Leung Chi-Ming, Xiang Yu-Tao, He Jia-Li, Xu Hui-Li, Ma Liang, Fok Marcella L Y, Ungvari Gabor S
Department of Psychiatry, Chinese University of Hong Kong, Shatin, NT, Hong Kong.
J ECT. 2009 Jun;25(2):80-4. doi: 10.1097/YCT.0b013e31817b8135.
Unmodified electroconvulsive therapy (ECT) is still widely practiced in many psychiatric institutions in China. The study reported herein aimed to explore the attitudes of psychiatrists in Beijing toward unmodified and modified ECT and compare them with those of psychiatrists in Hong Kong, where only modified ECT has been used during the past 40 years.
One hundred five psychiatrists of a university-affiliated psychiatric hospital in Beijing and all psychiatrists (n = 238) currently practicing in Hong Kong were invited to complete a questionnaire exploring their attitudes toward unmodified and modified ECT.
The Beijing respondents had significantly more experience with unmodified ECT than their Hong Kong counterparts. Although 56% of the Beijing respondents preferred modified to unmodified treatment, 81% of them regarded unmodified ECT as safe and associated with minimal morbidity and mortality. Patient choice, financial status, and safety considerations were the main factors that dictated the choice of mode of ECT in Beijing.
It seems that unmodified ECT still has a role as an effective psychiatric treatment in developing countries such as China. Any initiative to replace unmodified with modified treatment should take into account economic conditions, the sociocultural context, and the psychiatric traditions of the particular regions of the country.
在中国，非改良电休克治疗（ECT）仍在许多精神科机构中广泛应用。本文所报告的研究旨在探究北京精神科医生对非改良和改良ECT的态度，并将其与香港精神科医生的态度进行比较，在香港过去40年中仅使用改良ECT。
邀请北京一家大学附属精神科医院的105名精神科医生以及目前在香港执业的所有精神科医生（n = 238）填写一份问卷，以探究他们对非改良和改良ECT的态度。
北京的受访者使用非改良ECT的经验明显多于香港的同行。尽管56%的北京受访者更喜欢改良而非非改良治疗，但81%的受访者认为非改良ECT是安全的，且发病率和死亡率极低。患者选择、经济状况和安全考虑是决定北京ECT治疗方式选择的主要因素。
在中国等发展中国家，非改良ECT似乎仍可作为一种有效的精神科治疗方法。任何用改良治疗取代非改良治疗的举措都应考虑经济状况、社会文化背景以及该国特定地区的精神科传统。
