A.K. AGARWAL M.D., D.P.M., Professor and Head. Department of Psychiatry. K.G.'s Medical College. Lucknow. 226003.
Indian J Psychiatry. 1997 Jan;39(1):54-60.
A questionnaire on ECT, tapping attitudes, usage and experience, was mailed to all medical members of the Indian Psychiatric Society whose addresses were known; 263 (28.8%) of 913 psychiatrists responded. This paper describes Indian psychiatrists attitudes towards ECT. A global attitude favouring the treatment was expressed by 81.4% of respondents. The psychiatrists considered that for many patients ECT may be the safest, cheapest and most effective treatment (79.8%), disagreed that ECT should be used as a last resort (68.4%) and disagreed that drugs have made ECT obsolete (81%). While many (44.1%) opined that use of ECT should be curtailed, few (5.3%) considered that ECT should he abandoned - in fact, most respondents. (86.3%) stated that comprehensive psychiatric care should include ECT services. A need was expressed for explicit guidelines for proper use of ECT (77.2%). Conflicting opinions were expressed about the use of ECT in children. Many psychiatrists (38%) thought that ECT may produce subtle brain damage: nevertheless, of those actively using ECT, 82.9% expressed willingness to receive ECT themselves, if indicated.
我们向印度精神病学会所有已知地址的医学成员邮寄了一份关于ECT 的问卷，调查他们的态度、使用情况和经验；913 名精神科医生中有 263 名（28.8%）做出了回应。本文描述了印度精神病医生对 ECT 的态度。81.4%的受访者对这种治疗方法表示普遍支持。精神科医生认为，对于许多患者来说，ECT 可能是最安全、最便宜和最有效的治疗方法（79.8%），他们不同意 ECT 应该作为最后的手段（68.4%），也不同意药物已经使 ECT 过时（81%）。虽然许多人（44.1%）认为应该减少 ECT 的使用，但很少有人（5.3%）认为应该放弃 ECT——事实上，大多数受访者（86.3%）表示全面的精神科护理应该包括 ECT 服务。他们还表示需要明确的指南来正确使用 ECT（77.2%）。对于在儿童中使用 ECT，存在意见分歧。许多精神科医生（38%）认为 ECT 可能会导致轻微的脑损伤；尽管如此，那些积极使用 ECT 的人中有 82.9%表示，如果有需要，他们愿意接受 ECT。
