Awareness and perceptions of electroconvulsive therapy among psychiatric patients: a cross-sectional survey from teaching hospitals in Karachi, Pakistan

Arshad, Mehreen; Arham, Ahmad; Arif, Muhammad; Bano, Maria; Bashir, Ayisha; Bokutz, Munira; Choudhary, Manoj K.; Naqvi, Haider; Khan, Murad Moosa

doi:10.1186/1471-244x-7-27

Cited by 28 publications

(32 citation statements)

References 21 publications

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“…However, attitudes toward the treatment did not differ between the 2 patient groups. Somewhat similar results were obtained in a study from Pakistan, 19 another country where ECT seems to be used rather infrequently. Consequently, about a quarter of the patients in this study had never heard of ECT and only 25 of the 190 patients interviewed had received the treatment.…”

Section: Discussionsupporting

confidence: 88%

Does the Experience of Electroconvulsive Therapy Improve Awareness and Perceptions of Treatment Among Relatives of Patients?

Grover¹,

Chakrabarti²,

Khehra³

et al. 2011

The Journal of ECT

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Section: Discussionsupporting

confidence: 88%

Does the Experience of Electroconvulsive Therapy Improve Awareness and Perceptions of Treatment Among Relatives of Patients?

Grover¹,

Chakrabarti²,

Khehra³

et al. 2011

The Journal of ECT

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“…Similar results were found in a survey conducted in Switzerland, which demonstrated that only 1.2% of a representative sample of the public (n = 1737) was in favor of ECT use and 57% considered it a harmful treatment [110]. A strong negative opinion about ECT was noted in another study conducted in Pakistan, where 39% of surveyed patients thought of the treatment as a cause of severe mental and physical illness and that it was inhumane [111].…”

Section: Public Opinion and Attitudessupporting

confidence: 66%

Electroconvulsive therapy in children and adolescents

Shoirah¹,

Hamoda

2011

Expert Review of Neurotherapeutics

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Electroconvulsive therapy (ECT) is a recognized and effective treatment in adults for several psychiatric and neurological conditions in which the use of pharmacotherapy is ineffective, untimely or contraindicated. It has been used with success in mood and psychotic disorders, catatonia, neuroleptic malignant syndrome, Parkinson's disease and intractable seizures. Its benefits have been recognized and its risks identified through an extensive body of research. The benefits of ECT are not limited to the adult population; research has been conducted on its use in child and adolescent populations for decades. In 2004, the American Academy of Child and Adolescent Psychiatry published practice parameters for the use of ECT in adolescent populations. However, ECT continues to be underused in cases where it is clearly indicated. In this article, we review the use of ECT in the adolescent population; its indications, administration, contraindications and risks, with emphasis on articles published after the American Academy of Child and Adolescent Psychiatry practice parameters were formulated. We also review reasons behind the underutilization of ECT in adolescents for whom this treatment modality is indicated.

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“…10,16,18,22,23,36 The post-ECT improvement of patients' attitude has been reported in at least 2 similar studies. 23,36 Furthermore, in our study, a comparison of patients'/families' attitude toward ECT, before and after their/their relative patients' experience with ECT, showed a significant improvement in patients' but not in their families' attitude toward ECT after the experience.…”

Section: Patients' and Families' Attitude Before And After Ectmentioning

confidence: 65%

Knowledge of Attitude Toward Experience and Satisfaction With Electroconvulsive Therapy in a Sample of Iranian Patients

Malekian

Amini²,

Maracy³

et al. 2009

The Journal of ECT

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Despite the wide consensus over the safety and efficacy of electroconvulsive therapy (ECT), it still faces negative publicity and unfavorable attitudes of patients and families. Little is known about how the experience with ECT affects the patients' and their families' attitude toward it. The aim of this study was to examine a sample of Iranian patients and their families regarding their experience with ECT and to compare their knowledge and attitude toward ECT before and after this experience and their satisfaction with it. We surveyed 22 patients with major depressive disorder about to undergo ECT and 1 family member of each patient for their knowledge and attitude toward ECT and then surveyed them again after the trial of ECT to compare those variables while assessing their experience and satisfaction with ECT. Patients were rated using the Hamilton Depression Rating Scale and Mini-Mental Status Examination before and after the treatment. We found that, before ECT, family members had a more favorable attitude toward ECT than patients, but after ECT, the patients' attitude changed more positively compared with their families. Both patients and their families had a poor knowledge of ECT before the ECT trial, but their total knowledge increased afterward, although not in the areas of indications and therapeutic effects. The majority of patients and their families found ECT to be beneficial and were satisfied with it. Satisfaction with ECT was independent of treatment outcome. There was a high rate of perceived coercion to consent to ECT. Attention should be paid toward educating patients and their families about the ECT process, indications, risks, safety, and effects as well as informing them about their freedom of choice and right to refuse.

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Awareness and perceptions of electroconvulsive therapy among psychiatric patients: a cross-sectional survey from teaching hospitals in Karachi, Pakistan

Cited by 28 publications

References 21 publications

Does the Experience of Electroconvulsive Therapy Improve Awareness and Perceptions of Treatment Among Relatives of Patients?

Does the Experience of Electroconvulsive Therapy Improve Awareness and Perceptions of Treatment Among Relatives of Patients?

Electroconvulsive therapy in children and adolescents

Knowledge of Attitude Toward Experience and Satisfaction With Electroconvulsive Therapy in a Sample of Iranian Patients

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