{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T09:07:12Z","timestamp":1789549632221,"version":"build-2803163510"},"reference-count":24,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,8,16]],"date-time":"2026-08-16T00:00:00Z","timestamp":1786838400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,16]],"date-time":"2026-08-16T00:00:00Z","timestamp":1786838400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychogeriatrics"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study aimed to assess the efficacy and safety of electroconvulsive therapy (ECT) for treating psychiatric symptoms and parkinsonism in patients affected by dementia with Lewy bodies (DLB), its prodromal phase, and Parkinson's disease dementia (PDD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively reviewed eight patients (four males, four females; mean age 71.5\u2009\u00b1\u20098.9\u2009years) diagnosed with probable DLB or its prodromal phase, based on diagnostic criteria, who underwent ECT between January 2020 and December 2025. The efficacy and safety of ECT for psychiatric symptoms was evaluated using the Brief Psychiatric Rating Scale (BPRS) before and after treatment, and parkinsonism was assessed based on pre\u2010 and post\u2010Hoehn\u2010Yahr (HY) stage. Changes in scores were statistically analysed using the Wilcoxon signed\u2010rank test. Adverse effects occurring during and after ECT were also recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Three patients underwent ECT using the dose\u2010titration method, while the others were treated using the half\u2010age method. One patient experienced recurrent delirium following ECT, while no complications were noted in the other patients. There was a significant improvement in BPRS score observed (Wilcoxon signed\u2010rank test,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.012), though no significant change was noted in HY stage (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.197).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These results suggest that ECT is a safe, well\u2010tolerated, and effective treatment for patients with psychiatric\u2010onset prodromal DLB, or mild DLB who present pharmacotherapy\u2010resistant psychiatric symptoms. ECT may be a viable therapeutic option for DLB, particularly in an early stage of dementia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/psyg.70204","type":"journal-article","created":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T01:34:08Z","timestamp":1786930448000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Efficacy and Safety of Electroconvulsive Therapy for Dementia With Lewy Bodies, Its Prodromal Phase, and Parkinson's Disease Dementia: Eight Cases Encountered at\u00a0Our Institution"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6019-030X","authenticated-orcid":false,"given":"Takahide","family":"Fukatsu","sequence":"first","affiliation":[{"name":"Department of Neuropsychiatry Aichi Medical University  Nagakute Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8551-9324","authenticated-orcid":false,"given":"Kouhei","family":"Fujita","sequence":"additional","affiliation":[{"name":"Department of Neuropsychiatry Aichi Medical University  Nagakute Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taro","family":"Yoshida","sequence":"additional","affiliation":[{"name":"Department of Neuropsychiatry Aichi Medical University  Nagakute Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0965-5092","authenticated-orcid":false,"given":"Mihoko","family":"Kawai","sequence":"additional","affiliation":[{"name":"Department of Neuropsychiatry Aichi Medical University  Nagakute Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1803-1975","authenticated-orcid":false,"given":"Jun","family":"Miyata","sequence":"additional","affiliation":[{"name":"Department of Neuropsychiatry Aichi Medical University  Nagakute Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,16]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1004124"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(10)70194-0"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajp.2025.104510"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.70020"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41586-022-05319-3"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.21507"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000187889.17253.b1"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000004058"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000009323"},{"key":"e_1_2_10_11_1","volume-title":"The Japanese Society of Psychiatry and Neurology","author":"Mizuno M.","year":"2021"},{"key":"e_1_2_10_12_1","volume-title":"Outcomes Assessment in Clinical Practice","author":"Lloyd S.","year":"2000"},{"issue":"5","key":"e_1_2_10_13_1","first-page":"427","article-title":"Yahr's Stage","volume":"43","author":"Itou K.","year":"2009","journal-title":"Japanese Journal of Physical Therapy"},{"key":"e_1_2_10_14_1","volume-title":"L'examen Clinique en Psychogie (The Clinical Examination in Psychology)","author":"Rey A.","year":"1964"},{"key":"e_1_2_10_15_1","first-page":"286","article-title":"L'examen psychologique: Dans les cas d' encephalopathie traumatique (Les problemes)","volume":"28","author":"Rey A.","year":"1941","journal-title":"Archiv f\u00fcr Psychologie"},{"key":"e_1_2_10_16_1","first-page":"206","article-title":"Le test de copie d' une figure complex: Contribution a l' etude de la perception et la memorie","volume":"30","author":"Osterrieth P. 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