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The ElectroConvulsive Cognitive Assessment (ECCA) is a novel contribution to the literature regarding ECT and cognitive function. It provides ECT psychiatrists and other clinicians with a brief, easy to administer, bedside cognitive measure to identify ECT-related cognitive impairments early in the treatment course to adjust the ECT treatment plan.

ECCA is a 30-item questionnaire that addresses the cognitive functions affected by ECT and assesses five cognitive domains, including temporal orientation, attention, verbal delayed recall, crystallized/factual knowledge, and autobiographical memory (i.e., ability to recall life-relevant material). Also, it includes an assessment of self-reported perceived cognitive difficulties and a section completed by an informant (e.g., significant other, family member). The ECCA total score ranges between 0 – 30 points, with a higher score indicative of better global cognitive function and a lower score indicative of global cognitive impairment. The ECCA is not intended to replace a more comprehensive neuropsychological battery.

Emory Team

Adriana P. Hermida, MD
Associate Professor
Department of Psychiatry and Behavioral Sciences
e-mail: ahermid@emory.edu
Corresponding author

Felicia C. Goldstein, PhD
Professor of Neurology and Neuropsychology
Department of Neurology

David W. Loring, PhD
Professor of Neurology and Neuropsychology
Director of Neuropsychology in the Neurology Department
Department of Neurology

William M. McDonald, MD
Professor
JB Fuqua Chair for late life depression
Department of Psychiatry and Behavioral Sciences

Patricio Riva-Posse, MD
Assistant Professor
Department of Psychiatry and Behavioral Sciences

A. Umair Janjua, MD
Department of Psychiatry and Behavioral Sciences

Yi-lang Tang, MD PhD
Assistant Professor
Department of Psychiatry and Behavioral Sciences

Gail Galendez, BSN, RN
Department of Psychiatry and Behavioral Sciences

Zixun Ye, MSPH
Department of Biostatistics and Bioinformatics, 
Rollins School of Public Health

Limin Peng, PhD
Professor
Department of Biostatistics and Bioinformatics, 
Rollins School of Public Health

National Network of Depression Centers (NNDC) Collaborators

Shawn M. McClintock, PhD, MSCS
Associate Professor
Department of Psychiatry, UT Southwestern Medical Center
Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine

Richard D. Weiner, MD PhD
Professor
Department of Psychiatry and Behavioral Sciences
Duke University School of Medicine

Irving M. Reti, MD
Associate Professor
Department of Psychiatry and Behavioral Science
Johns Hopkins School of Medicine

Mustafa M. Husain, MD
Professor
Department of Psychiatry, UT Southwestern Medical Center
Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine

Daniel F. Maixner, MD
Associate Professor
Department of Psychiatry
University of Michigan

International Collaborators

Universitat de Barcelona, Spain:

Mikel Urretavizcaya, MD PhD
Department of Psychiatry
Bellvitge University Hospital. ICS. IDIBELL. CIBERSAM

Aida de Arnau, MD
Department of Psychiatry
Bellvitge University Hospital. ICS. IDIBELL. CIBERSAM

JM Mechón, PhD
Department of Psychiatry
Bellvitge University Hospital. ICS. IDIBELL. CIBERSAM

Beijing Anding Hospital, China:
Capital Medical University
Yanping Ren, MD

Did You Know…

Frequent mental distress (FMD) may interfere with major life activities, such as eating well, maintaining a household, working, or sustaining personal relationships. Hispanics had a higher prevalence of FMD (13.2%) compared to white, non-Hispanics (8.3%) or black, non-Hispanics (11.1%).

CDC, Behavioral Risk Factor Surveillance System, 2006