1 Department of Psychiatry, University of Oxford, Oxford, United Kingdom.
2 University of Westminster, London, United Kingdom.
Qual Health Res. 2017 Sep;27(11):1675-1685. doi: 10.1177/1049732317701403. Epub 2017 Apr 2.
Despite evidence of short-term effectiveness of ECT (electroconvulsive therapy), both positive and negative patient reports are common. However, research examining these polarized accounts has not adequately elucidated why such divergences occur. We thus sought to examine opposing patient narratives to better understand underlying meanings. Eighteen interviews were conducted with U.K.-based people who had experienced the treatment. Our analysis revealed that the quality of relations with staff, ECT artifacts (e.g., the ECT suite), and perceived outcomes all play a role in divergent accounts. Positive reflections on ECT emerged alongside narratives of trust in staff, comfort with ECT, and perception of sufficient personal control. Conversely, where negative evaluations of ECT predominated, there was anger associated with a lack of control, a belief that ECT made little sense, and was linked to past abuses and/or the unacceptability of side effects. We discuss the implications of our findings for professionals.
尽管证据表明电抽搐治疗（ECT）有短期疗效，但患者的正面和负面报告都很常见。然而，研究这些两极分化的说法并没有充分阐明为什么会出现这种分歧。因此，我们试图研究对立的患者叙述，以更好地理解潜在的含义。对英国接受过这种治疗的 18 人进行了访谈。我们的分析表明，与工作人员的关系质量、ECT 痕迹（如 ECT 套房）和感知结果都在不同的叙述中发挥作用。ECT 的正面反映与对工作人员的信任、对 ECT 的舒适感以及对足够个人控制的感知同时出现。相反，在 ECT 评价负面评价占主导地位的情况下，人们会感到愤怒，因为缺乏控制，认为 ECT 意义不大，而且与过去的虐待和/或副作用的不可接受性有关。我们讨论了我们的发现对专业人士的影响。
