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Rates of electroconvulsive therapy use in Hungary in 2002.

G Gazdag1, N Kocsis, A Lipcsey

  • 1Clinic of Addictology and Psychiatry, Szt. László Hospital, Budapest, Hungary. gazdag@lamb.hu

The Journal of ECT
|April 17, 2004
PubMed
Summary

Electroconvulsive therapy (ECT) use in Hungary is low, primarily for schizophrenia and affective disorders. This study surveyed ECT practices following regulatory changes and the advent of new psychopharmacological treatments.

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Area of Science:

  • Neuroscience
  • Psychiatry
  • Medical Practice

Background:

  • No systematic evaluation of ECT use in Hungary since 1992.
  • Legal regulation of ECT practice changed in 1994, mandating anesthesiologist collaboration.
  • Advancements in psychopharmacology (antipsychotics, antidepressants) influenced ECT utilization.

Purpose of the Study:

  • To provide an overview of ECT practice in Hungary.
  • To assess ECT utilization following regulatory and treatment changes.
  • To understand current trends in electroconvulsive therapy application.

Main Methods:

  • A 13-item questionnaire was distributed to all psychiatric departments in Hungary.
  • Data collection involved mail, phone, and e-mail responses.

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  • Survey assessed ECT usage, patient demographics, indications, and treatment parameters.

    • Main Results:

    • 34 out of 43 responding departments applied ECT in 2002.
    • ECT was administered to 0.6% of hospitalized psychiatric patients.
    • Primary indications were schizophrenia (55.6%) and affective disorders (40%).
    • Bitemporal electrode placement and thrice-weekly frequency were common.
    • Thiopental and propofol were the most frequent anesthetic agents.

    Conclusions:

    • ECT use in Hungary is significantly lower compared to the US, UK, and Scandinavian countries.
    • ECT rates are comparable to Hong Kong.
    • Schizophrenia remains the predominant indication for ECT in Hungary.