Journal of Developmental Medicine(Electronic Version)  2024, Vol. 12 Issue (1): 47-52 DOI: 10.3969/j.issn.2095-5340.2024.01.009 |
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| Psychometric characteristics of the Chinese version of the electroconvulsive therapy cognitive assessment in early adult patients with depression |
| Yu Hongye, Liu Jun, Sha Sha
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Ward 5, Depression Treatment Center, Beijing Anding Hospital, CapitalMedical University, Beijing 100088, China)
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Abstract 【Abstract】 Objective To explore the psychometric characteristics of the Chinese version of the
electroconvulsive therapy cognitive assessment (ECCA) in early adult patients with depression.
Method The study was conducted at Beijing Anding Hospital, Capital Medical University from January
2021 to December 2022. Finally, a total of 40 early adults with depression and 30 healthy controls were
included. ECCA and the Montreal cognitive assessment (MoCA) were performed at three time points in early adults with depression who were treated with electroconvulsive therapy (ECT). That is, before treatment(baseline), after the fifth treatment, and 7-10 days after the end of treatment. Healthy subjects underwent anECCA assessment. Statistical analysis performed by χ2 test, repeated measurements of ANOVA, t-test, Pearson correlation analysis. Result There were no significant differences in age, gender and years of educationbetween the depression group and the control group (all P>0.05). However, the baseline ECCA score in theearly adult depression group was lower than that in the control group [(27.75±1.77) vs (29.10±0.80) points,t=-3.687, P<0.001]. The baseline MoCA score was lower than that of the control group [(27.39±0.23) vs(29.60±0.30) points, t=-11.640, P<0.001]. Cronbach'α in ECCA internal consistency analysis was 0.811(P<0.001). ECCA scores before ECT [(27.75±1.77) points] > during ECT [(25.17±1.73) points] > afterECT [(21.90±3.67) points] (F=13.242，all P<0.001), while MoCA scores at these three time points showedno significant difference (F=1.871, P=0.171). After controlling for gender, age, and education level, thetotal ECCA score was highly correlated with MoCA (r=0.450, P<0.01) and Hamilton depression scale-17tem (HDRS-17) (r=-0.621, P<0.01) at baseline in early adult patients with depression. Conclusion TheChinese version of ECCA has good psychometric characteristics and can be used as a clinical tool to assessECT related cognitive impairment in early adult patients with depression.
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Received: 18 April 2023
Published: 31 January 2024
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