Fromm-Auch D
Br J Psychiatry. 1982 Dec;141:608-13. doi: 10.1192/bjp.141.6.608.
Review of studies from the past 16 years employing quantitative measurement of memory functions before and after ECT revealed the following trends: impairment of non-verbal memory functions after less than five unilateral non-dominant ECTs; improvement of non-verbal memory functions after five or more unilateral non-dominant ECTs; no change or improvement of verbal memory functions with unilateral non-dominant ECT; consistent impairment of verbal functions with unilateral dominant ECT, and impairment of both verbal and non-verbal functions with bilateral ECT. The relative lack of impairment in memory functions with unilateral non-dominant ECT is consistent with the theory of asymmetrical hemispheric disorganization in affective disorders, and supports the choice of unilateral non-dominant ECT over bilateral or unilateral dominant ECT in the treatment of depression.
对过去16年中采用定量测量ECT前后记忆功能的研究进行回顾，发现以下趋势：少于5次单侧非优势ECT后非言语记忆功能受损；5次或更多次单侧非优势ECT后非言语记忆功能改善；单侧非优势ECT后言语记忆功能无变化或改善；单侧优势ECT导致言语功能持续受损，双侧ECT导致言语和非言语功能均受损。单侧非优势ECT在记忆功能方面相对缺乏损害，这与情感障碍中半球不对称性紊乱理论一致，并支持在抑郁症治疗中选择单侧非优势ECT而非双侧或单侧优势ECT。
