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Related Experiment Videos

Patient satisfaction after electroconvulsive therapy.

Pascal Sienaert1, Tina De Becker, Kristof Vansteelandt

  • 1ECT Department, University Center Sint-Jozef, Katholieke Universiteit Leuven, Leuvensesteenweg Kortenberg, Belgium. pascal.sinaert@uc-kortenberg.be

The Journal of ECT
|November 23, 2005
PubMed
Summary
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Patient satisfaction with electroconvulsive therapy (ECT) is considerable, despite memory complaints. Satisfaction is not predicted by symptom relief or side effects, suggesting unknown contributing factors.

Area of Science:

  • Neuroscience
  • Psychiatry
  • Clinical Psychology

Background:

  • Electroconvulsive therapy (ECT) is a treatment for severe mental disorders.
  • Assessing patient satisfaction is crucial for treatment adherence and outcomes.
  • Understanding factors influencing satisfaction with ECT, including cognitive side effects, is important.

Purpose of the Study:

  • To determine patient satisfaction with bifrontal and right unilateral electroconvulsive therapy (ECT).
  • To investigate the relationship between satisfaction and treatment-related variables (e.g., memory complaints) and patient-related variables (e.g., depression severity, negative affectivity).

Main Methods:

  • A cohort of patients undergoing ECT (new, continuation, or maintenance) were interviewed.
  • Semi-structured interviews utilized validated questionnaires: Patient Satisfaction Survey (PSS), Mini-Mental State Examination (MMSE), Squire Subjective Memory Questionnaire (SSMQ), Beck Depression Inventory (BDI), and Positive and Negative Affect Schedule (PANAS).

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  • Multiple regression analysis was used to identify predictors of satisfaction.

    • Main Results:

    • 36 out of 50 eligible patients (72%) completed the survey; 52.8% were hospitalized, and 38.9% were on continuation/maintenance ECT.
    • Patients reported considerable satisfaction (mean PSS 153.41) but also prominent cognitive complaints (mean SSMQ -11.86).
    • Only the Global Assessment of Functioning (GAF) score at the time of interview significantly predicted satisfaction; other variables (age, sex, BDI, SSMQ, PANAS) did not.

    Conclusions:

    • Patients receiving bifrontal or right unilateral ECT experience significant memory complaints, even long after treatment.
    • The degree of memory complaints did not predict satisfaction with ECT.
    • Satisfaction with ECT appears to be influenced by factors beyond symptom relief and side effects, which remain largely unidentified.