Evidence map›Paper›PMID 40357797›Full record

SynthesisThe British journal of psychiatry : the journal of mental science2026

Autobiographical memory after electroconvulsive therapy: systematic review and meta-analysis.

André Beyer Mathiassen, Maria Semkovska, Christoffer Cramer Lundsgaard, Krzysztof Gbyl, Poul Videbech

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in The British journal of psychiatry : the journal of mental science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

André Beyer MathiassenCenter for Neuropsychiatric Depression Research, Mental Health Center Glostrup, Copenhagen University Hospital - Mental Health Services CPH, Glostrup, Denmark.ORCID https://orcid.org/0000-0002-3461-6415
Maria SemkovskaDeFREE Research Unit, Department of Psychology, University of Southern Denmark, Odense, Denmark.ORCID https://orcid.org/0000-0001-9800-4621
Christoffer Cramer LundsgaardCenter for Neuropsychiatric Depression Research, Mental Health Center Glostrup, Copenhagen University Hospital - Mental Health Services CPH, Glostrup, Denmark.ORCID https://orcid.org/0000-0002-3302-3335
Krzysztof GbylCenter for Neuropsychiatric Depression Research, Mental Health Center Glostrup, Copenhagen University Hospital - Mental Health Services CPH, Glostrup, Denmark.ORCID https://orcid.org/0000-0001-6309-8736
Poul VidebechCenter for Neuropsychiatric Depression Research, Mental Health Center Glostrup, Copenhagen University Hospital - Mental Health Services CPH, Glostrup, Denmark.ORCID https://orcid.org/0000-0003-0127-4348

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundElectroconvulsive therapy (ECT) is the most effective treatment of major depression, but autobiographical memory loss may limit its use. Despite previous attempts to synthesise the literature, the nature of autobiographical memory loss after ECT is still debated.

aimsTo provide an overview of the effect of ECT on autobiographical memory in patients with depression and explore whether the effect is temporary or permanent. Furthermore, we wanted to analyse if ECT parameters or clinical information are associated with this effect.

methodPubMed, EMBASE, PsycINFO and Web of Science databases were searched on 26 January 2024. We included longitudinal studies measuring autobiographical memory before and after ECT in patients with depression compared to patients with depression receiving other treatment or healthy controls. Synthesis approach was a meta-analysis. PROSPERO ID: CRD42021267901.

resultsNine studies were included (432 patients, 173 controls). At post-ECT, we found that ECT patients had larger autobiographical memory loss than controls (standardised mean difference (SMD) = 0.55; 95% CI = 0.35-0.75). Right unilateral (RUL) ECT entailed a small effect on autobiographical memory (SMD = 0.32; 95% CI = 0.06-0.57), while bilateral ECT yielded a large effect (SMD = 0.82; 95% CI = 0.49-1.15). Higher age was associated with smaller effect. Autobiographical memory was stable at long-term follow-up.

conclusionsThe studies suggest that ECT causes autobiographical memory loss in patients with depression. Results also suggest that lost memories are not regained. Furthermore, results support that RUL ECT is less detrimental to autobiographical memory. Strangely, a higher age might mitigate the autobiographical memory loss. Our findings are limited by studies being mainly observational and generally consisting of small sample sizes. Future studies should prioritise long-term follow-up assessments of autobiographical memory.

Indexed as

Electroconvulsive TherapyMajor Depressive DisorderMemory DisordersMemory, EpisodicHumansamnesiaAutobiographicaldepressionelectroconvulsive therapy (ECT)memory

Identifiers

PMID40357797
PMCPMC12916233

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.