Evidence map›Paper›PMID 40376658›Full record

ArticleIndustrial psychiatry journal

Effects of electroconvulsive therapy on serum brain derived neurotrophic factor, serum interleukin-6, and serum cortisol levels in patients with treatment refractory schizophrenia.

Nikhil Gurjar, Jitendra Jeenger, Ashish Sharma, Devendra M Mathur

Abstract read
In one paragraph

Article in Industrial psychiatry journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
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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

4 authors.

Nikhil GurjarDepartment of Psychiatry, Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India.
Jitendra JeengerDepartment of Psychiatry, Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India.
Ashish SharmaDepartment of Biochemistry, Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India.
Devendra M MathurConsultant Psychiatrist, Jaipur, Rajasthan, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Schizophrenia (SCZ) is a severe psychiatric disorder characterized by cognitive dysfunction and persistent psychotic symptoms. Treatment refractory schizophrenia (TRS), resistant to conventional antipsychotics, presents significant challenges. Electroconvulsive therapy (ECT) is effective for TRS, but its biological mechanisms remain unclear. Biomarkers such as brain-derived neurotrophic factor (BDNF), interleukin-6 (IL-6), and cortisol, linked to neuroplasticity, immune modulation, and stress regulation, may help elucidate ECT's therapeutic effects. Aim: This study evaluated the impact of ECT on serum levels of BDNF, IL-6, and cortisol in TRS patients and explored the relationship between these biomarkers and symptom improvement. Materials and Methods: A prospective study was conducted at a tertiary care hospital from 2018 to 2020. Thirty-five TRS patients (aged 18-60 years) underwent symptom severity assessments using the positive and negative syndrome scale (PANSS) pre- and post-ECT. Serum levels of BDNF, IL-6, and cortisol were measured using enzyme-linked immunosorbent assays (ELISA). ECT was administered bilaterally in 4-7 sessions per patient. Paired t-tests and Spearman's correlation were used for statistical analysis. Results: ECT significantly reduced positive ( Conclusion: ECT reduces symptom severity in TRS, with significant modulation of IL-6 and potential involvement of BDNF in positive symptom improvement. These findings highlight immune and neuroplastic pathways as mechanisms of ECT efficacy and suggest biomarkers for treatment response.

Indexed as

Brain-derived neurotrophic factorcortisolelectroconvulsive therapyinterleukin-6schizophreniatreatment refractory schizophrenia

Identifiers

PMID40376658
PMCPMC12077616

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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.