Patients' perspectives on electroconvulsive therapy: systematic review.
In this systematic review based in the United Kingdom, percent of patients who perceived electroconvulsive therapy as beneficial varied greatly between clinical studies (around 75%) and patient-led studies (around 30%). Rates of reported persistent memory loss ranged from 29%-55%.
- Review of 35 papers and reports of patients’ views on ECT, mostly from the United Kingdom (from 1980-2002).
- 26 papers were written by clinicians, and 9 papers were written by patients or in collaboration with them (e.g. United Kingdom Advocacy Network, Mental Health Foundation, ECT Anon).
- 16 studies examined perceived benefit of ECT, judged by affirmative responses to statements like “electroconvulsive therapy is helpful” or “I would have electroconvulsive therapy again.”
- 7 studies examined memory loss.
- Proportion of patients who perceived ECT as beneficial varied greatly between studies. In 8 of the 16 studies, 70%-83% of patients found ECT beneficial. However, in the 7 studies that were patient-led, 29%-44% of patients found ECT beneficial.
- Rates of reported persistent memory loss ranged from 29%-55%, but did not vary by study type (clinical vs patient based).
- Methodological variables: positive views of ECT were more likely in interviews conducted in hospitals, by the treating doctor, with fewer questions, and soon after treatment.
Rose D. Patients’ perspectives on electroconvulsive therapy: systematic review. BMJ. 2003;326(7403):1363–0. doi:10.1136/bmj.326.7403.1363.