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学术性精神科部门对电休克治疗的认知与态度

Knowledge and attitudes towards electroconvulsive therapy in an academic psychiatric department.

作者信息

Masenya Lerato L, Nel Yvette M

机构信息

Department of Psychiatry, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

出版信息

S Afr J Psychiatr. 2024 Nov 21;30:2302. doi: 10.4102/sajpsychiatry.v30i0.2302. eCollection 2024.

DOI:10.4102/sajpsychiatry.v30i0.2302
PMID:39650198
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11622040/
Abstract

BACKGROUND

Negative attitudes towards electroconvulsive therapy (ECT) among health professionals have been attributed to a lack of knowledge, despite advancements in its administration and evidence of its efficacy in certain psychiatric conditions.

AIM

This study assesses knowledge and attitudes towards ECT among psychiatry and clinical psychology professionals.

SETTING

The University of the Witwatersrand, Department of Psychiatry, Johannesburg, South Africa.

METHODS

A quantitative cross-sectional design was used. All psychiatry and clinical psychology professionals associated with the university were invited to participate in an anonymous online survey from 01 September 2022 to 30 June 2023.

RESULTS

The response rate was 49.6% ( = 58) among psychiatrits and 22.2% ( = 22) among clinical psychology professionals. Psyhiatrists had greater knowldge and more favourable attitudes than psychologists. Only 45.5% of psychologists had exposure to ECT, compared to 93.1% of psychiatrists. Knowledge and attitude scores were significanly correlated ( = 0.009, OR 6.7). Most psychologists (86.4%) recommended ECT theory be included in their curriculum.

CONCLUSION

Greater knowledge correlates with improved attitudes towards ECT. Increased training could enhance attitudes, particularly among psychology professionals.

CONTRIBUTION

This study offers insights into knowledge and attitudes towarss ECT in a Johannesburg psychiatry department.

摘要

背景

尽管电休克治疗（ECT）在实施方面有所进步且有证据表明其在某些精神疾病中有效，但卫生专业人员对其仍持消极态度，这归因于知识的缺乏。

目的

本研究评估精神科和临床心理学专业人员对ECT的知识和态度。

地点

南非约翰内斯堡威特沃特斯兰德大学精神病学系。

方法

采用定量横断面设计。2022年9月1日至2023年6月30日，邀请了与该大学相关的所有精神科和临床心理学专业人员参与一项匿名在线调查。

结果

精神科医生的回复率为49.6%（n = 58），临床心理学专业人员的回复率为22.2%（n = 22）。精神科医生比心理学家有更丰富的知识和更积极的态度。只有45.5%的心理学家接触过ECT，而精神科医生的这一比例为93.1%。知识得分与态度得分显著相关（p = 0.009，OR = 6.7）。大多数心理学家（86.4%）建议将ECT理论纳入其课程。

结论

更多的知识与对ECT更积极的态度相关。增加培训可以改善态度，尤其是在心理学专业人员中。

贡献

本研究为约翰内斯堡一个精神病学部门对ECT的知识和态度提供了见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1497/11622040/605eca3d1b0e/SAJPsy-30-2302-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1497/11622040/f30ac8204dde/SAJPsy-30-2302-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1497/11622040/2fa8f522f4a4/SAJPsy-30-2302-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1497/11622040/44cecded16ec/SAJPsy-30-2302-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1497/11622040/605eca3d1b0e/SAJPsy-30-2302-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1497/11622040/f30ac8204dde/SAJPsy-30-2302-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1497/11622040/2fa8f522f4a4/SAJPsy-30-2302-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1497/11622040/44cecded16ec/SAJPsy-30-2302-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1497/11622040/605eca3d1b0e/SAJPsy-30-2302-g004.jpg

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