Knowledge and attitudes of adolescents with psychiatric disorders and their caregivers towards electroconvulsive therapy in China

Zong, Qiao; Han, Qin; Wang, Yuan Yuan; Cheng, Zhang; Balbuena, Lloyd; Ungvári, Gábor S.; An, Feng Rong; Xiang, Yu Tao

doi:10.1016/j.ajp.2020.101968

Cited by 7 publications

(2 citation statements)

References 23 publications

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“…A brief review of research from places such as India and China would indicate similar discussions around consent, legal issues, provision of information about ECT and public perception (e.g. Duffy et al, 2017; Li et al, 2016; Zong et al, 2020). There is a broad spectrum of approaches towards ECT internationally, with some countries completely banning its use feeling it is too dangerous and invasive to use, while other countries utilize ECT at nearly every psychiatric unit, with some of those countries still practising unmodified forms of the treatment (Gazdag et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

What are the ethical dilemmas in the decision‐making processes of nursing people given electroconvulsive therapy? A critical realist review of qualitative evidence

Sweetmore

2021

Psychiatric Ment Health Nurs

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Accessible Summary What is known on the subject? ECT is a treatment which has a long and complicated history. There is no consensus on its effectiveness and there is a great deal of polarized debate as to whether it should be used. MHNs are asked to work with people who are receiving ECT as part of their duties. What the paper adds to existing knowledge? The paper seeks to move beyond the polarized arguments and to consider how MHNs can work with people where ECT is being considered or administered as part of their treatment in a manner which satisfies their professional obligations. Implications for practice MHNs may need to broaden their understanding of ethics beyond the traditional biomedical ethics model of beneficence, non‐maleficence, justice and autonomy, as well as improving their understanding of social and political factors which may have an unseen effect of the use of ECT as a treatment in order to meet their professional obligations when working with people being administered ECT. Abstract INTRODUCTIONElectroconvulsive therapy (ECT) has a complex and contentious place in psychiatric care. Mental health nurses (MHNs) are of obligated to be part of this practice despite ethical concerns. AimTo consider the ethical dilemmas and decision‐making processes facing MHNs involved in the administration of ECT. MethodA critical realist review of the literature surrounding ethical considerations and ECT was undertaken using thematic analysis. FindingsFour key themes emerged: the MHN as an advocate and conflict in their role, issues surrounding consent, questionable efficacy and unknown method of action, side effects, and legal issues and clinical guidelines. DiscussionUsing a critical realist framework for understanding, the decision‐making process and ethical considerations are viewed as part of the empirical and actual parts of reality, while the potential for other, unseen causal powers to be at play is acknowledged. Implications for practiceMHNs need to ensure they have an adequate ethical underpinning to their practice to enable them to navigate contentious areas of practice such as ECT to practice effectively and preserve safety. This may require moving beyond the traditional biomedical model of ethics. Developing an appreciation of unseen causal factors is also an essential part of MHNs’ developing professional competency.

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Section: Discussionmentioning

confidence: 99%

What are the ethical dilemmas in the decision‐making processes of nursing people given electroconvulsive therapy? A critical realist review of qualitative evidence

Sweetmore

2021

Psychiatric Ment Health Nurs

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“…For example, a previous study found that caregivers (75.0%) reported receiving significantly more adequate information about the therapeutic effects of ECT than did older psychiatric patients (56.1%) ( 19 ). However, another study found that more adolescents with psychiatric disorders (55.7%) reported receiving adequate information about the therapeutic effects of ECT than their caregivers (50.6%) ( 20 ). Given that ECT practice is influenced by cultural, social, and legal factors, findings from previous studies on ECT attitudes and knowledge from other countries or regions may not be applicable to samples in different regions of China ( 22–24 ).…”

Section: Introductionmentioning

confidence: 99%

Electroconvulsive therapy knowledge and attitudes among patients and caregivers in South China: A preliminary study

Deng

Nie²,

Mai³

et al. 2023

Front. Psychiatry

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BackgroundElectroconvulsive therapy (ECT) is a safe and effective therapy for individuals suffering from major psychiatric disorders, but attitudes towards ECT among patients and caregivers have not been well studied. This study was conducted to elucidate patient and caregiver knowledge and attitudes concerning ECT in South China.MethodsThe sample comprised 92 patients diagnosed with major psychiatric disorders and their caregivers (n = 92). Participants completed questionnaire measures of knowledge and attitudes related to ECT.ResultsInformation before ECT was inadequately provided to both caregivers and patients (55.4% versus 37.0%, p < 0.05). Caregivers reported receiving more adequate information about the therapeutic effects (50.0% versus 44.6%), side effects (67.4% versus 41.3%), and risks (55.4% versus 20.7%) of ECT when compared to patients (all p < 0.05). However, less than half of patients and caregivers believed that ECT was effective (43.5% versus 46.7%, p > 0.05), while more than half of them believed that ECT was beneficial (53.3% versus 71.7%, p < 0.05), and approximately half of them believed that ECT was safe (50.0% versus 51.1%, p > 0.05). A total of 32.6% of patients and 55.4% of caregivers (p < 0.05) reported that ECT was used only for critically ill patients. A total of 62.0% of patients experienced side effects, with memory impairment being the most commonly reported.ConclusionClinicians should develop a systematic health education program before ECT treatment and ensure that patients and caregivers have an accurate understanding of ECT, particularly the treatment process, its therapeutic effects and potential side effects prior to administering this treatment.

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«No es como lo muestran en las películas»: conocimientos y experiencias de TEC desde la vivencia de pacientes y familiares

González

Guzmán-Sabogal

Yaver-Suárez

et al. 2024

Revista Colombiana de Psiquiatría

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Knowledge and attitudes of adolescents with psychiatric disorders and their caregivers towards electroconvulsive therapy in China

Cited by 7 publications

References 23 publications

What are the ethical dilemmas in the decision‐making processes of nursing people given electroconvulsive therapy? A critical realist review of qualitative evidence

What are the ethical dilemmas in the decision‐making processes of nursing people given electroconvulsive therapy? A critical realist review of qualitative evidence

Electroconvulsive therapy knowledge and attitudes among patients and caregivers in South China: A preliminary study

«No es como lo muestran en las películas»: conocimientos y experiencias de TEC desde la vivencia de pacientes y familiares

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