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Patient attitudes toward electroconvulsive therapy

H M Pettinati1, T A Tamburello, C R Ruetsch

  • 1Research Division, Carrier Foundation, Belle Mead, NJ 08502.

Psychopharmacology Bulletin
|January 1, 1994
PubMed
Summary
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Patients benefiting from electroconvulsive therapy (ECT) for depression hold favorable views of the treatment. Most ECT recipients would undergo the procedure again if needed.

Area of Science:

  • Psychiatry
  • Clinical Psychology

Background:

  • Electroconvulsive therapy (ECT) is a recognized treatment for major depression.
  • Despite its efficacy, ECT faces significant public criticism and negative perceptions.
  • Existing clinical observations suggest a discrepancy between public opinion and patient experience.

Purpose of the Study:

  • To investigate and compare patient attitudes toward ECT among those treated and not treated with ECT.
  • To assess the persistence of attitudes towards ECT over time.

Main Methods:

  • A semi-structured interview was used to survey attitudes toward ECT.
  • The study included 78 inpatients with depression, divided into ECT-treated (n=56) and never-treated (n=22) groups.
  • Attitudes were assessed twice during hospitalization and at 6 months post-discharge.

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Main Results:

  • ECT-treated patients reported significantly more favorable attitudes towards ECT than never-treated patients, both pre- and post-treatment.
  • Patients initially uncertain or negative about ECT developed favorable attitudes after treatment.
  • Favorable attitudes were sustained at the 6-month follow-up.
  • 98% of ECT-treated patients indicated willingness to undergo ECT again if necessary.

Conclusions:

  • Patients who benefit from ECT generally develop positive attitudes towards the treatment.
  • Patient experiences with ECT contrast sharply with negative public perceptions.
  • ECT appears to be a well-tolerated and accepted treatment by those who have undergone it for depression.