电疗法跨国:2022年实践调查
Paul Rohde1, Rachel Noorani2, Elyssa Feuer3
1From the Noninvasive Neuromodulation Unit, Experimental Therapeutics and Pathophysiology Branch, National Institute of Mental Health, Bethesda.
The journal of ECT
|December 18, 2023
概括
这项全球调查显示,电疗法 (ECT) 实践显示出国际一致性,明显转向右侧单侧电极放置和使用定量措施. 未来的研究应该以全球南方更广泛的代表性为目标.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 临床实践 临床实践
背景情况:
- 电疗法 (ECT) 是严重心理健康状况的重要治疗方法.
- 了解ECT实践的全球差异对于标准化护理和改善患者治疗结果至关重要.
- 之前对ECT实践的描述在范围和地理代表性方面是有限的.
研究的目的:
- 在全球范围内描述和比较电疗法 (ECT) 实践.
- 确定国际趋势和在ECT管理和方法的一致性.
- 突出全球ECT实践可能存在差异的领域,并建议未来的研究方向.
主要方法:
- 一项匿名在线调查于2022年1月至6月在全球范围内进行.
- 邀请函发送给通过数据库,PubMed搜索和专业列表服务器识别的ECT提供者.
- 调查答案按全球地区汇总,并使用非参数统计方法进行分析.
主要成果:
- 数据来自126个ECT站点收集,其中大多数位于美国,欧洲,加拿大和东南亚.
- 关键趋势包括从比特时向右侧单边电极放置的转变,以及主要使用低于1毫秒的脉冲宽度.
- 观察到持续/维持ECT的广泛可用性 (97%) 和频繁使用定量结果指标 (88%用于抑郁症,80%用于认知影响).
结论:
- 这项研究代表了首次发表的电疗法 (ECT) 实践全球调查.
- 回答表明,在被调查地区的ECT实践中存在普遍一致性,但有一些显著的例外.
- 该研究强调,需要增加全球南方的参与,以实现对ECT实践的真正代表性的全球性描述.
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