Psychological factors related to the experience of and reaction to electroconvulsive therapy

@article{Fisher2012PsychologicalFR,
  title={Psychological factors related to the experience of and reaction to electroconvulsive therapy},
  author={Paul Fisher},
  journal={Journal of Mental Health},
  year={2012},
  volume={21},
  pages={589 - 599}
}
  • P. Fisher
  • Published 1 December 2012
  • Psychology, Medicine
  • Journal of Mental Health
Background Aside from the focus on satisfaction levels, psychological aspects of the experience of electroconvulsive therapy (ECT) have not traditionally been the focus of significant research. Given that clinical psychologists work closely with professionals involved in administering ECT, and have increasing involvement with decisions about ECT, there is a potential role for clinical psychologists in this area. Aims To review the diverse sources of literature regarding how patients… 

Patient Reported Experience of Electroconvulsive Therapy (ECT)

Findings show that interactions with staff have a positive effect on patient satisfaction and experience, and highlights the importance to patient’s satisfaction andExperience of staff's engagement, relaying information, friendliness, support, and compassion.

ECT-Related Anxiety: A Systematic Review

Electroconvulsive therapy–related anxiety is a highly prevalent phenomenon, and the literature provides little guidance for its clinical management.

The experience of electroconvulsive therapy and its impact on associated stigma: A meta-analysis

Experiences with ECT may have a positive impact on knowledge of and attitudes toward ECT, however, the quality of evidence of included studies was low and further research is required to clarify the relationship.

Older adults' experiences of electroconvulsive therapy : an interpretative phenomenological analysis

Investigating older adults’ experiences of ECT in Scotland using a qualitative methodology finds three superordinate themes emerged from the data: experience of depression, power and control, and changing beliefs about ECT.

Cognitive Behavioral Therapy as a Treatment for Electroconvulsive Therapy Phobia: Case Report and Review of Literature

Although cases of ECT phobia are rare, feelings of fear and anxiety surrounding ECT are common and CBT can be a successful treatment in those who have anxiety related to ECT.

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

It is revealed that the quality of relations with staff, ECT artifacts, and perceived outcomes all play a role in divergent accounts of ECT, and anger associated with a lack of control, made little sense, and was linked to past abuses and/or the unacceptability of side effects.

The perspectives of former recipients and experts on stigmatization related to electroconvulsive therapy in Denmark: A focus group study.

It is suggested that full recovery following ECT might be jeopardized due to both stigmatization and self-stigmatization and there is a great need for multi-facetted approaches if social acceptance and recognition are to be achieved.

Women diagnosed with depression: making meaning and decisions about electroconvulsive therapy. A feminist analysis

This study addresses a significant issue occurring within contemporary societies such as Australia and within the larger international body of literature: the silencing of women’s experiences with

Is Electroconvulsive Therapy for Depression More Effective Than Placebo? A Systematic Review of Studies Since 2009

  • J. ReadC. Arnold
  • Psychology, Medicine
    Ethical Human Psychology and Psychiatry
  • 2017
There is still no evidence that ECT is more effective than placebo for depression reduction or suicide prevention, and the cost-benefit analysis for ECT remains so poor that its use cannot be scientifically, or ethically, justified.

Risk Assessment of Electroconvulsive Therapy in Clinical Routine: A 3-Year Analysis of Life-Threatening Events in More Than 3,000 Treatment Sessions

A retrospective analysis of 3-year safety protocols and patient files of 157 patients who received a total of 3,106 ECT applications in a psychiatric inpatient setting at a psychiatric community hospital concludes that ECT is a rather safe treatment when performed in a controlled setting.

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Overall, the weight of the evidence supports the notion that patients undergoing ECT are well-disposed towards it, however, much needs to be done to improve the practice of ECT and to enhance patients’ satisfaction with the experience of treatment.

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The following article reviews the current literature on the administration and effectiveness of ECT, highlighting some of the main points of contention in the debate over its use.

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The cost-benefit analysis for ECT is so poor that its use cannot be scientifically justified, and there are no placebo-controlled studies evaluating the hypothesis that ECT prevents suicide, and no robust evidence from other kinds of studies to support the hypothesis.

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Consenting to ECT is more complex than currently recognised and involves interpersonal and systemic factors and as a result, people may consent because they feel that they have little choice.

Patients' perspectives on electroconvulsive therapy: systematic review

The current statement for patients from the Royal College of Psychiatrists that over 80% of patients are satisfied with electroconvulsive therapy and that memory loss is not clinically important is unfounded.

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Investigating consumers' views on the benefits and risks of ECT and to understand the controversy that exists between some users and their organizations and professional bodies reveals that consumers’ views about health interventions such as ECT are complex and multi-faceted.

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Because of the potential for devastating and permanent memory loss with ECT, informed consent needs significant enhancement until advancing research on both improved techniques and on better predictive knowledge regarding memory loss progresses to making a greater impact on clinical applications.

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It is shown that ECT can induce transition of severely melancholic and suicidal patients into normally functioning and dignified fellow human beings, often when all other treatments have failed.