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={P. Fisher},
  journal={Journal of Mental Health},
  year={2012},
  volume={21},
  pages={589 - 599}
}
  • P. Fisher
  • Published 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… Expand
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TLDR
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Electroconvulsive therapy–related anxiety is a highly prevalent phenomenon, and the literature provides little guidance for its clinical management. Expand
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TLDR
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. Expand
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Background: Electroconvulsive therapy (ECT) is prescribed in cases of severe and treatment resistant depression. Its efficacy in reducing depressive symptoms is well established, but due toExpand
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TLDR
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. Expand
Care, Control, and the Electroconvulsive Therapy Ritual: Making Sense of Polarized Patient Narratives
TLDR
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. Expand
The perspectives of former recipients and experts on stigmatization related to electroconvulsive therapy in Denmark: A focus group study.
TLDR
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. Expand
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 withExpand
Is Electroconvulsive Therapy for Depression More Effective Than Placebo? A Systematic Review of Studies Since 2009
Background: A 2010 review of studies, previous reviews and meta-analyses found minimal evidence that electroconvulsive therapy (ECT) for depression was more effective than placebo during theExpand
Emotional Androgyny: A Preventive Factor of Psychosocial Risks at Work?
TLDR
It is proposed that a combination of communion and agency can serve as a preventive factor at work and lead to healthier responses by providing a wider range of emotional competences to deal with organizational demands. Expand
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References

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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. Expand
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The interviewees managed concerns about ECT in a variety of ways, for example by rendering it as a medical procedure with concomitant risks and benefits; downplaying a lack of clarity over its evidence base; and undermining the legitimacy of criticisms. Expand
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TLDR
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. Expand
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TLDR
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. Expand
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TLDR
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. Expand
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TLDR
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. Expand
Consumers' views of electroconvulsive therapy: A qualitative analysis
Background: ECT is not a rare treatment in the UK today but little research has been conducted into users' views of their experiences. Most of what exists is quantitative in nature. Aims: ToExpand
Electroconvulsive Therapy and Memory Loss: A Personal Journey
TLDR
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. Expand
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TLDR
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. Expand
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