Effects of Electroconvulsive Therapy on Depression and Its Potential Mechanism

Ming Li; Xiaoxiao Yao; Lihua Sun; Lihong Zhao; Wenbo Xu; Haisheng Zhao; Fangyi Zhao; Xiaohan Zou; Ziqian Cheng; Bingjin Li; Wei Yang; Ranji Cui

doi:10.3389/fpsyg.2020.00080

Effects of Electroconvulsive Therapy on Depression and Its Potential Mechanism

Front Psychol. 2020 Feb 20:11:80. doi: 10.3389/fpsyg.2020.00080. eCollection 2020.

Authors

Ming Li¹, Xiaoxiao Yao¹, Lihua Sun¹, Lihong Zhao¹, Wenbo Xu¹, Haisheng Zhao¹, Fangyi Zhao¹, Xiaohan Zou¹, Ziqian Cheng¹, Bingjin Li¹, Wei Yang¹, Ranji Cui¹

Affiliation

¹ Jilin Provincial Key Laboratory on Molecular and Chemical Genetics, The Second Hospital of Jilin University, Changchun, China.

Abstract

Depression is one of the most common disorders causing mortality around the world. Although electroconvulsive therapy (ECT) is, along with antidepressants and psychotherapy, one of the three major treatments of depression, it is still considered as the last resort for depressed patients. This situation is partially due to limited studies and uncertainty regarding its mechanism. However, decades of increased research have focused on the effects of ECT on depression and its potential mechanism. Furthermore, these investigations may suggest that ECT should be a first-line therapy for depression due to its profound effects in relieving desperation in certain situations. Here, we outline recent clinical and preclinical studies and summarize the advantages and disadvantages of ECT. Thus, this review may provide some hints for clinical application.

Keywords: ECT; Homer1a; cognition; depression; neuroplasticity.

Publication types

Review