Walter G, Rey J M, Starling J
Rivendell Unit, Central Sydney Area Health Service, New South Wales, Australia.
Aust N Z J Psychiatry. 1997 Oct;31(5):676-81. doi: 10.3109/00048679709062680.
To ascertain the experience, knowledge and attitudes of Australian and New Zealand child psychiatrists in relation to electroconvulsive therapy (ECT) in the young in order to determine whether they would be willing and able to provide an opinion if consulted about children or adolescents in whom ECT is proposed.
A 28-item questionnaire was posted to all members of the Faculty of Child and Adolescent Psychiatry living in Australia or New Zealand.
Eighty-three percent (n = 206) answered the questionnaire. Forty percent rated their knowledge about ECT in the young as nil or negligible. Having had patients treated with ECT was the best predictor of possessing some knowledge. Thirty-nine percent believed that ECT was unsafe in children compared to 17% for adolescents and 3% for adults. Almost all (92%) respondents believed child psychiatrists should be consulted in all cases of persons under 19 in whom ECT was recommended. The vast majority believed the Faculty or College should have guidelines relating to ECT use in this group and that it would be useful to have a national register of young persons treated with ECT.
Child and adolescent psychiatrists wish to be involved in the process of ECT treatment in young people. At the same time, there are gaps in their knowledge. This will need to be remedied, particularly if formal guidelines advocating their involvement are introduced.
了解澳大利亚和新西兰儿童精神科医生在青少年电休克治疗（ECT）方面的经验、知识和态度，以确定在被咨询有关拟接受ECT治疗的儿童或青少年时，他们是否愿意并能够提供意见。
向居住在澳大利亚或新西兰的儿童与青少年精神医学系的所有成员发放了一份包含28个条目的问卷。
83%（n = 206）的人回复了问卷。40%的人认为他们对青少年ECT的了解为零或极少。有ECT治疗患者的经历是拥有一定知识的最佳预测因素。39%的人认为ECT对儿童不安全，相比之下，认为对青少年不安全的占17%，对成年人不安全的占3%。几乎所有（92%）的受访者认为，在所有建议对19岁以下人群进行ECT治疗的病例中，都应咨询儿童精神科医生。绝大多数人认为该系或学院应该有关于该群体ECT使用的指南，并且建立一个接受ECT治疗的青少年全国登记册会很有用。
儿童和青少年精神科医生希望参与青少年ECT治疗过程。与此同时，他们的知识存在差距。这需要得到弥补，特别是如果引入倡导他们参与的正式指南的话。
