Pranjkovic Tamara, Degmecic Dunja, Medic Flajsman Ana, Gazdag Gábor, Ungvari Gabor S, Kuzman Martina Rojnic
From the *Istra Primary Health Care Center, Pula, Croatia; †Faculty of Medicine, Josip Juraj Strossmayer University of Osijek; ‡Department of Psychiatry, University Hospital Centre Osijek, Osijek; §Zagreb Region Primary Health Care Center, Zagreb, Croatia; ∥Centre for Psychiatry and Addiction Medicine, Szent István and Szent Laszló Hospitals; ¶Department of Psychiatry and Psychotherapy, Faculty of Medicine, Semmelweis University, Budapest, Hungary; #Notre Dame University, Australia; **School of Psychiatry and Clinical Neurosciences, University of Western Australia, Perth, Australia; ††Department of Psychiatry, University Hospital Centre Zagreb, Zagreb, Croatia; and ‡‡Zagreb School of Medicine, Zagreb, Croatia.
J ECT. 2017 Mar;33(1):26-29. doi: 10.1097/YCT.0000000000000336.
To assess the impact of education and direct observation of electroconvulsive therapy (ECT) on medical students' attitudes toward ECT in particular and psychiatric treatment in general in Croatia.
Two self-administered questionnaires were completed by year 4 medical students twice, at the beginning and the end of the psychiatry clerkship. Students were divided into 2 groups: those who observed an ECT session (47.9%) and those who did not (52.1%).
The survey was completed by 190 students yielding a response rate of 79.8%. Students' attitudes toward ECT and other methods of psychiatric treatment and psychiatry in general changed in positive direction after the clerkship in both groups. However, the attitudes toward ECT of students who observed a live ECT session became more positive than those who did not. Likewise, students who observed ECT were more likely to agree to receive ECT and had better knowledge about ECT compared with the other group.
Having watched a live ECT session had a positive effect on students' attitudes toward ECT and other types of psychiatric treatment. Watching live ECT sessions should be mandatory during the psychiatric clerkship.
评估教育及电休克治疗（ECT）直接观察对克罗地亚医学生对ECT以及总体精神科治疗态度的影响。
四年级医学生在精神科实习开始和结束时两次填写两份自填式问卷。学生被分为两组：观看ECT治疗过程的学生（47.9%）和未观看的学生（52.1%）。
190名学生完成了调查，回复率为79.8%。两组学生在实习后对ECT、其他精神科治疗方法及总体精神科的态度均向积极方向转变。然而，观看过ECT现场治疗的学生对ECT的态度比未观看的学生更积极。同样，观看过ECT的学生比另一组学生更有可能同意接受ECT，且对ECT有更好的了解。
观看ECT现场治疗对学生对ECT及其他类型精神科治疗的态度有积极影响。在精神科实习期间应强制观看ECT现场治疗。
