{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T02:36:24Z","timestamp":1780626984994,"version":"3.54.1"},"reference-count":52,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,6,19]],"date-time":"2020-06-19T00:00:00Z","timestamp":1592524800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Psychiatr Scand"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:sec>\n                    <jats:title>Aims of study<\/jats:title>\n                    <jats:p>Although electroconvulsive therapy (ECT)\u2010related anxiety is experienced by a significant proportion of patients, it remains understudied. Our aim was to study the course of ECT\u2010related anxiety during ECT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Seventy\u2010four patients with unipolar or bipolar depression, referred for ECT, were included. ECT\u2010related anxiety was assessed the morning before each ECT session using the ECT\u2010related Anxiety Questionnaire (ERAQ).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Female patients reported more anxiety than men (\n                      <jats:italic>F<\/jats:italic>\n                      (1,64.6)\u00a0=\u00a03.95,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.05). Patients with a psychotic depression were more anxious before the start of ECT (\n                      <jats:italic>F<\/jats:italic>\n                      (64.8)\u00a0=\u00a04.57,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.04), but experienced a significant decrease in ECT\u2010related anxiety (\n                      <jats:italic>t<\/jats:italic>\n                      (63.9)\u00a0=\u00a0\u22123.63,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.0006), whereas patients with a non\u2010psychotic depression remained stable on anxiety during their ECT course (\n                      <jats:italic>t<\/jats:italic>\n                      (63,9)\u00a0=\u00a00.76,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.45). In addition, we found a significant correlation between the decrease of ECT\u2010related anxiety and the decrease of depression\u2010severity (\n                      <jats:italic>r<\/jats:italic>\n                      \u00a0=\u00a00.35;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.04).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>There are individual differences in ECT\u2010related anxiety trajectories during ECT. Both female patients and patients with psychotic depression experienced more ECT\u2010related anxiety before the start of ECT. The severity of ECT\u2010related anxiety decreased significantly in patients with a psychotic depression, but remained stable in patients without a psychotic depression during ECT. In addition, patients who showed a stronger decrease in depression\u2010severity also showed a stronger decrease in ECT\u2010related anxiety. A better understanding of ECT\u2010related anxiety trajectories can help in designing anxiety\u2010reducing interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/acps.13198","type":"journal-article","created":{"date-parts":[[2020,5,31]],"date-time":"2020-05-31T05:10:16Z","timestamp":1590901816000},"page":"132-140","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Understanding electroconvulsive therapy\u2010related anxiety: a prospective study"],"prefix":"10.1111","volume":"142","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6351-1543","authenticated-orcid":false,"given":"J.","family":"Obbels","sequence":"first","affiliation":[{"name":"Academic Center for ECT and Neuromodulation (AcCENT) KU Leuven \u2013 University of Leuven University Psychiatric Center KU Leuven Kortenberg 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