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Electroconvulsive therapy in Massachusetts.

M J Mills, D T Pearsall, J A Yesavage

    The American Journal of Psychiatry
    |April 1, 1984
    PubMed
    Summary
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    Electroconvulsive therapy (ECT) use declined significantly in Massachusetts from 1974-1980, especially in public hospitals. Patient age increased, women received ECT more, and bilateral ECT remained common, despite advances in psychiatric treatment.

    Area of Science:

    • Psychiatry
    • Health Services Research

    Background:

    • Electroconvulsive therapy (ECT) is a medical treatment most often given to patients who have severe depression or other serious mood disorders when other treatments have not worked.
    • Trends in ECT utilization provide insight into evolving psychiatric treatment practices.

    Purpose of the Study:

    • To analyze trends in the utilization of electroconvulsive therapy (ECT) in Massachusetts between 1974 and 1980.
    • To identify demographic and clinical characteristics of patients receiving ECT during this period.

    Main Methods:

    • Retrospective analysis of ECT utilization data from Massachusetts hospitals.
    • Examination of patient demographics (age, sex) and diagnostic categories.

    Main Results:

    Related Experiment Videos

  • A significant decrease in overall ECT use was observed from 1974 to 1980, with a more pronounced decline in public-sector hospitals.
  • The average age of patients receiving ECT increased, and women were treated more frequently than men.
  • Bilateral ECT remained the predominant method, and while major depression was the most common diagnosis, a notable percentage received ECT for dysthymic disorder.

    • Conclusions:

    • State regulation and advancements in psychiatric treatments likely contributed to the observed decline in ECT use.
    • Shifting patterns in ECT administration and patient characteristics warrant continued monitoring.
    • Understanding these trends is crucial for evaluating the role of ECT in contemporary psychiatric care.