Perspectives of Patients and Relatives About Electroconvulsive Therapy

Rajkumar, Anto P.; Saravanan, Balachandar; Jacob, K. S.

doi:10.1097/01.yct.0000244237.79672.74

Cited by 34 publications

(30 citation statements)

References 24 publications

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“…Our results are consistent with previous findings. 4,12,15,20 In our sample, 67.1% of patients and 77.1% of relatives thought that effectiveness of ECT was not permanent. One reason may be the rare use of continuation ECT to prevent relapse.…”

Section: Patients' and Relatives' Experiencementioning

confidence: 92%

“…4,9Y15, 20 We found that relatives were more satisfied with ECT than patients were. A similar finding had been reported by Tang et al 15 Kerr et al 23 reported that patients had a more favorable attitude toward ECT than relatives, whereas Szuba et al 9 found no difference between the attitudes of patients and relatives.…”

Section: Patients' and Relatives' Attitudesmentioning

confidence: 94%

“…Similar findings have been reported previously. 4,15,20,22,26 However, Szuba et al 9 reported that 68% of their patients believed that they were properly informed about ECT, whereas Walter et al 13 reported that 42% of a small group of adolescent patients was satisfied with the amount of information they had been given. In the current study, compared with patients, relatives were more likely to believe that they had been adequately informed.…”

Section: Patients' and Relatives' Experiencementioning

confidence: 95%

See 2 more Smart Citations

Patients' and Their Relatives' Attitudes Toward Electroconvulsive Therapy in Bipolar Disorder

Virit¹,

Ayar²,

Savaş³

et al. 2007

The Journal of ECT

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Although electroconvulsive therapy (ECT) is a safe and efficacious treatment, there is a widespread negative view of ECT in public and professional circles. Previous studies that reported psychiatric patients' and their relatives' feelings and attitudes toward ECT revealed generally positive results. However, there are no data focusing on bipolar patients' and their relatives' attitudes toward ECT. In this study, the perspectives of 70 bipolar patients and their 70 relatives were examined before ECT. The study showed that the majority of patients and relatives believed they had not received adequate information about ECT, but they were satisfied with the treatment, found it beneficial, and maintained a positive attitude toward its use. The most commonly reported side effect was memory impairment. This is the first study focusing on bipolar patients' and their relatives' attitudes toward ECT in the literature.

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Section: Patients' and Relatives' Experiencementioning

confidence: 92%

Section: Patients' and Relatives' Attitudesmentioning

confidence: 94%

Section: Patients' and Relatives' Experiencementioning

confidence: 95%

See 1 more Smart Citation

Patients' and Their Relatives' Attitudes Toward Electroconvulsive Therapy in Bipolar Disorder

Virit¹,

Ayar²,

Savaş³

et al. 2007

The Journal of ECT

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“…Attitude toward ECT and satisfaction with it seem to be associated with patients' and families' further compliance with this kind of treatment. 17,19 It may even play a role in their adherence to further psychiatric interventions as a whole. As an effective treatment modality, ECT deserves to be appropriately introduced to psychiatric patients who may benefit from it and to their families.…”

mentioning

confidence: 98%

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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“…While most literature has focused on negative ECT experiences, some research does document positive patient accounts (Chakrabarti et al, 2010;Rajkumar, Saravanan, & Jacob, 2006), and some heterogeneity (Rose, Fleischmann, Wykes, Leese, & Bindman, 2003). We could not find any research that specifically attempted to interpret and connect these disparate accounts.…”

Section: Introductionmentioning

confidence: 47%

Care, Control, and the Electroconvulsive Therapy Ritual: Making Sense of Polarized Patient Narratives

et al. 2017

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Despite evidence of short-term effectiveness of ECT (electroconvulsive therapy), both positive and negative patient reports are common. However, research examining these polarized accounts has not adequately elucidated why such divergences occur. We thus sought to examine opposing patient narratives to better understand underlying meanings.Eighteen interviews were conducted with UK-based people who had experienced the treatment. Our analysis revealed that the quality of relations with staff, ECT artefacts (e.g. the ECT suite), and perceived outcomes all play a role in divergent accounts. Positive reflections on ECT emerged alongside narratives of trust in staff, comfort with ECT, and perception of sufficient personal control. Conversely, where negative evaluations of ECT predominated, there was anger associated with a lack of control, and a belief that ECT made little sense, and was linked to past abuses and/or the unacceptability of side effects.We discuss the implications of our findings for professionals.

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Perspectives of Patients and Relatives About Electroconvulsive Therapy

Abstract: The results of the study highlight the complex issues and contradictions in the process of providing information and obtaining consent for ECT.

Cited by 34 publications

References 24 publications

Patients' and Their Relatives' Attitudes Toward Electroconvulsive Therapy in Bipolar Disorder

Patients' and Their Relatives' Attitudes Toward Electroconvulsive Therapy in Bipolar Disorder

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

Care, Control, and the Electroconvulsive Therapy Ritual: Making Sense of Polarized Patient Narratives

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