Wells K, Hancock N, Honey A
Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
J Ment Health. 2021 Aug;30(4):526-540. doi: 10.1080/09638237.2020.1739244. Epub 2020 Mar 18.
Electroconvulsive therapy (ECT) is a controversial treatment. Research has predominantly focused on clinician assessment of short-term efficacy and, occasionally, on participant experiences of the treatment itself. While service user accounts of the long-term impacts of ECT are reported, they are dispersed throughout the literature and typically tangential to studie's main foci.
The aim of this study was to synthesise service-user accounts, within peer-reviewed literature, of long-term impacts of ECT in their daily lives.
A qualitative meta-synthesis was conducted. A systematic literature search identified qualitative articles meeting the inclusion criteria. Results sections of eligible papers were analysed thematically.
From 16 eligible papers, the review identified 11 long-term impacts, four social influences and five strategies that people employed to navigate these long-term impacts.
Limited research has examined long-term experiences of ECT from service-user perspectives. These lived experience perspectives are required to facilitate peer-to-peer learning and assist future service delivery to align with needs of people living with long-term ECT impacts.
电休克疗法(ECT)是一种存在争议的治疗方法。研究主要集中在临床医生对短期疗效的评估上,偶尔也关注参与者对治疗本身的体验。虽然有关于电休克疗法长期影响的服务使用者报告,但它们分散在文献中,且通常与研究的主要焦点无关。
本研究的目的是在同行评审文献中综合服务使用者对电休克疗法在其日常生活中的长期影响的描述。
进行了一项定性元分析。通过系统的文献检索确定了符合纳入标准的定性文章。对符合条件的论文的结果部分进行了主题分析。
从16篇符合条件的论文中,该综述确定了11种长期影响、4种社会影响以及人们用来应对这些长期影响的5种策略。
从服务使用者的角度研究电休克疗法长期体验的研究有限。需要这些实际生活体验的观点来促进同伴间的学习,并帮助未来的服务提供符合长期受电休克疗法影响者的需求。