{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T03:08:48Z","timestamp":1780628928954,"version":"3.54.1"},"reference-count":35,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,9,19]],"date-time":"2022-09-19T00:00:00Z","timestamp":1663545600000},"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":[[2022,12]]},"abstract":"Abstract<\/jats:title>\n \n Objective<\/jats:title>\n Despite the established safety of electroconvulsive therapy (ECT), ECT\u2010related anxiety (ERA) remains one of the most distressing complications of ECT. ERA is reported to diminish during an acute course of ECT, but it was never studied during maintenance ECT (M\u2010ECT). Our aim was to study the trajectories of ERA during M\u2010ECT and how they differ from trajectories during the acute course.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Thirty\u2010nine patients with unipolar or bipolar depression, retained for M\u2010ECT after an acute ECT course, were included. ERA was assessed the morning before each ECT session using the ECT\u2010related Anxiety Questionnaire (ERAQ).<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n ERA remained stable during M\u2010ECT (RC\u00a0=\u00a0\u22120.05 (SE\u00a0=\u00a00.06),\n t<\/jats:italic>\n (8.35)\u00a0=\u00a0\u22120.86,\n p<\/jats:italic>\n \u00a0=\u20090.42), while ERA declined significantly during the acute course (RC\u00a0=\u00a0\u22120.85 (SE\u00a0=\u00a00.30),\n t<\/jats:italic>\n (33.6)\u00a0=\u00a0\u22122.81,\n p<\/jats:italic>\n \u00a0=\u20090.0082). During the acute course, patients with a psychotic depression were more anxious at baseline (\n t<\/jats:italic>\n (32)=\u2009\u22122.42,\n p<\/jats:italic>\n \u00a0=\u20090.02), and showed a significant decline in ERAQ scores (RC\u00a0=\u00a0\u22121.65 (SE\u00a0=\u00a00.46),\n t<\/jats:italic>\n (31.6)\u00a0=\u00a0\u22123.56,\n p<\/jats:italic>\n \u00a0=\u20090.0012), whereas patients with a non\u2010psychotic depression were less anxious at baseline and retained stable ERAQ scores during the acute course (RC\u00a0=\u00a0\u22120.06 (SE\u00a0=\u00a00.41),\n t<\/jats:italic>\n (32.1)\u00a0=\u00a0\u22120.14,\n p<\/jats:italic>\n \u00a0=\u20090.89). Whereas a correlation (\n r<\/jats:italic>\n \u00a0=\u20090.48) was noticed between the decline of depression severity and ERA during the acute course, this was not the case during M\u2010ECT.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n ERA runs a stable course during M\u2010ECT, after having decreased during the acute course. During the acute course, ERA trajectories differed significantly between patients with a psychotic and non\u2010psychotic depression. Decline of depression severity and ERA are significantly connected during the acute course of ECT. Both depression severity and ERA remain stable during M\u2010ECT.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/acps.13496","type":"journal-article","created":{"date-parts":[[2022,9,9]],"date-time":"2022-09-09T01:01:12Z","timestamp":1662685272000},"page":"604-612","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["ECT<\/scp>\n \u2010related anxiety during maintenance\n ECT<\/scp>\n : A prospective study"],"prefix":"10.1111","volume":"146","author":[{"given":"Jasmien","family":"Obbels","sequence":"first","affiliation":[{"name":"KU Leuven \u2010 University of Leuven University Psychiatric Center KU Leuven, Academic Center for ECT and Neuromodulation (AcCENT) Kortenberg Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Els","family":"Gijsbregts","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University Psychiatric Center KU Leuven Kortenberg 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\u2010 University of Leuven University Psychiatric Center KU Leuven, Academic Center for ECT and Neuromodulation (AcCENT) Kortenberg Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristof","family":"Vansteelandt","sequence":"additional","affiliation":[{"name":"KU Leuven \u2010 University of Leuven University Psychiatric Center KU Leuven, Academic Center for ECT and Neuromodulation (AcCENT) Kortenberg Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0650-415X","authenticated-orcid":false,"given":"Pascal","family":"Sienaert","sequence":"additional","affiliation":[{"name":"KU Leuven \u2010 University of Leuven University Psychiatric Center KU Leuven, Academic Center for ECT and Neuromodulation (AcCENT) Kortenberg 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