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Attitudes of the mental health professionals towards unmodified and modified types of electroconvulsive therapy: A Turkey sample
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CitationAkyüz Karacan, F., Bağ, S., Karacan, M., Yılmaz, S. ve Yanık, M. (2021). Attitudes of the mental health professionals towards unmodified and modified types of electroconvulsive therapy: A Turkey sample. Nobel Medicus, 17(2), 99-104.
Objective: Electroconvulsive therapy (ECT) has been used frequently in the treatment of psychiatric disorders. By the year 2005, unmodified (without anesthesia) ECT started to be replaced by modified (under anesthesia) ECT. In this study, we aimed to evaluate the attitudes towards modified versus unmodified applications of ECT among the mental health professionals who experienced this transition period. Material and Method: Three subgroups of mental health professionals including psychiatric nurses, psychiatric trainees and psychiatrists who had at least 30 experiences of each ECT method, were asked to fulfill the semi-structured questionnaire. The questionnaire contained items related to participants’ attitudes towards each ECT method in terms of their efficacy, side effects, safety, satisfaction during application and their opinions about this transition to modified method. Results: In total, 54 (27.0%) psychiatrists, 82 (41.0%) trainees and 64(32.0%) psychiatric nurses were participated. In terms of efficiency, 53.7% of psychiatrists and 47.6% of trainees stated that the two ECT methods were equal. However according to 56.3% of psychiatric nurses unmodified ECT method was more effective than the modified one (χ2:10.615, p=0.031). Mental health professionals showed a common attitude towards the safety and satisfaction (for safety χ2:0.296, p=1.000 and for satisfaction χ2:1.987 p=0.778). For both safety and satisfaction all health professionals replied in favor to modified ECT applications. In all subgroups of professionals, according to majority of participants modified ECT method had less side effects (χ2:14.364, p=0.006) and reported positive opinion about the transition to the modified ECT applications (χ2:10.058, p=0.014). Conclusion: Mental health professionals had a positive attitude to the transition from unmodified to modified ECT and they found the modified ECT safer than unmodified one. Psychiatrists and psychiatric nurses were different in terms of their attitudes for the efficacy of ECT methods. © 2021, Nobelmedicus. All rights reserved.