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ECT in the Asia Pacific region: what do we know?
1Grampians Psychiatric Services, Victoria, Australia. john1@bhs.grampianshealth.org.au
The Journal of ECT
|June 7, 2003
Summary
Electroconvulsive therapy (ECT) is widely used and effective in the Asia Pacific, despite negative community attitudes. This review highlights its safety and efficacy across the diverse region.
Area of Science:
- Psychiatry
- Neurology
- Global Health
Background:
- Electroconvulsive therapy (ECT) is a vital treatment for severe mental health conditions.
- Understanding ECT practices in the Asia Pacific region is crucial due to its diversity.
Purpose of the Study:
- To describe the practice of electroconvulsive therapy (ECT) in the Asia Pacific region as of the year 2000.
- To provide a baseline understanding of ECT administration and outcomes in this area.
Main Methods:
- A survey was conducted across 34 Asia Pacific countries prior to the 1st Asia Pacific ECT Conference in 2001.
- Data collection involved identifying contact addresses and soliciting responses regarding ECT practices.
Main Results:
- Responses were received from 12 countries (35%), with ECT use in inpatients generally below 9%, except in Nepal (25.6%).
- Brief pulse, square wave currents were standard, with universal use of anesthesia and bilateral electrode placement.
- High response rates (≥86%) were reported, with memory impairment as the most common side effect. Community attitudes towards ECT were predominantly negative.
Conclusions:
- ECT is widely utilized and demonstrates effectiveness and relative safety in the Asia Pacific region.
- Findings align with global literature, indicating consistent patterns in ECT practice despite regional variations.
- Community reluctance towards ECT persists, contrasting with its established therapeutic benefits.