{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T16:07:12Z","timestamp":1791994032064,"version":"4.4.0"},"reference-count":51,"publisher":"MDPI AG","issue":"20","license":[{"start":{"date-parts":[[2024,10,19]],"date-time":"2024-10-19T00:00:00Z","timestamp":1729296000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Electroconvulsive therapy (ECT) is a well-established treatment for various psychiatric disorders. This retrospective study evaluates anesthesia practices, patient characteristics, and outcomes in ECT over a two-year period at the \u201cDr. Gheorghe Preda\u201d Clinical Psychiatry Hospital in Sibiu, Romania. Methods: From March 2022 to July 2024, the Neuroscience Scientific Research Collective at our institution carried out a retrospective observational study on patients who underwent ECT. The evaluation and treatment protocol involved patients from all over the country. Results: The study involved 30 patients aged between 22 and 67 years and a mean age of 39.4 years; among them, 57% were male. The majority of the patients (68%) lived in urban areas, and 80% came from a different county. Schizophrenia was the most prevalent diagnosis (56.6%), followed by depression (40%) and bipolar disorder (3.4%). Common comorbidities included obesity\/overweight, high blood pressure, and sinus tachycardia. A total of 330 ECT sessions were conducted, with an average of 11 sessions per patient, and 10 patients underwent multiple treatment courses. The reported adverse events included arterial hypertension, agitation, tachycardia, and shivering. Conclusions: This study underlines the safety and effectiveness of ECT when patients are closely monitored. Our results are consistent with the global data, suggesting that ECT is a good treatment option for severe psychiatric conditions with a manageable incidence of adverse events.<\/jats:p>","DOI":"10.3390\/jcm13206253","type":"journal-article","created":{"date-parts":[[2024,10,21]],"date-time":"2024-10-21T10:49:22Z","timestamp":1729507762000},"page":"6253","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Evaluating Anesthesia Practices, Patient Characteristics, and Outcomes in Electroconvulsive Therapy: A Two-Year Retrospective Study"],"prefix":"10.3390","volume":"13","author":[{"given":"Bogdan Ioan","family":"Vintil\u0103","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Lucian Blaga University of Sibiu, 550024 Sibiu, Romania"},{"name":"County Clinical Emergency Hospital of Sibiu, 550245 Sibiu, Romania"},{"name":"Neuroscience Scientific Research Collective, 550082 Sibiu, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia Elena","family":"Anghel","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Lucian Blaga University of Sibiu, 550024 Sibiu, Romania"},{"name":"Neuroscience Scientific Research Collective, 550082 Sibiu, Romania"},{"name":"\u201cDr. Gheorghe Preda\u201d Clinical Psychiatry Hospital of Sibiu, 550082 Sibiu, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mihai","family":"Sava","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Lucian Blaga University of Sibiu, 550024 Sibiu, Romania"},{"name":"County Clinical Emergency Hospital of Sibiu, 550245 Sibiu, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-7739-1685","authenticated-orcid":false,"given":"Alina-Simona","family":"Bereanu","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Lucian Blaga University of Sibiu, 550024 Sibiu, Romania"},{"name":"County Clinical Emergency Hospital of Sibiu, 550245 Sibiu, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-2381-5577","authenticated-orcid":false,"given":"Ioana Roxana","family":"Codru","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Lucian Blaga University of Sibiu, 550024 Sibiu, Romania"},{"name":"County Clinical Emergency Hospital of Sibiu, 550245 Sibiu, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raul","family":"Stoica","sequence":"additional","affiliation":[{"name":"County Clinical Emergency Hospital of Sibiu, 550245 Sibiu, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra-Maria","family":"Vulcu Mihai","sequence":"additional","affiliation":[{"name":"County Clinical Emergency Hospital of Sibiu, 550245 Sibiu, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreea-Maria","family":"Grama","sequence":"additional","affiliation":[{"name":"\u201cDr. Gheorghe Preda\u201d Clinical Psychiatry Hospital of Sibiu, 550082 Sibiu, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alina Camelia","family":"C\u0103tan\u0103","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Lucian Blaga University of Sibiu, 550024 Sibiu, Romania"},{"name":"County Clinical Emergency Hospital of Sibiu, 550245 Sibiu, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6646-1585","authenticated-orcid":false,"given":"Adrian Gheorghe","family":"Boicean","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Lucian Blaga University of Sibiu, 550024 Sibiu, Romania"},{"name":"County Clinical Emergency Hospital of Sibiu, 550245 Sibiu, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3739-0562","authenticated-orcid":false,"given":"Adrian","family":"Ha\u0219egan","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Lucian Blaga University of Sibiu, 550024 Sibiu, Romania"},{"name":"County Clinical Emergency Hospital of Sibiu, 550245 Sibiu, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alin","family":"Mihe\u021biu","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Lucian Blaga University of Sibiu, 550024 Sibiu, Romania"},{"name":"County Clinical Emergency Hospital of Sibiu, 550245 Sibiu, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0029-7591","authenticated-orcid":false,"given":"Ciprian-Ionu\u021b","family":"B\u0103cil\u0103","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Lucian Blaga University of Sibiu, 550024 Sibiu, Romania"},{"name":"Neuroscience Scientific Research Collective, 550082 Sibiu, Romania"},{"name":"\u201cDr. Gheorghe Preda\u201d Clinical Psychiatry Hospital of Sibiu, 550082 Sibiu, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,10,19]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Rojas, M., Ariza, D., Ortega, \u00c1., Ria\u00f1o-Garz\u00f3n, M.E., Ch\u00e1vez-Castillo, M., P\u00e9rez, J.L., Cudris-Torres, L., Bautista, M.J., Medina-Ortiz, O., and Rojas-Quintero, J. (2022). Electroconvulsive Therapy in Psychiatric Disorders: A Narrative Review Exploring Neuroendocrine\u2013Immune Therapeutic Mechanisms and Clinical Implications. Int. J. Mol. Sci., 23.","DOI":"10.3390\/ijms23136918"},{"key":"ref_2","first-page":"1","article-title":"A Brief History of Electroconvulsive Therapy","volume":"16","author":"Suleman","year":"2020","journal-title":"Am. J. Psychiatry Resid. J."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1","DOI":"10.5498\/wjp.v9.i1.1","article-title":"Electroconvulsive Therapy: 80 Years Old and Still Going Strong","volume":"9","author":"Gazdag","year":"2019","journal-title":"World J. Psychiatry"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1016\/j.psc.2018.04.001","article-title":"Electroconvulsive Therapy in Depression: Current Practice and Future Direction","volume":"41","author":"Hermida","year":"2018","journal-title":"Psychiatr. Clin. N. Am."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"13","DOI":"10.47162\/RJME.65.1.02","article-title":"Neurobiological Mechanisms and Therapeutic Impact of Electroconvulsive Therapy (ECT)","volume":"65","author":"Cojocaru","year":"2024","journal-title":"Rom. J. Morphol. Embryol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"474","DOI":"10.1192\/bjp.bp.109.069567","article-title":"Effect of Electroconvulsive Therapy on Brain 5-HT(2) Receptors in Major Depression","volume":"196","author":"Yatham","year":"2010","journal-title":"Br. J. Psychiatry"},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Vecera, C.M., Courtes, A.C., Jones, G., Soares, J.C., and Machado-Vieira, R. (2023). Pharmacotherapies Targeting GABA-Glutamate Neurotransmission for Treatment-Resistant Depression. Pharmaceuticals, 16.","DOI":"10.3390\/ph16111572"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1097\/YCT.0000000000000133","article-title":"Electroconvulsive Therapy, Hypertensive Surge, Blood-Brain Barrier Breach, and Amnesia: Exploring the Evidence for a Connection","volume":"30","author":"Andrade","year":"2014","journal-title":"J. ECT"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"e380","DOI":"10.1038\/tp.2014.21","article-title":"Electroconvulsive Therapy Mediates Neuroplasticity of White Matter Microstructure in Major Depression","volume":"4","author":"Lyden","year":"2014","journal-title":"Transl. Psychiatry"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1097\/YCT.0000000000000129","article-title":"ECT: Its Brain Enabling Effects: A Review of Electroconvulsive Therapy-Induced Structural Brain Plasticity","volume":"30","author":"Bouckaert","year":"2014","journal-title":"J. ECT"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1016\/j.euroneuro.2006.04.010","article-title":"Electroconvulsive Therapy (ECT) Increases Serum Brain Derived Neurotrophic Factor (BDNF) in Drug Resistant Depressed Patients","volume":"16","author":"Zanardini","year":"2006","journal-title":"Eur. Neuropsychopharmacol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1016\/j.biopsych.2015.02.029","article-title":"Structural Plasticity of the Hippocampus and Amygdala Induced by Electroconvulsive Therapy in Major Depression","volume":"79","author":"Joshi","year":"2016","journal-title":"Biol. Psychiatry"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1238","DOI":"10.1176\/appi.ajp.2012.12050648","article-title":"ECT in Treatment-Resistant Depression","volume":"169","author":"Kellner","year":"2012","journal-title":"Am. J. Psychiatry"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"517","DOI":"10.2967\/jnumed.107.048504","article-title":"Tumor Blood Flow Measured by PET Dynamic Imaging of First-Pass 18F-FDG Uptake: A Comparison with 15O-Labeled Water-Measured Blood Flow","volume":"49","author":"Mullani","year":"2008","journal-title":"J. Nucl. Med."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1016\/j.jpsychires.2018.05.007","article-title":"Cortisol Trajectory, Melancholia, and Response to Electroconvulsive Therapy","volume":"103","author":"Mickey","year":"2018","journal-title":"J. Psychiatr. Res."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1039","DOI":"10.1016\/j.jad.2011.11.040","article-title":"Corticolimbic Balance Shift of Regional Glucose Metabolism in Depressed Patients Treated with ECT","volume":"136","author":"Suwa","year":"2012","journal-title":"J. Affect. Disord."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"485","DOI":"10.4088\/JCP.v65n0406","article-title":"Speed of Response and Remission in Major Depressive Disorder with Acute Electroconvulsive Therapy (ECT): A Consortium for Research in ECT (CORE) Report","volume":"65","author":"Husain","year":"2004","journal-title":"J. Clin. Psychiatry"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"767915","DOI":"10.3389\/fpsyg.2021.767915","article-title":"Risk Assessment of Electroconvulsive Therapy in Clinical Routine: A 3-Year Analysis of Life-Threatening Events in More Than 3,000 Treatment Sessions","volume":"12","author":"Hajak","year":"2021","journal-title":"Front. Psychol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"977","DOI":"10.1176\/appi.ajp.162.5.977","article-title":"Relief of Expressed Suicidal Intent by ECT: A Consortium for Research in ECT Study","volume":"162","author":"Kellner","year":"2005","journal-title":"Am. J. Psychiatry"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1192\/bjp.bp.109.066183","article-title":"Bifrontal, Bitemporal and Right Unilateral Electrode Placement in ECT: Randomised Trial","volume":"196","author":"Kellner","year":"2010","journal-title":"Br. J. Psychiatry"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"221","DOI":"10.2147\/NDT.S198774","article-title":"Management of Treatment-Resistant Depression: Challenges and Strategies","volume":"16","author":"Voineskos","year":"2020","journal-title":"Neuropsychiatr. Dis. Treat."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1186\/s41935-022-00291-5","article-title":"The Role of Psychological Autopsy in Investigating a Case of Atypical Suicide in Schizophrenia: A Case Report with a Brief Review of Literature","volume":"12","author":"Morar","year":"2022","journal-title":"Egypt. J. Forensic Sci."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Crisan, R.M., Bacila, C.I., Neamtu, B., Cristian, A.N., Top\u00eercean, E., Popescu, A., and Morar, S. (2021). Psychological Autopsy and Forensic Considerations in Completed Suicide of the SARS-CoV-2 Infected Patients. A Case Series and Literature Review. Appl. Sci., 11.","DOI":"10.3390\/app112311547"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"105","DOI":"10.31887\/DCNS.2008.10.1\/tcbaghai","article-title":"Electroconvulsive Therapy and Its Different Indications","volume":"10","author":"Baghai","year":"2008","journal-title":"Dialogues Clin. Neurosci."},{"key":"ref_25","unstructured":"Salik, I., and Marwaha, R. (2022). Electroconvulsive Therapy. StatPearls, StatPearls Publishing. [Internet]."},{"key":"ref_26","unstructured":"Reasoner, J., and Rondeau, B. (2023). Anesthetic Considerations in Electroconvulsive Therapy. StatPearls, StatPearls Publishing."},{"key":"ref_27","unstructured":"(2024, March 17). Electroconvulsive Therapy Anesthetic Considerations\u2014OpenAnesthesia. Available online: https:\/\/www.openanesthesia.org\/keywords\/electroconvulsive-therapy-anesthetic-considerations\/."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"373","DOI":"10.4103\/ija.IJA_132_17","article-title":"Anaesthesia for Electroconvulsive Therapy: An Overview with an Update on Its Role in Potentiating Electroconvulsive Therapy","volume":"61","author":"Kadiyala","year":"2017","journal-title":"Indian J. Anaesth."},{"key":"ref_29","unstructured":"(2024, August 06). Standards for Basic Anesthetic Monitoring. Available online: https:\/\/www.asahq.org\/standards-and-practice-parameters\/standards-for-basic-anesthetic-monitoring."},{"key":"ref_30","unstructured":"(2024, August 06). Basic Standards for Preanesthesia Care|American Society of Anesthesiologists (ASA). Available online: https:\/\/www.asahq.org\/standards-and-practice-parameters\/basic-standards-for-preanesthesia-care."},{"key":"ref_31","unstructured":"(2024, August 06). Standards for Postanesthesia Care. Available online: https:\/\/www.asahq.org\/standards-and-practice-parameters\/standards-for-postanesthesia-care."},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Vintila, B.I., Arseniu, A.M., Butuca, A., Sava, M., B\u00eerlu\u021biu, V., Rus, L.L., Axente, D.D., Morgovan, C., and Gligor, F.G. (2023). Adverse Drug Reactions Relevant to Drug Resistance and Ineffectiveness Associated with Meropenem, Linezolid, and Colistin: An Analysis Based on Spontaneous Reports from the European Pharmacovigilance Database. Antibiotics, 12.","DOI":"10.3390\/antibiotics12050918"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"145","DOI":"10.17085\/apm.22145","article-title":"Anesthetic Care for Electroconvulsive Therapy","volume":"17","author":"Joung","year":"2022","journal-title":"Anesth. Pain Med."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"857","DOI":"10.1097\/01.anes.0000287352.31778.50","article-title":"Electroconvulsive Therapy: Compassion in Care and Risk\u2013Benefits of Discomfort","volume":"107","author":"Litt","year":"2007","journal-title":"Anesthesiology"},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Mihetiu, A., Bratu, D.G., Tanasescu, C., Vintil\u0103, B.I., Sandu, A., Sandu, M., Serban, D., Sabau, D., and Hasegan, A. (2024). Laparoscopic Management of Multiple Liver, Omental, Mesenteric, Peritoneal, and Round Ligament Hydatid Cysts-A Rare Report of a Case and a Systematic Literature Review. J. Pers. Med., 14.","DOI":"10.3390\/jpm14020205"},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"Chang, M.G., Barbour, T.A., and Bittner, E.A. (2024). Exploring Brain and Heart Interactions during Electroconvulsive Therapy with Point-of-Care Ultrasound. Med. Sci., 12.","DOI":"10.3390\/medsci12020017"},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Dominiak, M., Antosik-W\u00f3jci\u0144ska, A.Z., Wojnar, M., and Mierzejewski, P. (2021). Electroconvulsive Therapy and Age: Effectiveness, Safety and Tolerability in the Treatment of Major Depression among Patients under and over 65 Years of Age. Pharmaceuticals, 14.","DOI":"10.3390\/ph14060582"},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Iliuta, F.P., Manea, M., Mares, A.M., Varlam, C.I., Lacau, R.M., Stefanescu, A., Ciobanu, C.A., Ciobanu, A.M., and Manea, M.C. (2024). Understanding the Patient Landscape: A Ten-Year Retrospective Examination of Electroconvulsive Therapy in Romania\u2019s Largest Psychiatric Hospital. Biomedicines, 12.","DOI":"10.3390\/biomedicines12051028"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1111\/acps.13378","article-title":"Real-World Evidence of Age-Independent Electroconvulsive Therapy Efficacy: A Retrospective Cohort Study","volume":"145","author":"Luccarelli","year":"2022","journal-title":"Acta Psychiatr. Scand."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1097\/YCT.0000000000000692","article-title":"Demographics of Patients Receiving Electroconvulsive Therapy Based on State-Mandated Reporting Data","volume":"36","author":"Luccarelli","year":"2020","journal-title":"J. ECT"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1016\/j.jagp.2018.11.007","article-title":"Racial\/Ethnic Disparities in Receipt of Electroconvulsive Therapy for Elderly Patients With a Principal Diagnosis of Depression in Inpatient Settings","volume":"27","author":"Jones","year":"2019","journal-title":"Am. J. Geriatr. Psychiatry"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1177\/0706743720935647","article-title":"Patient-Level Characteristics and Inequitable Access to Inpatient Electroconvulsive Therapy for Depression: A Population-Based Cross-Sectional Study","volume":"66","author":"Kaster","year":"2021","journal-title":"Can. J. Psychiatry"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1002\/brb3.37","article-title":"Contemporary Use and Practice of Electroconvulsive Therapy Worldwide","volume":"2","author":"Leiknes","year":"2012","journal-title":"Brain Behav."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1097\/YCT.0b013e318031bc50","article-title":"A Questionnaire Survey of ECT Practice in Australia","volume":"23","author":"Chanpattana","year":"2007","journal-title":"J. ECT"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1007\/s00702-022-02475-8","article-title":"Electroconvulsive Therapy and Adiposity-Related Parameters in Treatment-Resistant Depressed Patients","volume":"129","author":"Maier","year":"2022","journal-title":"J. Neural Transm."},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"Negrea, M.O., Neamtu, B., Dobrot\u0103, I., Sofariu, C.R., Crisan, R.M., Ciprian, B.I., Domnariu, C.D., and Teodoru, M. (2021). Causative Mechanisms of Childhood and Adolescent Obesity Leading to Adult Cardiometabolic Disease: A Literature Review. Appl. Sci., 11.","DOI":"10.3390\/app112311565"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1097\/YCT.0000000000000320","article-title":"The Prevalence of Electroconvulsive Therapy Use since 1973: A Meta-Analysis","volume":"32","author":"Lesage","year":"2016","journal-title":"J. ECT"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"673","DOI":"10.2147\/NDT.S244031","article-title":"Number of Electroconvulsive Therapy Sessions Required for Thai Psychiatric Patients: A Retrospective Study","volume":"16","author":"Ittasakul","year":"2020","journal-title":"Neuropsychiatr. Dis. Treat."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1016\/j.jpsychires.2020.12.002","article-title":"Efficacy, Safety and Tolerability of Formula-Based Unilateral vs Bilateral Electroconvulsive Therapy in the Treatment of Major Depression: A Randomized Open Label Controlled Trial","volume":"133","author":"Dominiak","year":"2021","journal-title":"J. Psychiatr. Res."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1007\/s00737-023-01394-1","article-title":"Safety of Electroconvulsive Therapy (ECT) in Pregnancy: A Systematic Review of Case Reports and Case Series","volume":"27","author":"Cipolla","year":"2023","journal-title":"Arch. Women\u2019s Ment. Health"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"1281","DOI":"10.3892\/etm.2021.10716","article-title":"Efficacy of Electroconvulsive Therapy as a Potential First-Choice Treatment in Treatment-Resistant Depression (Review)","volume":"22","author":"Trifu","year":"2021","journal-title":"Exp. Ther. Med."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/20\/6253\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:16:51Z","timestamp":1760113011000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/20\/6253"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,19]]},"references-count":51,"journal-issue":{"issue":"20","published-online":{"date-parts":[[2024,10]]}},"alternative-id":["jcm13206253"],"URL":"https:\/\/doi.org\/10.3390\/jcm13206253","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,19]]}}}