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Related Experiment Videos

Patients' perspectives on electroconvulsive therapy: systematic review.

Diana Rose1, Pete Fleischmann, Til Wykes

  • 1Service User Research Enterprise, PO34, Institute of Psychiatry, De Crespigny Park, London SE5 8AF. d.rose@iop.kcl.ac.uk

BMJ (Clinical Research Ed.)
|June 21, 2003
PubMed
Summary

Patient experiences with electroconvulsive therapy (ECT) reveal significant memory loss concerns. Current satisfaction claims, often citing over 80% satisfaction, may be unfounded due to these persistent memory issues.

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Area of Science:

  • Psychiatry
  • Neuroscience
  • Patient Experience Research

Background:

  • Electroconvulsive therapy (ECT) is a treatment for severe mental health conditions.
  • Patient perspectives on ECT benefits and side effects, particularly memory loss, require thorough investigation.
  • Existing claims regarding high patient satisfaction with ECT need critical evaluation.

Purpose of the Study:

  • To systematically review and synthesize patients' views on the benefits of electroconvulsive therapy.
  • To investigate patient-reported experiences of memory loss associated with electroconvulsive therapy.
  • To critically assess the validity of current statements on ECT satisfaction and memory impact.

Main Methods:

  • A descriptive systematic review was conducted.
Keywords:
Empirical ApproachMental Health Therapies

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  • Searches included Psychinfo, Medline, Web of Science, and Social Science Citation Index databases.
  • Studies focusing on patient views post-ECT, including those with patient collaboration, were selected.

    • Main Results:

    • Significant heterogeneity was observed across the reviewed studies.
    • Methodological variations influenced the reported levels of perceived benefit from ECT.
    • At least one-third of patients reported experiencing persistent memory loss after ECT.

    Conclusions:

    • The assertion that over 80% of patients are satisfied with ECT is not supported by patient-reported outcomes.
    • The claim that memory loss from ECT is not clinically significant is contradicted by patient experiences.
    • Current official statements on ECT patient satisfaction and memory impact require revision based on this evidence.