Publications by authors named "Lambrichts S"

Article Synopsis
  • Electroconvulsive therapy (ECT) is effective for major depressive disorder, but individual responses vary and are hard to predict due to differences in symptoms.
  • The study analyzed data from 161 patients to determine which specific baseline depression symptoms could predict remission using a Mixed Graphical Model approach.
  • Results showed that suicidality negatively predicted remission, while symptoms like psychomotor retardation and hypochondriasis were positively associated with better treatment outcomes.
View Article and Find Full Text PDF

Biological tissues decay over time after harvesting, which alters their biomechanical properties. This poses logistical challenges for studies investigating passive arterial biomechanics as tissues need to be characterized shortly after excision. Freezing and cryopreservation methods can help alleviate the need for biomechanical testing of fresh tissue in human ex vivo studies.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to evaluate the knowledge and attitudes of medical students regarding electroconvulsive therapy (ECT) and how various information sources influenced these perspectives.
  • A survey involving 295 first-year and 149 final-year students from KU Leuven showed that while final-year students had better knowledge and attitudes towards ECT, both groups scored below 50% in their overall knowledge.
  • The findings suggest that limited instruction on ECT in medical education contributes to ongoing misinformation, and reliance on media as a source of information can lead to negative attitudes that should be addressed in the curriculum.
View Article and Find Full Text PDF

Muscle atrophy is an extrapulmonary complication of acute exacerbations (AE) in chronic obstructive pulmonary disease (COPD). The endogenous production and therapeutic application of glucocorticoids (GCs) have been implicated as drivers of muscle loss in AE-COPD. The enzyme 11 β-hydroxysteroid dehydrogenase 1 (11β-HSD1) activates GCs and contributes toward GC-induced muscle wasting.

View Article and Find Full Text PDF
Article Synopsis
  • The study looked at how anxiety related to electroconvulsive therapy (ECT) changes during treatment, especially in the maintenance phase (M-ECT).
  • While anxiety decreased during the initial ECT treatment, it stayed pretty much the same during the M-ECT phase.
  • Patients with different types of depression had different experiences with anxiety during the acute treatment, but afterward, both their depression and anxiety levels remained stable during maintenance ECT sessions.
View Article and Find Full Text PDF

The risk of relapse following successful acute-phase treatment of late-life depression (LLD), including electroconvulsive therapy (ECT), is substantial. In order to improve reliable prediction of individuals' risk of relapse, we assessed the association between individual residual symptoms following a successful acute course of ECT for LLD and relapse at six-month follow-up. This prospective cohort study was part of the MODECT study, which included 110 patients aged 55 years and older with major depressive disorder.

View Article and Find Full Text PDF

Background: Cognitive side-effects are an important reason for the limited use of electroconvulsive therapy (ECT). Cognitive side-effects are heterogeneous and occur frequently in older persons. To date, insight into these side-effects is hampered due to inconsistencies in study designs and small sample sizes.

View Article and Find Full Text PDF

Objective: Electroconvulsive therapy (ECT) is the most effective treatment for late-life depression (LLD). Research addressing long-term outcome following an acute course of ECT for LLD is limited. We aimed to describe relapse, cognitive impairment and survival 5 years after a treatment with ECT for severe LLD, and assess the association of clinical characteristics with all three outcome measures.

View Article and Find Full Text PDF

Extremely low frequency electromagnetic stimulation (ELF-EMS) has been considered as a neuroprotective therapy for ischemic stroke based on its capacity to induce nitric oxide (NO) signaling. Here, we examined whether ELF-EMS reduces ischemic stroke volume by stimulating cerebral collateral perfusion. Moreover, the pathway responsible for ELF-EMS-induced NO production was investigated.

View Article and Find Full Text PDF

Objectives: The outcome of antidepressant treatments is generally assessed with standardized symptom scales such as the Quick Inventory of Depressive Symptomatology-Clinician Rating (QIDS-C). These scales, however, might not reflect patients' expectations for treatment, including a recovery of positive affect (PA) and hedonism. The Leuven Affect and Pleasure Scale (LAPS) was developed to better reflect patients' expectations for treatment.

View Article and Find Full Text PDF

Background: Women with bipolar I disorder are at high risk for severe episodes after childbirth, but there is no study that provides an overview on bipolar episode risk both during pregnancy and after childbirth, miscarriage and induced abortion. The aim of this study was to determine the episode risk during all pregnancy outcomes subdivided by first and subsequent pregnancies.

Methods: Participants were 436 women with bipolar I disorder from the Dutch Bipolar Cohort, having 919 pregnancies of which 762 resulted in a live childbirth, 118 ended in a miscarriage and 39 ended in induced abortion.

View Article and Find Full Text PDF

Objective: Maintenance electroconvulsive therapy (M-ECT) is considered an effective relapse prevention strategy in severe mood and psychotic disorders. How long M-ECT should be continued, and what the outcome is after its discontinuation has not been adequately studied. In our tertiary psychiatric hospital, M-ECT treatments were suspended at the start of the COVID-19 pandemic.

View Article and Find Full Text PDF

Objective: The risk of relapse following successful antidepressant treatment, including electroconvulsive therapy (ECT), is substantial. Lithium has been suggested to effectively prevent relapse, yet data remain limited and inconclusive. We performed a systematic review and meta-analysis to examine the efficacy of continuation treatment with lithium in preventing relapse following a successful acute course of ECT in patients with major depression, in comparison to continuation treatment without lithium.

View Article and Find Full Text PDF

Chronic obstructive pulmonary disease (COPD) is a chronic respiratory disease characterized by small airway remodeling and alveolar emphysema due to environmental stresses such as cigarette smoking (CS). Oxidative stress is commonly implicated in COPD pathology, but recent findings suggest that one oxidant-producing NADPH oxidase homolog, dual oxidase 1 (DUOX1), is downregulated in the airways of patients with COPD. We evaluated lung tissue sections from patients with COPD for small airway epithelial DUOX1 protein expression, in association with measures of lung function and small airway and alveolar remodeling.

View Article and Find Full Text PDF

Aims Of Study: Although electroconvulsive therapy (ECT)-related anxiety is experienced by a significant proportion of patients, it remains understudied. Our aim was to study the course of ECT-related anxiety during ECT.

Methods: Seventy-four patients with unipolar or bipolar depression, referred for ECT, were included.

View Article and Find Full Text PDF

Objectives: Mania can occur secondary to a medical condition and can be elicited by various pharmacological treatments, both in patients with or without a history of affective disorder. Antibiotic-induced mania or antibiomania is suggested to be a rare phenomenon. We reviewed the literature in order to collect published reports of antibiomania and to summarize new insights about its mechanism and management.

View Article and Find Full Text PDF