Electroconvulsive Therapy in China: Clinical Practice and Research on Efficacy

  title={Electroconvulsive Therapy in China: Clinical Practice and Research on Efficacy},
  author={Yi-lang Tang and Wei Jiang and Yanping Ren and Xin Ma and Robert O. Cotes and William M. McDonald},
  journal={The Journal of ECT},
Objective Electroconvulsive therapy (ECT) was first introduced in China in the early 1950s and has evolved into a significant psychiatric treatment. Research from Chinese psychiatrists provides important clinical data for ECT practitioners. However, most of the research has only been published in Chinese language journals. This article summarizes data from publications in the Chinese scientific community related to the clinical practice of ECT and research on efficacy in the treatment of… 

Electroconvulsive Therapy and Its Association With Demographic and Clinical Characteristics in Chinese Psychiatric Patients

In a major psychiatric center in China, the use of ECT was much more common than the figures reported from most countries around the world, and variances in outcomes between settings with higher and lower ECT use should be studied.

Use of electroconvulsive therapy in adolescents with schizophrenia in China

Investigation of the frequency of ECT in adolescents with schizophrenia in China found that ECT use was independently and positively associated with sex, high risk for suicide, and reasons for the high use of E CT for adolescent patients in this hospital should warrant urgent investigations.

Common Use of Electroconvulsive Therapy for Chinese Adolescent Psychiatric Patients

The use of ECT was exceedingly high in adolescent patients treated in a tertiary clinical centre in China and was independently and positively associated with older age, high aggression risk at time of admission, and use of antipsychotics and antidepressants.

Electroconvulsive therapy: 80 years old and still going strong

The negative media portrayal of ECT and its earlier misuse may have contributed to its negative professional and public perceptions and a reduction in access to ECT, which constitutes a violation of psychiatric patients’ right to an effective treatment.

Rates and Patient Characteristics of Electroconvulsive Therapy in China and Comparisons With the United States.

Electroconvulsive therapy use appears to be substantially higher in China than in the United States and is associated with indicators of higher rather than lower functioning as reflected by independent associations with youth, employment, and fewer past hospitalizations.

Magnetic Seizure Therapy Compared to Electroconvulsive Therapy for Schizophrenia: A Randomized Controlled Trial

Compared to bitemporal ECT with brief pulses and age-dose method, MST had similar antipsychotic efficacy with fewer cognitive impairments, indicating that MST is a promising alternative to ECT as an add-on treatment for schizophrenia.

Effectiveness of Electroacupuncture and Electroconvulsive Therapy as Additional Treatment in Hospitalized Patients With Schizophrenia: A Retrospective Controlled Study

EA-containing regimens remarkably reduced weight gain and incidences of headache, insomnia, dry mouth, and electrocardiographic abnormalities and suggest that EA and ECT can serve as additional treatment for enhancing antipsychotic response and reduce the side effects in hospitalized patients with schizophrenia.

Effectiveness of Electroconvulsive Therapy and Associated Cognitive Change in Schizophrenia: A Naturalistic, Comparative Study of Treating Schizophrenia With Electroconvulsive Therapy

It is suggested that an acute course of ECT is effective in schizophrenia and may have cognitive benefits for some patients and the global improvements in both BPRS and MoCA scores after ECT were not influenced by the type of E CT administered.

Psychological and Medico-Legal Perspectives on Electroconvulsive Therapy and Patient-Centered Care: A Short Review of Cross-Cutting Issues

The aim of this article is to focus on the following cross-cutting issues: the therapist-patient relationship, the patient’s perspective, the attitude on electroconvulsive therapy, and informed consent.



Rates of Electroconvulsive Therapy Use in Hungary in 2002

The rate of ECT use in Hungary is significantly lower than in the United States, in theUnited Kingdom, or in the Scandinavian countries and similar than in Hong Kong.

Modified and Unmodified Electroconvulsive Therapy: A Comparison of Attitudes Between Psychiatrists in Beijing and Hong Kong

It seems that unmodified ECT still has a role as an effective psychiatric treatment in developing countries such as China, and any initiative to replace unmodified with modified treatment should take into account economic conditions, the sociocultural context, and the psychiatric traditions of the particular regions of the country.

One Hundred Twenty Years of Mental Health Care in Thailand and the Development of Electroconvulsive Therapy

Mental health care in Thailand continues to improve and evolve, but regarding ECT development, little has been done despite a high ECT use rate, and as such, some form of reform is needed to achieve and maintain optimal standards in its practice.

Electroconvulsive Therapy in Hong Kong: Rates of Use, Indications, and Outcome

  • K. Chung
  • Medicine, Psychology
    The journal of ECT
  • 2003
The rate of ECT use in Hong Kong continues to be below that in the United States and the United Kingdom, and access to ECT is most limited to the elderly and private patients.

[Role of electroconvulsive therapy in treating schizophrenia].

  • Z. Jiang
  • Psychology, Medicine
    Zhonghua shen jing jing shen ke za zhi = Chinese journal of neurology and psychiatry
  • 1989
It was found that combined therapy favors both groups of patients with aggressiveness or excitement and group with negativism or catatonia as compared in a duration of 2 weeks, whereas patients with hallucinations of suicidal attempts also benefited in 4 weeks' term.

Change of psychotropic drug prescription for schizophrenia in a psychiatric institution in Beijing, China between 1999 and 2008.

The prescription pattern of psychotropic drugs changes considerably over time, even in the same clinical setting, and mental health professionals need to keep up with changes in the prescription patterns in order to serve their patients at the best possible level.

Effects of modified electroconvulsive therapy combined with clozapine in patients with treatment-refractory schizophrenia

  • Z. Yi
  • Psychology, Medicine
  • 2010
Modified electroconvulsive therapy combined with clozapine is effective and safe in the treatment of treatment refractory schizophrenia and may temporarily effect patients' memory.

A comparative study of modified electroconvulsive therapy for catatonic schizophrenia

  • W. Bin
  • Psychology, Medicine
  • 2008
MECT is effective for treating patients with catatonic schizophrenia without severe side effects and has shown significant improvement in BPRS and NOSIE both in study group and control group.

[Discovery and brief developmental history of electro -- convulsive therapy in mental diseases].

ECT is a very effective treatment for major psychosis with high incidence such as endogenous depression, catatonia in schizophrenia and so on.