizophrenia, pervasive developmental disorder, dependence on a substance other than tobacco
- •Neurological comorbidity: Parkinson's disease, dementia
- •ECT treatment in the 6 months prior to inclusion
- •Compulsory care
- •Protected adults, persons under court protection measures
- •Persons deprived of liberty by judicial or administrative decision;
- •Refusal of consent to ECT treatment
- •Contraindications to ECT (HTIC, recent history of stroke, severe uncontrolled arterial hypertension, contraindication to anaesthesia)
- •Contraindications to MRI (patients with metal prostheses, claustrophobia)
Outcomes
Primary Outcomes
Correlation between increased hippocampal volume and post-ECT retrograde amnesia
Time Frame: After a course of ECT, up to 3 months