De Meulenaere Maarten, De Meulenaere Jan, Ghaziuddin Neera, Sienaert Pascal
Child and Adolescent Psychiatry, Department of Psychiatry, University of Michigan, Ann Arbor, MI.
KU Leuven - University of Leuven, University Psychiatric Center KU Leuven, Academic Center for ECT and Neuromodulation, Leuvensesteenweg Kortenberg, Belgium.
J ECT. 2018 Dec;34(4):247-252. doi: 10.1097/YCT.0000000000000489.
The purpose of the present study was to ascertain the experience, knowledge, and attitudes of child and adolescent psychiatrists toward the use of ECT (electroconvulsive therapy) in children and adolescents in Belgium.
A questionnaire was mailed to all the members of the Flemish and Walloon Association of Child and Adolescent Psychiatrists.
Thirty-five percent (n = 151) of the psychiatrists responded to the questionnaire. Sixty-seven percent (n = 101) rated their knowledge about ECT in children and adolescents as nil or negligible. Only one percent (n = 2) estimated their knowledge to be advanced. Fifteen percent (n = 22) were aware of a minor treated with ECT. Ten (n = 16) and thirty-one percent (n = 47) believed that ECT is a safe treatment for children and adolescents, respectively. Only six percent (n = 10) would recommend ECT for a major psychiatric disorder in a child, whereas thirty-eight percent (n = 58) for an adolescent. Fifty-three percent (n = 71) regarded ECT as a treatment of last resort. A significant correlation was identified between knowledge and attitudes toward the use of ECT in minors. Respondents with some or advanced knowledge perceived ECT as a safer and a more effective treatment option than those with negligible knowledge. Most (91%, n = 138) of the child and adolescent psychiatrists are enthusiastic to learn more about the use of ECT in minors.
Flemish and Walloon child and adolescents psychiatrists have very little experience with using ECT in minors. They self-estimated their knowledge as negligible but are keen to learn more about this treatment option. The lack of knowledge likely explains the rare use of ECT in Belgium for children and adolescents with serious psychiatric disorders.
本研究旨在确定比利时儿童及青少年精神科医生在儿童和青少年中使用电休克疗法（ECT）方面的经验、知识和态度。
向弗拉芒和瓦隆儿童及青少年精神科医生协会的所有成员邮寄了一份问卷。
35%（n = 151）的精神科医生回复了问卷。67%（n = 101）将他们对儿童和青少年电休克疗法的知识评为零或可忽略不计。只有1%（n = 2）估计自己的知识水平较高。15%（n = 22）知晓有一名儿童接受了电休克治疗。分别有10%（n = 16）和31%（n = 47）认为电休克疗法对儿童和青少年是一种安全的治疗方法。只有6%（n = 10）会推荐对患有重度精神障碍的儿童使用电休克疗法，而对青少年的这一比例为38%（n = 58）。53%（n = 71）将电休克疗法视为最后的治疗手段。在对未成年人使用电休克疗法的知识和态度之间发现了显著相关性。与知识可忽略不计的受访者相比，有一定知识或知识水平较高的受访者认为电休克疗法是一种更安全、更有效的治疗选择。大多数（91%，n = 138）儿童及青少年精神科医生热衷于了解更多关于在未成年人中使用电休克疗法的知识。
弗拉芒和瓦隆的儿童及青少年精神科医生在未成年人中使用电休克疗法的经验非常少。他们自我估计自己的知识可忽略不计，但渴望更多地了解这种治疗选择。知识的缺乏可能解释了在比利时电休克疗法很少用于患有严重精神障碍的儿童和青少年的原因。
