{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T16:26:21Z","timestamp":1781108781583,"version":"3.54.1"},"reference-count":63,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,4,19]],"date-time":"2017-04-19T00:00:00Z","timestamp":1492560000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Psychiatr Scand"],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To systematically review the published clinical trials, case series, and case reports on left unilateral (<jats:styled-content style=\"fixed-case\">LUL<\/jats:styled-content>) electrode placement for clinical electroconvulsive therapy (<jats:styled-content style=\"fixed-case\">ECT<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>PubMed, Ovid Medline, and the Cochrane Library were searched for articles concerning<jats:styled-content style=\"fixed-case\">LUL ECT<\/jats:styled-content>. Number of patients, efficacy, and cognitive outcomes were extracted from the papers that met our inclusion criteria.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 52 articles were included in this review, consisting of 33 clinical trials, seven case series, and 12 case reports.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Overall, the efficacy of<jats:styled-content style=\"fixed-case\">LUL<\/jats:styled-content>electrode placement for the treatment of depression and psychosis is similar to that of right unilateral (<jats:styled-content style=\"fixed-case\">RUL<\/jats:styled-content>) and bilateral (<jats:styled-content style=\"fixed-case\">BL<\/jats:styled-content>) electrode placements. Patients receiving<jats:styled-content style=\"fixed-case\">LUL ECT<\/jats:styled-content>tend to experience more verbal memory impairment than patients receiving<jats:styled-content style=\"fixed-case\">RUL ECT<\/jats:styled-content>, but less verbal impairment than patients receiving<jats:styled-content style=\"fixed-case\">BL ECT<\/jats:styled-content>. In contrast, patients receiving<jats:styled-content style=\"fixed-case\">LUL ECT<\/jats:styled-content>tended to experience the least visual and nonverbal memory impairment, compared to patients receiving<jats:styled-content style=\"fixed-case\">RUL<\/jats:styled-content>or<jats:styled-content style=\"fixed-case\">BL ECT<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acps.12740","type":"journal-article","created":{"date-parts":[[2017,4,19]],"date-time":"2017-04-19T08:23:34Z","timestamp":1492590214000},"page":"166-176","source":"Crossref","is-referenced-by-count":18,"title":["A systematic review of left unilateral electroconvulsive therapy"],"prefix":"10.1111","volume":"136","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9663-3571","authenticated-orcid":false,"given":"C. H.","family":"Kellner","sequence":"first","affiliation":[{"name":"The Icahn School of Medicine at Mount Sinai New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. 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