对1144名ECT接受者,家庭成员和朋友的调查:ECT有效吗?
John Read1, Lucy Johnstone2, Sarah Price Hancock3
1Department of Psychology and Human Development, University of East London, London, UK.
International journal of mental health nursing
|August 11, 2025
概括
电疗法 (ECT) 调查结果显示,大多数患者没有受益或出现负面结果. 研究人员建议暂停ECT等待进一步的安慰剂对照研究,因为有关不良影响.
科学领域:
- 精神病学是一个精神病学.
- 神经学 神经学
- 临床心理学 临床心理学
背景情况:
- 抑郁症电治疗 (ECT) 的最后一个安慰剂对照试验是在1985年进行的.
- 缺乏现代的,基于证据的ECT试验.
- 患者和家庭对ECT有效性和不良影响的看法至关重要.
研究的目的:
- 评估患者和家庭报告的电疗法 (ECT) 结果.
- 评估ECT在多个领域感知到的好处和不良影响.
- 提供有关ECT临床使用的建议.
主要方法:
- 在44个国家向858名ECT接受者和286名家庭/朋友分发了一项在线调查.
- 受访者报告了五个有效性指标,以及变量是否变得更糟.
- 分析了数据,以确定好处的普遍性,负面结果和特定问题的恶化.
主要成果:
- 大多数受访者 (55%-71%) 报告没有好处或负面结果.
- 报告的好处包括:特定问题的帮助 (45%),情绪改善 (41%),一般的帮助 (41%),改善生活质量 (29%) 和减少自杀倾向 (33%).
- 显著的百分比报告恶化:特定问题 (37%),情绪 (29%),生活质量 (62%) 和自杀 (19%).
结论:
- 调查结果显示,ECT带来的重大负面结果和有限的感知益处.
- 近一半的受访者报告说,ECT后的生活质量明显恶化.
- 建议暂停ECT,等待大规模的,独立的,安慰剂对照试验,以验证对已知的不良影响的有效性.
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