美国的电疗法:2022年对实践的调查
Rachel Noorani1, Paul Rohde2, Elyssa Feuer3
1From the University of Maryland, College Park, College of Behavioral and Social Sciences, College Park, MD.
The journal of ECT
|February 5, 2024
概括
这项对美国电治疗 (ECT) 实践的调查揭示了随着时间的推移而发生的变化,需要更多的女性和黑人或非洲裔美国提供者. 目前的做法有利于右侧单边放置和扣押值定位.
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.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 电疗法 (ECT) 仍然是严重精神疾病的重要治疗方法.
- 了解美国当前的ECT实践模式对于质量改善和未来的研究至关重要.
- 之前对ECT实践的全国性调查很少,最后一次是在近40年前进行的.
研究的目的:
- 描述目前美国电疗法 (ECT) 实践的现状.
- 随着时间的推移,识别ECT程序和提供者人口统计的变化和趋势.
- 提供数据,可以为正在进行的关于ECT实践的讨论和政策提供信息.
主要方法:
- 一项匿名在线调查于2022年1月至6月通过SurveyMonkey向全国的ECT提供商分发.
- 提供者邀请来自医疗保险数据库,PubMed搜索和专业列表服务器.
- 从74个美国实践站点收集了数据,并将响应汇总起来进行频率分析,评论和比较数据.
主要成果:
- 答案来自74个美国实践站点,代表283个提供者,主要来自学术医疗中心.
- 在提供者人口统计学方面注意到了显著的差异,与患者人群相比,女性 (29%) 和黑人或非裔美国人 (1%) 提供者的比例较低.
- 常见的做法包括大抑郁症发作平均10次治疗,右侧单边 (66%) 电极放置,以及剂量发作值定位. 对抑郁症状 (89%) 和认知影响 (84%) 的定量结果测量被广泛使用.
结论:
- 这项研究是近40年来首次对ECT实践进行全面的国家调查.
- 调查结果突出了实践中的重大变化,并强调迫切需要加强多样性,特别是增加女性和黑人或非裔美国人ECT提供者的代表性.
- 建议建立一个强大的ECT站点网络,以促进定期的全国数据收集和监测.
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