Electroconvulsive therapy: A review of knowledge, experience and attitudes of patients concerning the treatment

被引:90
作者
Chakrabarti, Subho [1 ]
Grover, Sandeep [1 ]
Rajagopal, Rajendra [1 ]
机构
[1] Postgrad Inst Med Educ & Res, Dept Psychiat, Chandigarh 160012, India
关键词
ECT; knowledge; perceptions; experience; patients; DEPRESSED-PATIENTS; PATIENTS PERSPECTIVES; ECT; VIEWS; SATISFACTION; ADOLESCENTS; RELATIVES; DISORDER; MISCONCEPTIONS; PERCEPTIONS;
D O I
10.3109/15622970903559925
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objectives. Despite its proven efficacy and safety, electroconvulsive therapy (ECT) has a negative image and attracts widespread public criticism. In contrast, perceptions of patients who have received ECT appear to be more favourable. This review intended to encapsulate the evidence on knowledge and views concerning ECT among its recipients. Methods. Extensive electronic and manual searches were conducted to identify all relevant studies on the subject. Results. Seventy-five reports were found suitable. The evidence from these studies suggested that patients undergoing ECT were usually poorly informed about it. This was attributable to factors such as unsatisfactory pre-treatment explanations or post-ECT memory impairment. About one-third undergoing ECT reported feeling coerced to have the treatment. Fear of ECT and distressing side effects were also present in a majority. Despite these problems, a vast majority of patients perceived ECT to be helpful and had positive views regarding the treatment. Simultaneously, a sizeable proportion was quite critical, although little was known about the extent and nature of such disapproval. Conclusions. Overall, the weight of the evidence supports the notion that patients undergoing ECT are well-disposed towards it. However, much needs to be done to improve the practice of ECT and to enhance patients' satisfaction with the experience of treatment.
引用
收藏
页码:525 / 537
页数:13
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