[Electroconvulsive therapy in the Netherlands: the practice in 2015 compared to that in 2008]

Area of Science:

• Psychiatry
• Neurology
• Clinical Practice Guidelines

Background:

• The last comprehensive data on electroconvulsive therapy (ECT) in the Netherlands was from 2008.
• An updated guideline for ECT use was published in 2010.

Purpose of the Study:

• To assess the current practice of ECT in the Netherlands.
• To evaluate the implementation of the 2010 ECT guideline five years post-publication.

Main Methods:

• A nationwide questionnaire survey was distributed to all 33 Dutch institutions utilizing ECT.
• The survey gathered data on ECT utilization, availability, guideline adherence, and psychiatrist training.

Main Results:

• A 16% increase in ECT sessions was observed in 2015 compared to 2008, totaling 15,633 sessions.
• Increased availability of 7x24 ECT services and dedicated ECT nurses was noted.
• While nearly all psychiatrists were aware of the 2010 guideline and 50% adapted their practice, under 40% demonstrated complete technical knowledge.

Conclusions:

• The implementation of the revised 2010 ECT guideline likely contributed to improvements in ECT practice in the Netherlands.
• Further attention to technical aspects of ECT may be warranted to ensure optimal patient care.