PurposeDespite its efficacy and safety, electroconvulsive therapy (ECT) is underutilized, in part, due to the stigma associated with the treatment. This study aimed to evaluate the effect of counseling on stigma in patients with psychiatric disorders receiving ECT.Patients and methodsA total of 114 patients with psychiatric disorders undergoing ECT were randomly divided into two groups. Both the groups received routine care and treatment, but the intervention group (n=57) received four counseling sessions. At the beginning and end of the study (6 weeks, post-treatment), patients completed the Internalized Stigma of Mental Illness scale. The data were analyzed using independent and paired sample t-tests.ResultsThere was no significant difference in the mean stigma scores of participants in the control and intervention groups before counseling (P>0.08). However, post-intervention, there was a significant difference in the mean stigma scores between both the groups (P<0.001).ConclusionThe findings demonstrate that the counseling intervention is effective in decreasing stigma in patients undergoing ECT. Therefore, it is recommended to use this therapeutic method in such patients.
Compared to the general population, patients with psychiatric disorders, especially patients receiving electroconvulsive therapy due to its nature, and lack of psychiatric nursing counseling have worse physical health and lower self-esteem. The aim of this study was to determine the effect of psychiatric nursing counseling on self-esteem and health-promoting behaviors of patients receiving electroconvulsive therapy in hospitalized patients.Methods: This clinical trial was conducted on 114 patients undergoing ECT at Farshchian Hospital in Hamadan, Iran, in 2019. The participants were divided into two groups of intervention (n=57) and control (n=57) by block randomization. Data collection tools included demographic, Rosenberg self-esteem, and health-promoting behaviors questionnaires. The intervention in the experimental group was held in the form of 4 sessions of individual counseling. Data were analyzed using frequency, percentage, mean and standard deviation statistics, Chi-square and ttests in SPSS software version 20. Results:The mean (standard deviation) of self-esteem score before the intervention in the experimental group 21.60 (4.01) and control 21.95 (3.51) was not significantly different (P=0.542). But the mean score of self-esteem immediately after the intervention in the experimental group 25.47 (3.91) and in the control group was 19.11 (2.79) and two weeks after the intervention, which was significant (P<0.001). The mean and standard deviation of the healthpromoting behaviors before intervention in the control group 96.67 (6.028) and intervention group 92.44 (5.444) were statistically significant (P<0.05). Also, this difference was significant between the intervention group 91.30 (51.539) and the control group 83.12 (5.976) immediately and two weeks after the intervention (P<0.001). Conclusion:Psychiatric counseling increased self-esteem and prevented a decline in healthpromoting behaviors. Therefore, this method can be used in educational programs and nursing care for patients with mental disorders.
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