Patients' experiences of and attitudes towards ECT

Guruvaiah, Latha; Veerasamy, Karthikeyan; Naveed, Muhammad; Kudlur, Swami; Chaudary, Farah; Paraiso, Ann

doi:10.1002/pnp.466

Cited by 7 publications

(9 citation statements)

References 6 publications

(10 reference statements)

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“…There were statements by participants that ECT gave them their lives back again and, for some, this meant that they did not commit suicide; this aligns with accounts reported in other studies [5]. The exclusively positive experiences relayed by participants provide evidence opposing the negative view portrayed in the media [11][12][13]20] and on some internet sites [10]. It is important that the public have a chance to understand the experience of people who undergo ECT in the NHS today, and that the media provides a balanced and accurate portrayal of ECT [31].…”

Section: Discussionsupporting

confidence: 80%

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Patient Reported Experience of Electro Convulsive Therapy (ECT)

Griffiths¹,

OAcAANeill-Kerr²,

Thompson³

2018

Neuropsychiatry

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Objective Negative attitudes towards Electro Convulsive Therapy (ECT) persist, despite the evidence of its clinical efficacy and benefits. This is partially due to negative media portrayals, inaccurate information and prohibitive consent processes. The aim of this study is to review patient ECT experience literature and report patients' perspective of their ECT experience. Methods A patient data and insight platform was employed to gain patient satisfaction and patient feedback statements of their experiences of ECT in an UK National Health Service (NHS) provider. Results Patients feel well informed, involved in decisions made about them, treated with dignity and respect, and treated well by the staff; and almost all patients would recommend the hospital delivering ECT. Findings show that interactions with staff have a positive effect on patient satisfaction and experience. Patients describe how ECT gave them their lives back again and prevented suicide attempts. Conclusion The study highlights the importance to patient's satisfaction and experience of staff's engagement, relaying information, friendliness, support, and compassion. The results provide information to both patients and prescribers regarding patient's experience of ECT. It is important to acknowledge that the patient experience of ECT literature identifies that patients frequently report memory loss.

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Section: Discussionsupporting

confidence: 80%

“…Recent surveys of patients who have undergone ECT treatment have revealed positive attitudes to its effectiveness [20][21][22]. In one study, less than a fifth of respondents rated ECT as slightly as or much worse than going to the dentist [21] Review Patient Reported Experience of Electro Convulsive Therapy (ECT)…”

Section: Introductionmentioning

confidence: 99%

Patient Reported Experience of Electro Convulsive Therapy (ECT)

Griffiths¹,

OAcAANeill-Kerr²,

Thompson³

2018

Neuropsychiatry

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“…Various studies have reported subjective rates of memory loss: 30 patients were interviewed and 80% reported memory loss, 389 respondents were surveyed and 50% reported memory loss, 51 patients were surveyed and 60% reported memory impairment, and 108 patients were questioned and 45% reported persistent memory loss (15, 16, 29, 30). However, a review of subjective memory complaints—assessed mostly on the Squire Subjective Memory Assessment—found the majority of studies reporting improved subjective memory after ECT (31).…”

Section: Resultsmentioning

confidence: 99%

“…There are also short-term side effects that may occur immediately after treatment, including drowsiness, confusion, headache, sickness, and aching muscles (29, 30). Both immediate and longer-term side effects can negatively impact on patient’s perspectives of ECT, but patients are likely to consider that they are acceptable if they are outweighed by the antidepressive benefits of ECT; patients engage in a “cost–benefit analysis” (16).…”

Section: Resultsmentioning

confidence: 99%

“…Both immediate and longer-term side effects can negatively impact on patient’s perspectives of ECT, but patients are likely to consider that they are acceptable if they are outweighed by the antidepressive benefits of ECT; patients engage in a “cost–benefit analysis” (16). Despite reported side effects, the majority of patients find ECT to be beneficial, would recommend ECT to others, and would have it again (29, 35). Sixty-eight patients who had undergone ECT treatment were interviewed and the participants viewed ECT as an effective and legitimate treatment (36).…”

Section: Resultsmentioning

confidence: 99%

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Patients’, Carers’, and the Public’s Perspectives on Electroconvulsive Therapy

Griffiths

O’Neill-Kerr

2019

Front. Psychiatry

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Aims and Method: The aim of this study was to present patients’, carers’, and the public’s perspectives on electroconvulsive therapy (ECT) through a narrative review of the literature. Results: People’s perspectives on ECT are often negative due to media and Internet portrayal. Perspectives are influenced by risks, short-term side effects, and the most commonly reported longer-term side effect: memory loss. However, many patients do not report memory loss. Most people who experience ECT and their carers report a positive perspective. In the future, people’s perspectives may become more positive with higher service delivery standards and a more balanced, well-informed view of modern ECT presented by the media. However, ECT has risks and side effects, and negative and critical perspectives on the use and effects of ECT will persist. Clinical Implications: Perspectives on ECT are important because of the impact on stigma, patient treatment choice, patient consent, and provision of and referral for ECT.

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Value of Electroconvulsive Therapy in the General Public

Ulbrich

Kröger²

2020

J ECT

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Objective The aims of this study were to estimate the value a population-representative sample places on electroconvulsive therapy (ECT) through willingness to pay (WTP) and to assess the effects of individual characteristics on WTP for ECT. Methods A German population-representative sample of 518 was presented with a hypothetical health loss scenario of depression and was asked to indicate WTP for ECT. Probit and quantile regression were used to estimate the effects of individual characteristics on the probability of stating a positive WTP and on the amount of money respondents were willing to pay. Results Two thirds of respondents stated that they had no knowledge about ECT. Most (56.5%) respondents indicated zero WTP for health gains through ECT treatment. Mean WTP was €5201 ($5612); median WTP was €1000 ($1079). Respondents' monthly household income had a significant effect on the probability of stating a positive WTP. Assessing WTP above zero, income showed a significant positive effect, whereas a higher score of depressive complaints showed a significant negative effect on the amount respondents were willing to pay. Conclusion Knowledge about ECT treatment is particularly low in the German public.

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Patients' experiences of and attitudes towards ECT

Cited by 7 publications

References 6 publications

Patient Reported Experience of Electro Convulsive Therapy (ECT)

Patient Reported Experience of Electro Convulsive Therapy (ECT)

Patients’, Carers’, and the Public’s Perspectives on Electroconvulsive Therapy

Value of Electroconvulsive Therapy in the General Public

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