Satisfaction and attitude of bipolar patients regarding electroconvulsive therapy: Modified or unmodified
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CitationAtay, Ö., Bağ, S., Usta, H., Çetinkaya, E., ve Yanık, M. (2019). Satisfaction and attitude of bipolar patients regarding electroconvulsive therapy: Modified or unmodified. Nordic Journal of Psychiatry, 1-7.
Objective: Ministry of Health of Turkey issued a legislation to use only modified electroconvulsivetherapy (ECT) in 2005, and this study aimed to assess satisfaction and attitude of bipolar patientsregarding modified and unmodified electroconvulsive therapy.Methods: A total of 100 patients (50 treated with modified electroconvulsive therapy (M-ECT) and 50treated with unmodified ECT (UM-ECT) with a diagnosis of Bipolar Disorder (depressive or manic episode)were invited to participate in this study. Patients with euthymic mood were included.Satisfaction and attitude towards ECT were evaluated with a structured attitude questionnaire, and MECTand UM-ECT patients, and their subgroups (depressive vs. manic) were compared.Results: No significant differences were found between M-ECT and UM-ECT groups regarding age, sex,marital status and occupation. The majority of all patients (78%) were satisfied from treatment withECT and with the outcome (88%), without significant differences between modified and unmodifiedgroups. Forgetfulness (70%) and headaches (57%) occurred in all groups, with the only significant differencein forgetfulness being reported by more manic patients treated with UM-ECT. Depressive andmanic patients treated with UM-ECT reported concerns of brain damage and physical harm significantlymore frequently. While 86% of patients treated with M-ECT consented to a future treatment,this was significantly less in patients treated with UM-ECT (50%).Conclusions: Bipolar patients report a high degree of satisfaction treated either with modified orunmodified ECT but there was a significant difference in perception of adverse effects and willingnessfor receiving ECT in future.