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Related Concept Videos

Electroconvulsive Therapy01:30

Electroconvulsive Therapy

Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early years,...
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Psychosurgery

Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...

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Related Experiment Video

Updated: Jun 1, 2026

Pupillary Response as Assessment of Effective Seizure Induction by Electroconvulsive Therapy
04:51

Pupillary Response as Assessment of Effective Seizure Induction by Electroconvulsive Therapy

Published on: April 11, 2019

Regional variation in electroconvulsive therapy use.

R Dunne1, D M McLoughlin

  • 1Department of Psychiatry, Trinity College, St. Patrick's University Hospital, Dublin. ross.dunne@tcd.ie

Irish Medical Journal
|June 15, 2011
PubMed
Summary
This summary is machine-generated.

Electroconvulsive therapy (ECT) use in Ireland shows less regional variation than previously thought when including all patients. Service factors, not just region, likely explain differences in electroconvulsive therapy (ECT) treatment rates.

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Area of Science:

  • Psychiatry
  • Health Services Research

Background:

  • Electroconvulsive therapy (ECT) is a highly effective depression treatment.
  • Previous analyses in Ireland underestimated ECT use due to incomplete data, particularly excluding independent sector patients.
  • This led to perceived significant regional variations in ECT provision.

Purpose of the Study:

  • To accurately assess regional variation in electroconvulsive therapy (ECT) use in Ireland.
  • To investigate the impact of including independent sector data on ECT utilization estimates.
  • To explore potential service-related factors influencing ECT treatment rates.

Main Methods:

  • Data from public and independent sectors were combined for a comprehensive analysis of 2008 ECT usage.
  • Statistical methods, including chi-squared tests, were used to quantify inter-regional variation.
  • Correlation analyses examined relationships between ECT rates, depressed admissions, and hospital bed availability.

Main Results:

  • Combining public and independent sector data significantly reduced the observed inter-regional variation in ECT use (chi-squared from 83 to 30).
  • The Western region showed the largest contribution to the remaining variation.
  • A negative correlation was found between the ratio of ECT programs to depressed admissions and the rate of depressed admissions (r = -0.53, p = 0.01).
  • Depressed admission numbers positively correlated with acute beds per area (r = 0.68, p = 0.001).

Conclusions:

  • Regional variation in electroconvulsive therapy (ECT) is less pronounced than previously reported when all patient sectors are considered.
  • Service factors, such as the characteristics of smaller centers admitting severely ill patients, likely play a significant role in ECT utilization.
  • Accurate ECT service planning requires comprehensive data encompassing all healthcare sectors.