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Related Experiment Videos

ECT practice in Japan.

Worrawat Chanpattana1, Kasuki Kojima, Barry Alan Kramer

  • 1Department of Psychiatry, Bangkok Hospital, Bangkok, Thailand. worch@loxinfo.co.th

The Journal of ECT
|August 30, 2005
PubMed
Summary
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Electroconvulsive therapy (ECT) use in Japan is limited, with over half of treatments being unmodified. The primary conditions treated were schizophrenia and major depression.

Area of Science:

  • Psychiatry
  • Neurology
  • Clinical Practice

Background:

  • Electroconvulsive therapy (ECT) is a vital treatment for severe psychiatric disorders.
  • Understanding current ECT practice patterns is crucial for developing effective standards of care.

Purpose of the Study:

  • To characterize the current practice of electroconvulsive therapy (ECT) in Japan.
  • To identify trends in ECT administration and patient demographics.

Main Methods:

  • A nationwide questionnaire survey was conducted from September 2001 to August 2003.
  • Data were collected from 248 institutions regarding ECT availability, procedures, and patient diagnoses.

Main Results:

  • Out of 100 responding institutions, 83 offered ECT, with 1,210 patients receiving 11,146 treatments.

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  • Schizophrenia (48.9%) and major depression (37.4%) were the most common diagnoses.
  • Over half of all ECTs administered were unmodified, and brief-pulse devices and EEG monitoring were infrequently used.
  • Conclusions:

    • Electroconvulsive therapy (ECT) utilization in Japan is notably low.
    • A significant proportion of ECT treatments were unmodified, indicating potential areas for improvement in care standards.
    • ECT was predominantly administered to patients with schizophrenia and major depression, particularly those in older age groups.