Pre- and Post-Clerkship Knowledge, Perceptions, and Acceptability of Electroconvulsive Therapy (ECT) in 3rd Year Medical Students

Ithman, Muaid; O’Connell, Chris; Ogunleye, A O; Lee, Suhwon; Chamberlain, Brett; Ramalingam, Anupama

doi:10.1007/s11126-018-9585-4

Cited by 12 publications

(11 citation statements)

References 20 publications

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“…Despite the knowledge that electroconvulsive therapy (ECT) is highly effective in the treatment of major depressive episodes (1) and that ECT is safe and well tolerated, it is still plagued by stigma and negative perceptions (2)(3)(4). A significant proportion of patients experience anxiety for ECT (5,6), often to such an extent that it negatively impacts treatment compliance (5,7,8).…”

Section: Introductionmentioning

confidence: 99%

Understanding electroconvulsive therapy‐related anxiety: a prospective study

Obbels

Vansteelandt

Verwijk

et al. 2020

Acta Psychiatr Scand

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Understanding electroconvulsive therapy-related anxiety: a prospective study. Aims of study: Although electroconvulsive therapy (ECT)-related anxiety is experienced by a significant proportion of patients, it remains understudied. Our aim was to study the course of ECT-related anxiety during ECT. Methods: Seventy-four patients with unipolar or bipolar depression, referred for ECT, were included. ECT-related anxiety was assessed the morning before each ECT session using the ECT-related Anxiety Questionnaire (ERAQ). Results: Female patients reported more anxiety than men (F (1,64.6) = 3.95, P = 0.05). Patients with a psychotic depression were more anxious before the start of ECT (F(64.8) = 4.57, P = 0.04), but experienced a significant decrease in ECT-related anxiety (t (63.9) = À3.63, P = 0.0006), whereas patients with a non-psychotic depression remained stable on anxiety during their ECT course (t (63,9) = 0.76, P = 0.45). In addition, we found a significant correlation between the decrease of ECT-related anxiety and the decrease of depression-severity (r = 0.35; P = 0.04). Conclusion: There are individual differences in ECT-related anxiety trajectories during ECT. Both female patients and patients with psychotic depression experienced more ECT-related anxiety before the start of ECT. The severity of ECT-related anxiety decreased significantly in patients with a psychotic depression, but remained stable in patients without a psychotic depression during ECT. In addition, patients who showed a stronger decrease in depression-severity also showed a stronger decrease in ECT-related anxiety. A better understanding of ECT-related anxiety trajectories can help in designing anxiety-reducing interventions.

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Section: Introductionmentioning

confidence: 99%

Understanding electroconvulsive therapy‐related anxiety: a prospective study

Obbels

Vansteelandt

Verwijk

et al. 2020

Acta Psychiatr Scand

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“…31% of third-year medical students believed, in one study, that ECT was used as punishment, and 32% of third-year medical students believed that ECT could cause brain damage in another. 2 Within the same study, 50% believed the procedure to be dangerous. 2 Several studies have indicated many patients and nurses involved with ECT are simply not well educated on the treatment, with most of the knowledge being obtained from sources within popular culture, such as cinema.…”

Section: Significancementioning

confidence: 94%

“…2 Within the same study, 50% believed the procedure to be dangerous. 2 Several studies have indicated many patients and nurses involved with ECT are simply not well educated on the treatment, with most of the knowledge being obtained from sources within popular culture, such as cinema. 5,6,7 The lack of education for psychiatric nursing contributes to negative beliefs about ECT, which creates difficulty in assigning nurses to ECT within a hospital setting.…”

Section: Significancementioning

confidence: 94%

“…1 ECT has presented a remission rate of approximately 90% for depressed patients compared to an approximate remission rate of 67% for antidepressant medication. 2 Furthermore, there was also a reported estimate mortality rate of 2.1 per 100,000 cases. 3 Of the approximately 766,000 cases reviewed, just over 414,000 had been conducted after 2001 with only one ECT-related death reported.…”

Section: Knowledge Gapmentioning

confidence: 96%

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Effect of an Interactive Education on Electroconvulsive Therapy Perception in Nursing Students

Justin Cantley,

Kelly E. Tapp,

Brian P. Miller

et al. 2022

IJPN

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Objectives: Evidence suggests poor education is associated with negative attitudes toward ECT. Our study was designed to evaluate the perceptions of nursing students towards ECT before, and after, a clinical experience during ECT. The hypothesis is that an interactive education about ECT correlates with more positive attitudes regarding ECT treatment. Methods:Between November 2016 and March 2017, researchers surveyed 24 nursing students attending clinical at a southern California psychiatric hospital. Students completed a pre-education and post-education survey. The surveys consisted of 15 and 16 questions, respectively, regarding attitudes and sources of knowledge. The intervention consisted of one four-hour rotation of clinical experience participating in ECT. Results:The intervention was found to be statistically significant in the areas of education for indication and personal attitudes toward recommending ECT. The study revealed a connection between increased positive responses toward ECT and a baseline education on ECT treatment. Prior to the clinical experience, 13% believed ECT caused brain damage, 67% believed ECT to be humane and safe, and 58% believed ECT was more effective than medication. In the post-survey, 96% of participants believed ECT to be appropriate for treating severe depression, suicidal ideation, bipolar depression, and bipolar mania. 79% indicated ECT for the treatment of schizophrenia. For the questions concerning common misconceptions about ECT, 100% of participants believed that ECT is a safe and humane treatment that is more effective than medication and viewed short-term confusion and short-term memory loss as the most common side effects of ECT.

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“…Stigma, lack of knowledge about modern techniques, and inappropriate teaching have all been proposed as key factors to explain the underutilization of ECT. Particularly, several studies found that nurses, medical students, or physicians frequently have negative opinions about ECT and its adverse effects, sometimes describing the technique as a cruel treatment 2 …”

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confidence: 99%

High-Fidelity Simulation

Daaboul

Fovet

Nunes

et al. 2021

J ECT

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The authors have no conflicts of interest to report. Supported by a Korea University grant.This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. FIGURE 1. A, High-fidelity simulation manikin of an ECT training session. B, Attitudes QuAKE scores before and after the training session.

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Pre- and Post-Clerkship Knowledge, Perceptions, and Acceptability of Electroconvulsive Therapy (ECT) in 3rd Year Medical Students

Cited by 12 publications

References 20 publications

Understanding electroconvulsive therapy‐related anxiety: a prospective study

Understanding electroconvulsive therapy‐related anxiety: a prospective study

Effect of an Interactive Education on Electroconvulsive Therapy Perception in Nursing Students

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