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The use of electroconvulsive therapy.

M R Eastwood, S Stiasny

    Canadian Psychiatric Association Journal
    |February 1, 1978
    PubMed
    Summary

    Electroconvulsive therapy (ECT) is a psychiatric treatment often scrutinized. This study found ECT is largely effective for depressive disorders, with diagnosis and age influencing its prescription, suggesting a focus on efficiency.

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    Area of Science:

    • Psychiatry
    • Neurology

    Background:

    • Electroconvulsive therapy (ECT) faces significant public and professional scrutiny.
    • Understanding current ECT practices is crucial for evaluating its role in psychiatric care.

    Purpose of the Study:

    • To describe and analyze the utilization of ECT in a postgraduate psychiatric institute and compare it with other facilities.
    • To identify key factors influencing ECT prescription patterns.

    Main Methods:

    • Retrospective analysis of ECT usage data.
    • Comparison of prescription rates across different psychiatric facilities in Toronto.
    • Identification of patient demographics and diagnostic criteria influencing ECT administration.

    Main Results:

    • ECT was prescribed for 11% of patients at the postgraduate institute.
    • Prescription patterns varied between facilities.
    • Diagnosis (primarily depressive disorders) and patient age were key determinants for ECT use.
    • ECT is largely used as recommended in standard textbooks.

    Conclusions:

    • Electroconvulsive therapy is generally an effective treatment modality in psychiatric practice.
    • Current efforts should shift towards optimizing the efficiency of ECT delivery and administration.

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