Satisfaction with electroconvulsive therapy among patients and their relatives

Area of Science:

• Neuroscience
• Psychiatry
• Clinical Psychology

Background:

• Electroconvulsive therapy (ECT) is an effective treatment for severe mental health conditions.
• Limited research exists on patient and relative satisfaction with ECT.
• Understanding satisfaction is crucial for treatment adherence and patient-centered care.

Purpose of the Study:

• To systematically evaluate patient and relative satisfaction with electroconvulsive therapy (ECT).
• To identify specific aspects of ECT that contribute to satisfaction or dissatisfaction.
• To inform improvements in patient care and communication regarding ECT.

Main Methods:

• A cohort of 50 patients who received ECT was recruited from 110 eligible individuals over 2 years.
• Patient and relative satisfaction was assessed using the validated Patient Satisfaction Survey.
• The survey covered overall satisfaction, treatment outcomes, staff interaction, and symptom improvement.

Main Results:

• Over half of patients reported satisfaction with ECT (54%-63%) and staff (58%).
• Relatives reported significantly higher satisfaction than patients across most aspects.
• Common concerns included insufficient pre-treatment information, fear of ECT, and potential cognitive impairment.

Conclusions:

• A majority of patients and relatives are satisfied with ECT, with relatives showing higher satisfaction levels.
• Key areas for improvement include pre-ECT information, addressing patient fears, and managing concerns about cognitive side effects.
• There is a clear need for validated instruments to reliably assess satisfaction with ECT.