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We examined the effects of ECT on depression and cognition in a large clinical cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort study of patients ages 16 and older receiving ECT between 2011 and 2020 and who were evaluated with the Quick Inventory of Depressive Symptomatology (QIDS), the Behavior and Symptom Identification Scale\u201024 (BASIS\u201024), and the Montreal Cognitive Assessment (MoCA) at baseline and after treatment #10.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 1698 patients, ECT was associated with a decrease in depression symptoms (QIDS reduction from 17.1\u00a0\u00b1\u00a04.9 to 10.1\u00a0\u00b1\u00a05.2) and improvement in self\u2010reported mental health (BASIS\u201024 scores improved from 1.92\u00a0\u00b1\u00a00.55 to 1.17\u00a0\u00b1\u00a00.60). There was a reduction in MoCA scores from 25.8\u00a0\u00b1\u00a03.1 to 25.4\u00a0\u00b1\u00a03.1. In multivariate models, age was not associated with a differential QIDS or BASIS\u201024 response, but older age was associated with a lesser reduction in MoCA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Among 1698 patients aged 16 and older, ECT was associated with improvement in depression and overall self\u2010reported mental health, with a slight decrease in cognition. Age was not associated with changes in efficacy, but older age was associated with a lesser cognitive change as measured by the MoCA. These results provide normative data of real\u2010world effectiveness of ECT, and add further support to its utility in patients with severe psychiatric illness.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/acps.13378","type":"journal-article","created":{"date-parts":[[2021,10,20]],"date-time":"2021-10-20T15:50:43Z","timestamp":1634745043000},"page":"100-108","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Real\u2010world evidence of age\u2010independent electroconvulsive therapy efficacy: A retrospective cohort study"],"prefix":"10.1111","volume":"145","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1606-3917","authenticated-orcid":false,"given":"James","family":"Luccarelli","sequence":"first","affiliation":[{"name":"Department of Psychiatry Massachusetts General Hospital Boston Massachusetts USA"},{"name":"Department of Psychiatry McLean Hospital Belmont Massachusetts USA"},{"name":"Harvard 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