ArticleBMC psychiatry2007
Awareness and perceptions of electroconvulsive therapy among psychiatric patients: a cross-sectional survey from teaching hospitals in Karachi, Pakistan.
Article in BMC psychiatry, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 33 citations in OpenAlex.
- The influence of prior awareness on views about psychiatric electroceutical interventions among non-clinician stakeholders.Npj mental health research · 2023Article
- Comments on "Effect of a Video-Assisted Teaching Program About ECT on Knowledge and Attitude of Caregivers of Patients with Major Mental Illness".Indian journal of psychological medicine · 2021Article
- Use of electroconvulsive therapy in adolescents with schizophrenia in China.Child and adolescent psychiatry and mental health · 2018Article
- An international perspective on the acceptability and sustainability of electroconvulsive therapy.BJPsych international · 2016Article
- Knowledge and Attitude of Patients with Psychiatric Disorders and their Relatives Toward Electroconvulsive Therapy.Indian journal of psychological medicine · 2014Article
- Electroconvulsive therapy use in adolescents: a systematic review.Annals of general psychiatry · 2013Article
- Knowledge, experience & attitudes concerning electroconvulsive therapy among patients & their relatives.The Indian journal of medical research · 2012Article
- WPA guidance on how to combat stigmatization of psychiatry and psychiatrists.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2010Article
- Unmodified electroconvulsive therapy: changes in knowledge and attitudes of Nigerian medical students.African health sciences · 2009Article
- Assessment of attitudes of patients with psychiatric disorders regarding electroconvulsive therapy as a treatment option.Pakistan journal of medical sciencesArticle
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Authors and funding
9 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundElectroconvulsive therapy (ECT) is shown to be effective in many psychiatric illnesses, but its distorted projection by the Pakistani media and its unregulated use by many physicians across the country have adversely affected its acceptability. Given this situation we aimed to assess the awareness and perceptions regarding ECT as a treatment modality among the psychiatric patients.
methodsThis was a questionnaire based cross-sectional study carried out at 2 tertiary care hospitals in Karachi, Pakistan.
resultsWe interviewed 190 patients of which 140 were aware of ECT. The study showed that the level of education had a significant impact on the awareness of ECT (p = 0.009). The most common source of awareness was electronic and print media (38%), followed by relatives (24%) and doctors (23%). Physical injuries (42%) and neurological (12%) and cognitive disturbances (11%) were the commonly feared side effects. The most popular belief about ECT was that it was a treatment of last resort (56%). Thirty-nine percent thought that ECT could lead to severe mental and physical illness and 37% considered it inhumane. Patients' willingness to receive ECT was dependant on whether or not they were convinced of its safety (p = 0.001) and efficacy (p = 0.0001).
conclusionWe identified a serious lack of dissemination of information regarding ECT by the psychiatrists and the mental health care providers. This may be the result of an inadequate postgraduate training in Pakistan or just a lack of concern about the mentally ill patients. The media seemed to be the major source of information for our patients. We also saw the prevalence of a variety of myths regarding ECT in our society, which we feel may be responsible for the patients' adverse attitudes. Given the widespread applicability of ECT there is a dire need to dispel these misconceptions and improve its acceptability.
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