Quality of life and wellbeing in patients receiving electroconvulsive therapy: a study from Kashmir

Mushtaq, Raheel; Shoib, Sheikh; Dar, Mohammad Maqbool; Shah, Tabindah; Mushtaq, Sahil; Singh, Rameshwar

doi:10.5455/2320-6012.ijrms20140245

Cited by 4 publications

(5 citation statements)

References 9 publications

(12 reference statements)

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“…Electroconvulsive therapy (ECT) is a neuromodulatory procedure in which seizures are induced by passing electrical stimulus to the brain to improve a patient’s mental state. 1 ECT is an effective and safe treatment for various psychiatric disorders, including mood disorders and schizophrenia. 2 ECT is performed in many countries worldwide, and several national surveys of ECT practice have been published.…”

Section: Introductionmentioning

confidence: 99%

Demographic and Clinical Profile of Patients Receiving Electroconvulsive Therapy at a Tertiary Care Hospital in Oman: A Cluster Analysis

Saadi¹,

Chan²,

Al-Kaabi³

et al. 2022

Oman Med J

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Objectives We sought to identify subgroups of psychiatric patients in a sample of patients admitted at a tertiary care hospital in Oman who received electroconvulsive therapy (ECT) based on their demographic and clinical outcomes. Methods We retrospectively collected data from patients who received ECT at Al Massarah Hospital, Muscat, Oman, between January 2015 and December 2019. Sociodemographic characteristics, clinical profiles, and psychiatric comorbidities were examined. Results A total of 179 psychiatric patients received ECT; 96 (53.6%) were females. The average age at diagnosis was 42.5 years. Two-step cluster analysis showed 70 (39.1%) patients in cluster one and 109 (60.9%) patients in cluster two. Patients in cluster one included more (61.4%) females, were older (mean = 55.2 years), married (95.7%), and unemployed (88.6%). They reported they had comorbidities (55.7%) and less frequent ECT use (mean = 8.7) than patients in cluster two. Clusters differences were found on gender ( p = 0.001), age ( p < 0.001), marital status ( p < 0.001), and occupation ( p = 0.001). Significant differences were found for diagnosis ( p < 0.001), comorbid medical conditions ( p < 0.001), and use of ECT sessions ( p = 0.006). Conclusions Psychiatric patients receiving ECT are heterogeneous, with different demographic and clinical outcomes. Our study has shown that patients in cluster one are older females, unemployed, with more comorbidities, and depressive disorders, but received fewer ECT sessions. This study provides important information for clinicians to identify strategies to promote the use of ECT on its effectiveness and safety issues for each group.

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Section: Introductionmentioning

confidence: 99%

Demographic and Clinical Profile of Patients Receiving Electroconvulsive Therapy at a Tertiary Care Hospital in Oman: A Cluster Analysis

Saadi¹,

Chan²,

Al-Kaabi³

et al. 2022

Oman Med J

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“…Violence, political changes, and numerous conflicts during the last 25 years in the Kashmir valley have led to a gradual rise in the prevalence of mental illnesses in the inhabitants of this valley [1-2]. Psychiatrists and psychologists of Kashmir have applied all recommended medical and psychotherapeutic approaches in the management of psychiatric disorders.…”

Section: Introductionmentioning

confidence: 99%

“…Despite technological and economical advancement, India is still being referred to as a developing country, with ignorance and hesitation prevailing among the masses regarding the adoption of new and better forms of treatment. The people of India, in general, have surely not been able to completely appreciate the low side-effect profile and extremely high efficacy of ECT in treatment-resistant disorders; however, some indigenous mental health institutions are taking leaps forward in making full use of ECT by educating people about it [2-3]. Some institutions have gone even further to use ECT as a maintenance tool, with quite significant positive results on follow-up [4].…”

Section: Introductionmentioning

confidence: 99%

An Interventional Study on the Clinical Usefulness and Outcomes of Electroconvulsive Therapy in Medication-Resistant Mental Disorders

Manhas

Mushtaq

Tarfarosh

et al. 2016

Cureus

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BackgroundResistance to recommended medications has been an issue in dealing with a number of psychiatric ailments, and it is showing up as an ongoing challenge for contemporary mental health experts. Resistant psychiatric disorders not only increase the morbidity of patients suffering from such severe conditions but also intensify the problems of their caretakers. This has vigorously started to cause the costs to increase for healthcare services. Thanks to electroconvulsive therapy (ECT), we now have an effective method that is proving to be a fruitful final course of action in this micro-epidemic of resistant psychiatric diseases. However, the medical literature of case reports or studies in this niche is scarce. Also, no such comprehensive study has been carried out in the Southeast Asian region to date for the assessment of the effectiveness of electroconvulsive therapy in patients with medication-resistant psychiatric disorders.AimTo assess the effectiveness of ECT in medication-resistant psychiatric patients at the post-ECT course, three-month follow-up, and six-month follow-up.Materials and methodsThe study was a prospective and interventional study (without controls) conducted in the Institute of Mental Health and Neurosciences (IMHANS), Srinagar, India. Fifty-six patients with pharmacotherapy-resistant psychiatric disorders were included in the study. The patients were assessed at the end of the ECT course, at the three-month follow-up, and at the six-month follow-up by the Clinical Global Impression (CGI), Montgomery Asberg Depression Rating Scale (MADRS), Young Manic Rating Scale (YMRS) and the Yale-Brown Obsessive Compulsive Scale (YBOCS). Improvement was defined with the help of the CGI subscale by comparing the position of the patient at admission to the projected condition with ECT.Statistical analysisAnalysis of Variance (ANOVA) was used for analysis of the quantitative data. For the pair-wise comparison of the groups, the post hoc tests were used. Pearson’s chi-square test was used for analysis of qualitative data. A p-value of < 0.05 was considered to be statistically significant, and all the data analysis was done using SPSS Version 20.0.ResultsThe CGI scale revealed that statistically significant improvement occurred in patients at the end of ECT course, at the three-month follow-up as well as at the six-month follow-up.ConclusionECT should be used for the treatment of pharmacotherapy-resistant psychiatric patients and the benefits can be seen even six months after an ECT course completion. Further work in this field should focus on educating the general public about the usefulness of ECT in the treatment of resistant mental illnesses. The myths related to the so-called psychiatric assault from ECT should be removed.

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“…ECT (Electroconvulsive therapy) is a neuromodulative techniques, in which seizure are induced under medical supervision by passing electric current across the skull. 1 ECT is widely used in India as compared to west as a therapeutic option for treating various psychiatric disorders. 1 13.4 to 14.3% patients in India receive ECT, which is far more than in developed countries.…”

Section: Introductionmentioning

confidence: 99%

“…1 ECT is widely used in India as compared to west as a therapeutic option for treating various psychiatric disorders. 1 13.4 to 14.3% patients in India receive ECT, which is far more than in developed countries. 2 ECT is usually given in combination with other psychotropic drugs as an emergency or augmentation strategy.…”

Section: Introductionmentioning

confidence: 99%

Socio demographic, clinical and side effect profile of electroconvulsive therapy use among psychiatric inpatients: a cross sectional study from South East Asia - Kashmir

et al. 2014

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Background: Electroconvulsive Therapy (ECT) is a neuromodulative technique, which is effective but underutilized for treatment of psychiatric disorders. The aim of the study was to investigate socio demographic, clinical and side effect profile of electroconvulsive therapy use among psychiatric inpatients. Methods: A cross sectional study was performed for a period of 1 year in postgraduate department of psychiatry (Institute of mental health and neurosciences Kashmir -center of excellence). Patients of pharmacotherapy resistant psychiatric disorders attending the hospital during this period were taken in study. The data was recorded in a specially designed proforma which documented the socio-demographic variables including age, sex, residence, occupation, socioeconomic status was recorded. Chi-square, Fisher exact, and t tests were used to note the statistically significant association. Results: The mean age of the study sample was 39.6 (±11.76) years. Maximum number of patients were in the age group 41-50 years i.e. 16 (28.6%), followed by 31-40 years i.e. 15 (26.8%). The mean number of ECT's received was 8.22 (±2.073). About 29 (51.8%) patients reported body aches, 24 (42.9%) patients reported forgetfulness, 9 (16%) patients reported headache and only 1 (2%) patient reported agitation. Conclusion:The results indicate that electroconvulsive therapy is used in all psychiatric disorder with fewer side effects in pharmacotherapy resistant psychiatric disorders. Cite this article as: Dar MM, Shoib S, Mushtaq R, Manhas RS. Socio demographic, clinical and side effect profile of electroconvulsive therapy use among psychiatric inpatients: a cross sectional study from South East Asia -Kashmir. Int J Res Med Sci 2014;2:910-5.

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Quality of life and wellbeing in patients receiving electroconvulsive therapy: a study from Kashmir

Cited by 4 publications

References 9 publications

Demographic and Clinical Profile of Patients Receiving Electroconvulsive Therapy at a Tertiary Care Hospital in Oman: A Cluster Analysis

Demographic and Clinical Profile of Patients Receiving Electroconvulsive Therapy at a Tertiary Care Hospital in Oman: A Cluster Analysis

An Interventional Study on the Clinical Usefulness and Outcomes of Electroconvulsive Therapy in Medication-Resistant Mental Disorders

Socio demographic, clinical and side effect profile of electroconvulsive therapy use among psychiatric inpatients: a cross sectional study from South East Asia - Kashmir

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