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The British Journal of Psychiatry (1973) 122: 587-590. doi: 10.1192/bjp.122.5.587
© 1973 The Royal College of Psychiatrists
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Anterior Bifrontal ECT: A Clinical Trial

RICHARD ABRAMS M.D.1 and MICHAEL ALAN TAYLOR M.D.1

1 Assistant Professor of Psychiatry, Department of Psychiatry, New York Medical College, 5 East 102nd Street, New York, N.Y. 10029, U.S.A.

An open clinical trial of a new placement of treatment electrodes for ECT is reported in 17 hospitalized depressed patients. The method is termed anterior bifrontal ECT (ABF/ECT) and is given with electrodes placed as far forwards over the front of the head as is consistent with obtaining a generalized seizure.

Four and eight ABF/ECT effectively reduced depression as measured by post-ECT reduction in depression rating scale scores, and these effects were intermediate between those obtained in the past for B/ECT and U/ECT. Memory changes were not observed clinically or on formal testing, and significant post-ECT clouding or confusion did not occur with ABF/ECT. These memory findings were similar to those obtained in the past for unilateral ECT.

Theoretical implications of these findings are discussed.

Submitted on June 9, 1972






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Psychiatric Bulletin Advances in Psychiatric Treatment All RCPsych Journals
Copyright © 1973 The Royal College of Psychiatrists.