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Updated: Jun 15, 2026

Pupillary Response as Assessment of Effective Seizure Induction by Electroconvulsive Therapy
Published on: April 11, 2019
The development of electroconvulsive therapy in Japan
1From the Department of Psychiatry and Division of Psychiatry and Neuroscience, Institute for Clinical Research, National Hospital Organization (NHO) Kure Medical Center, Kure, Hiroshima, Japan. mtakebayashi@kure-nh.go.jp
Electroconvulsive therapy (ECT) in Japan has a long history but saw slow adoption. Recent guideline updates and network meetings are now advancing modified ECT practices in the country.
Area of Science:
- Neurology
- Psychiatry
- Medical History
Background:
- Electroconvulsive therapy (ECT) adoption in Japan mirrored global timelines but lagged in widespread implementation.
- Long-term stagnation characterized ECT practice development in Japan compared to international standards.
Observation:
- The establishment of Japanese ECT guidelines, advocating for modified ECT with brief pulse devices, marks a recent shift.
- The inaugural ECT network meeting in Tokyo in 2009 catalyzed advancements in ECT practice and guideline refinement.
Findings:
- Recent efforts focus on updating Japanese ECT guidelines to incorporate modern, modified techniques.
- The 2009 ECT network meeting served as a pivotal event for improving ECT protocols and dissemination in Japan.
Implications:
- These developments indicate a renewed focus on enhancing the efficacy and safety of ECT in Japan.
- The updated guidelines and collaborative network meetings are expected to improve patient outcomes and standardize ECT administration nationwide.
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