Review Article

Management of Psychosis in Parkinson’s Disease: Emphasizing Clinical Subtypes and Pathophysiological Mechanisms of the Condition

Table 7

Clinical evaluation with scales before and after the sessions of electroconvulsive therapy (ECT).

ScalesBefore ECT (mean ± SD)After ECT (mean ± SD)

UPDRS III ()45.2 ± 14.127.6 ± 11.9<0.001
UPDRS IV ()7 ± 3.12.7 ± 1.1<0.001
HY ()3.2 ± 0.62.1 ± 0.5<0.001
MMSE ()26.5 ± 3.926.3 ± 4.20.79
CGI ()4.7 ± 0.82.9 ± 1<0.001
BPRS ()18.4 ± 8.69.6 ± 5.7<0.001
HDRS ()21.1 ± 2.210.5 ± 3<0.001

ECT: electroconvulsive therapy; SD: standard deviation; UPDRS: Unified Parkinson’s Disease Rating Scale; HY: Hoehn and Yahr; MMSE: Mini Mental Status Examination; CGI: clinical global impression; BPRS: Brief Psychiatric Rating Scale; HDRS: Hamilton Depression Rating Scale; reference: Calderón-Fajardo et al., 2015 [137].