Electro-convulsive therapy practices in the community

@article{Prudic2001ElectroconvulsiveTP,
  title={Electro-convulsive therapy practices in the community},
  author={J. Prudic and M. Olfson and H. Sackeim},
  journal={Psychological Medicine},
  year={2001},
  volume={31},
  pages={929 - 934}
}
Background. Controlled studies have demonstrated that variations in electro-convulsive therapy (ECT) technique impacts on efficacy and cognitive side effects. However, there is little information on the extent of variation in how ECT is practiced in community settings in the United States. Methods. A survey of practice patterns was conducted at ECT facilities in the greater New York City metropolitan area. Results. The 59 facilities varied considerably in many aspects of ECT practice, often… Expand
Belling the cat: ECT practice standards in the United States.
TLDR
The principles of ECT are rarely taught to undergraduates in medical schools, whereas psychopharmacology and psychotherapy teachings are extensive and the detailed requirements in psychotherapies, pharmacotherapy, and social case management makes ECT experience optional. Expand
The Cognitive Effects of Electroconvulsive Therapy in Community Settings
TLDR
A prospective, naturalistic, longitudinal study of clinical and cognitive outcomes in patients with major depression treated at seven facilities in the New York City metropolitan area. Expand
Electroconvulsive Therapy in Scottish Clinical Practice: a National Audit of Demographics, Standards, and Outcome
TLDR
Electroconvulsive therapy given in routine clinical settings across Scotland meets Royal College of Psychiatrists standards and is an effective treatment of the clear majority of patients. Expand
Effectiveness of electroconvulsive therapy in community settings
TLDR
The remission rate with ECT in community settings is substantially less than that in clinical trials, and patients who do not remit with E CT have a poor prognosis; this underscores the need to achieve maximal improvement with this modality. Expand
Electroconvulsive therapy : An assessment of experience, knowledge, and attitudes of clinical psychologists in Western Australia
TLDR
To assess the knowledge of, and attitudes towards ECT of clinical psychologists in Western Australia, a newly developed scale was used and consisted of items constructed from evidence-based literature. Expand
An Audit of Clinical and Sociodemographic Profile of Electroconvulsive Therapy in Kashmir
TLDR
The provision of ECT in only one centre is clearly insufficient for such a large study population and with the overall limited availability of the facility the protocol of the ECT services here are in line with the global trend. Expand
A 10-Year Descriptive Study of Electroconvulsive Therapy at the Neuropsychiatric Hospital, Aro, Abeokuta
TLDR
The practice of ECT between 2001 and 2010 at the Neuropsychiatric Hospital, Aro, Abeokuta, regarding consent procedures, staffing, training, indications, and administration was examined with the goal of informing the development of guidelines locally. Expand
Pattern of electroconvulsive therapy use in Spain: Proposals for an optimal practice and equitable access
TLDR
The ECT application rate in Spain is among the lowest within western countries, and large differences in ECT use have been reported across the various autonomous communities, provinces and hospitals, which means health planning strategies need to be implemented, as well as promoting training in E CT among health professionals, if these differences are to be reduced. Expand
Electroconvulsive therapy practice in Serbia today.
TLDR
The limited availability of ECT in Serbia raises serious concerns and provision of updated and effective treatment modalities for severe psychiatric disorders is crucial and the need for additional ECT services in Serbia is urgent. Expand
Electroconvulsive Therapy Practice in Spain: A National Survey
TLDR
The ECT practice has significantly improved in Spain in recent years and Spanish facilities seem to comply with established clinical guidelines; however, specific concerns were identified, meaning there is still further scope for improvement. Expand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 21 REFERENCES
Conventional and Multiple-Monitored Electroconvulsive Therapy A Comparison in Major Depressive Episodes
  • B. Maletzky
  • Medicine
  • The Journal of nervous and mental disease
  • 1986
TLDR
Results indicate that CECT and MMECT were equally effective in 54 patients with a major depressive episode; the treatments differed, however, in persistence of side effects and in efficiency as measured by cost-effectiveness and the utilization of staff and physician time. Expand
Consensus conference. Electroconvulsive therapy.
  • Medicine
  • JAMA
  • 1985
TLDR
Although ECT has been in use for more than 45 years, there is continuing controversy concerning the mental disorders for which ECT is indicated, its efficacy in their treatment, the optimal methods of administration, possible complications, and the extent of its usage in various settings. Expand
Training to Administer Electroconvulsive Therapy: A Survey of Attitudes and Experiences
TLDR
Most trainees indicated limited theoretical teaching in this area, and almost none were aware of a formal training scheme at their respective hospitals, and priority should be given to their implementation. Expand
Audit of electroconvulsive treatment in two national health service regions.
  • J. Pippard
  • Medicine
  • The British journal of psychiatry : the journal of mental science
  • 1992
TLDR
The use of ECT has fallen by 55% in North East Thames Region since 1979, but has risen by 20% in the East Anglian Region, and there are up to 12-fold differences in usage between districts. Expand
Continuation therapy following ECT: directions for future research.
TLDR
The relations of medication resistance during the acute episode to short-term response to ECT and the use of continuation pharmacotherapy and continuation ECT as methods to prevent relapse are reviewed. Expand
The ECT handbook : the second report of the Royal College of Psychiatrists' Special Committee on ECT
Part 1 Clinical guidelines: ECT and depressive disorders ECT in mania ECT in schizophrenia ECT as a specific treatment for neuropsychiatric conditions ECT in the elderly patient ECT in those under 18Expand
Effects of Stimulus Parameters on Cognitive Side Effects
TLDR
The available data suggest that unilateral nondominant ECT is roughly as effective as bilateral (BL) ECT in producing a remission in severely depressed patients, and bilateral ECT offers a distinct advantage to bilateral treatments with regard to the presence and extent of cognitive disruption. Expand
Effects of stimulus intensity and electrode placement on the efficacy and cognitive effects of electroconvulsive therapy.
TLDR
increasing the electrical dosage increases the efficacy of right unilateral electroconvulsive therapy, although not to the level of bilateral therapy, and unilateral treatment is associated with less severe cognitive side effects after treatment. Expand
Stimulus intensity, seizure threshold, and seizure duration: impact on the efficacy and safety of electroconvulsive therapy.
TLDR
Recent evidence contradicts a number of long-standing views about how to optimize ECT administration, finding that generalized seizures that are "adequate" by conventional duration criteria may be produced reliably, yet lack therapeutic properties. Expand
Use of ECT for the inpatient treatment of recurrent major depression.
TLDR
When patient selection is taken into account, prompt administration of ECT is associated with shorter and less costly hospital stays, and economically disadvantaged patients are relatively unlikely to receive this treatment. Expand
...
1
2
3
...