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Electroconvulsive Therapy: A German Perspective.

H. Lauter1, H. Sauer

  • 1Psychiatrische Klinik der Technischen Universität, München, FRG.

Convulsive Therapy
|January 1, 1987
PubMed
Summary
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Electroconvulsive therapy (ECT) use in Germany is low, despite favorable psychiatrist attitudes. Media portrayal negatively impacts electroconvulsive therapy (ECT) adoption, necessitating better public awareness of its benefits.

Area of Science:

  • Psychiatry
  • Medical Sociology

Background:

  • Electroconvulsive therapy (ECT) is an established psychiatric treatment.
  • Public perception and media influence can affect treatment adoption rates.

Purpose of the Study:

  • To assess the current status and utilization of electroconvulsive therapy (ECT) in the Federal Republic of Germany (FRG) in 1986.
  • To investigate factors influencing ECT use, including institutional availability and professional attitudes.

Main Methods:

  • A nationwide survey of psychiatric facilities in the Federal Republic of Germany (FRG).
  • Data collection on ECT treatment courses, patient numbers, and administration patterns.

Main Results:

  • ECT was available in 26% of state mental hospitals, 40% of general hospital psychiatric departments, and 78% of university hospitals.

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  • Approximately 500 patients received ECT in 1985, indicating low overall usage (0.08 per 10,000 population).
  • Indications and administration patterns were similar to international standards, with infrequent use of unilateral electrode placement.

    • Conclusions:

    • Low ECT utilization in the FRG is not due to negative psychiatrist attitudes, which were found to be favorable.
    • Non-medical factors, particularly negative media coverage, appear to influence ECT usage.
    • Promoting the benefits of ECT is crucial to counteract negative perceptions and improve its appropriate application.