School of Nursing, Capital Medical University, Beijing, China; The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China.
The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China.
Asian J Psychiatr. 2020 Mar;49:101968. doi: 10.1016/j.ajp.2020.101968. Epub 2020 Feb 14.
Electroconvulsive therapy (ECT) is effective in treating adolescents with severe psychiatric disorders. This study examined the knowledge, experiences and attitudes of adolescents with severe psychiatric disorders and their caregivers towards ECT in China.
A total of 158 participants, including 79 adolescents who received ECT and their caregivers (n = 79), were enrolled in this study. Their knowledge and experiences about and attitudes towards ECT were evaluated with self-administered data collection forms.
Only around half of patients and caregivers reported that they received sufficient information about the process, the therapeutic and side effects, and the risks of ECT, although most believed that ECT is beneficial, and around half believed that ECT is safe. Around one third of patients and caregivers reported that only critically ill patients should receive ECT. More than half of patients experienced side effects, such as memory impairment, headache and short-term confusion.
Sufficient information about ECT should be provided to adolescents with severe psychiatric disorders and their caregivers prior to treatment, with particular focus on the treatment process and possible side effects.
电抽搐治疗（ECT）在治疗青少年严重精神障碍方面是有效的。本研究调查了中国患有严重精神障碍的青少年及其照顾者对 ECT 的知识、经验和态度。
本研究共纳入 158 名参与者，包括 79 名接受 ECT 的青少年及其照顾者（n=79）。他们对 ECT 的知识、经验和态度通过自我管理的资料收集表进行评估。
只有大约一半的患者和照顾者报告说他们接受了足够的关于 ECT 的过程、治疗效果和副作用以及风险的信息，尽管大多数人认为 ECT 是有益的，并且大约一半的人认为 ECT 是安全的。大约三分之一的患者和照顾者报告说只有重症患者才应该接受 ECT。超过一半的患者经历了副作用，如记忆力减退、头痛和短期意识混乱。
在治疗前，应向患有严重精神障碍的青少年及其照顾者提供有关 ECT 的充分信息，特别要关注治疗过程和可能的副作用。
