Unmodified electroconvulsive therapy: Concerns about reporting in a retrospective study

Andrade, Chittaranjan; Praharaj, Samir Kumar; Harshe, Devavrat; Karia, Sagar

doi:10.4103/psychiatry.indianjpsychiatry_62_17

Cited by 2 publications

(1 citation statement)

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“…Muscle relaxants reduce musculoskeletal morbidity with electroconvulsive therapy (ECT) but need to be administered under general anaesthesia [1 (pp: 1-16),2 -11]. Recent data of a large retrospective study and two prospective studies suggest that the risks with unmodified ECT may be lower than was formerly believed [5,7,12,13]. During the past three decades or so, the practice of unmodified ECT has been reported from developing and developed countries, alike.…”

Section: Introductionmentioning

confidence: 99%

Satisfaction and attitude of bipolar patients regarding electroconvulsive therapy: modified or unmodified

Atay

Bağ

Usta

et al. 2019

Nordic Journal of Psychiatry

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Objective: Ministry of Health of Turkey issued a legislation to use only modified electroconvulsive therapy (ECT) in 2005, and this study aimed to assess satisfaction and attitude of bipolar patients regarding modified and unmodified electroconvulsive therapy. Methods: A total of 100 patients (50 treated with modified electroconvulsive therapy (M-ECT) and 50 treated with unmodified ECT (UM-ECT) with a diagnosis of Bipolar Disorder (depressive or manic episode) were invited to participate in this study. Patients with euthymic mood were included. Satisfaction and attitude towards ECT were evaluated with a structured attitude questionnaire, and M-ECT and UM-ECT patients, and their subgroups (depressive vs. manic) were compared. Results: No significant differences were found between M-ECT and UM-ECT groups regarding age, sex, marital status and occupation. The majority of all patients (78%) were satisfied from treatment with ECT and with the outcome (88%), without significant differences between modified and unmodified groups. Forgetfulness (70%) and headaches (57%) occurred in all groups, with the only significant difference in forgetfulness being reported by more manic patients treated with UM-ECT. Depressive and manic patients treated with UM-ECT reported concerns of brain damage and physical harm significantly more frequently. While 86% of patients treated with M-ECT consented to a future treatment, this was significantly less in patients treated with UM-ECT (50%). Conclusions: Bipolar patients report a high degree of satisfaction treated either with modified or unmodified ECT but there was a significant difference in perception of adverse effects and willingness for receiving ECT in future.

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Section: Introductionmentioning

confidence: 99%