Walter G, Koster K, Rey J M
Department of Psychological Medicine, University of Sydney, Australia.
J Am Acad Child Adolesc Psychiatry. 1999 May;38(5):594-9. doi: 10.1097/00004583-199905000-00022.
To ascertain the experience, knowledge, and attitudes regarding electroconvulsive therapy (ECT) of persons who received the treatment in adolescence.
A 53-item survey was administered by telephone to persons who received ECT before the age of 19 years in the Australian state of New South Wales between 1990 and 1998.
Twenty-six patients were interviewed. Experiences and opinions about ECT were generally positive. Fifty percent stated ECT had been helpful. Approximately three quarters believed their illness was worse than either ECT or pharmacotherapy. Frequencies of recalled side effects with ECT and medication were similar. Some patients perceived deficiencies in the consent process. A slight majority had attempted to conceal the history of ECT treatment. The vast majority considered ECT a legitimate treatment and, if medically indicated, would have ECT again and would recommend it to others.
The findings are consistent with and complement evidence showing ECT to be an effective and safe treatment for seriously ill adolescents. The mostly favorable experiences and attitudes reported by interviewees will be reassuring to adolescent patients, their families, and treating health professionals when ECT is being considered.
确定青少年接受电休克治疗（ECT）后的体验、知识及态度。
对1990年至1998年间在澳大利亚新南威尔士州19岁之前接受过ECT治疗的患者进行了一项包含53个项目的电话调查。
采访了26名患者。关于ECT的体验和看法总体上是积极的。50%的人表示ECT有帮助。约四分之三的人认为他们的病情比ECT或药物治疗更严重。回忆起的ECT和药物治疗的副作用发生率相似。一些患者认为同意过程存在缺陷。略多数人曾试图隐瞒ECT治疗史。绝大多数人认为ECT是一种合理的治疗方法，并且如果有医学指征，会再次接受ECT治疗并会向他人推荐。
这些发现与表明ECT对重症青少年是一种有效且安全的治疗方法的证据一致并互为补充。受访者报告的大多是积极的体验和态度，这将让青少年患者、他们的家人以及在考虑ECT治疗时的治疗医护人员感到安心。
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