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September 10, 2026Psychiatry InternationalOpen Access

Early Postural Instability After First Electroconvulsive Therapy in Major Depressive Disorder: Implications for Patient Safety

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Authors

BVBerrak VarhanYCYakup CemelAAArzu Abalay

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Overview

Prospective observational study reveals transient balance impairment one hour after first electroconvulsive therapy in major depressive disorder, indicating a need for early fall-prevention measures.

Key Points

  • To evaluate acute alterations in balance and postural stability following the initial electroconvulsive therapy session in patients with major depressive disorder.
  • Prospective observational repeated-measures study of 22 adults (aged 18–65 years) diagnosed with major depressive disorder receiving their first electroconvulsive therapy session.
  • Balance was measured by a single physiotherapist using the Berg Balance Scale before treatment, at 1 hour post-treatment, and at 24 hours post-treatment, excluding participants with vestibular or neurological disorders.
  • Mean Berg Balance Scale score dropped significantly from 55.04 ± 1.78 at baseline to 40.22 ± 2.54 at 1 hour post-treatment (mean difference: +14.82 points, p < 0.001).
  • Postural stability recovered by 24 hours post-treatment with a mean score of 54.86 ± 1.64, representing a significant improvement from the 1-hour assessment (mean difference: −14.64 points, p < 0.001) and no significant difference from baseline (p = 0.640).

Cite This Study

Varhan et al. (2026) studied this question.

synapsesocial.com/papers/6aa27ba958559d80afc75030https://doi.org/10.3390/psychiatryint7050205
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