전기경련치료에 대한 정신건강의학과 의료진의 인식 및 태도 조사
A Survey of Knowledge and Attitudes Towards Electroconvulsive Therapy in Psychiatrists
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Objectives This study explores knowledge of and attitudes toward electroconvulsive therapy (ECT) among psychiatrists in Korea. Methods We emailed questionnaires to psychiatrists to assess their knowledge of and attitudes toward ECT. The present analysis focuses on responses to Lutchman’s questionnaire. Results A total of 293 psychiatrists (260 specialists and 33 residents) responded to the questionnaire. The responses showed positive attitudes towards ECT, with an average approval rating of 77.68%. There were no differences between genders, or between specialists and residents, in knowledge of and attitudes toward ECT. However, psychiatrists generally reported insufficient knowledge and/or negative attitudes toward techniques, methods, side effects, and other factors related to clinical implementation of ECT, as well as a lack of clinical experience. In addition, responses were influenced by personal views. Conclusions We assume that insufficient knowledge, lack of experience with the advanced technologies and methods of modern ECT, and negative perceptions of side effects limit the use of ECT for treating mental disorders. Further research aimed at improving knowledge of and attitudes toward ECT among psychiatrists is needed to enhance therapeutic efficacy in the treatment of mental disorders.
Abstract
Objectives This study explores knowledge of and attitudes toward electroconvulsive therapy (ECT) among psychiatrists in Korea. Methods We emailed questionnaires to psychiatrists to assess their knowledge of and attitudes toward ECT. The present analysis focuses on responses to Lutchman’s questionnaire. Results A total of 293 psychiatrists (260 specialists and 33 residents) responded to the questionnaire. The responses showed positive attitudes towards ECT, with an average approval rating of 77.68%. There were no differences between genders, or between specialists and residents, in knowledge of and attitudes toward ECT. However, psychiatrists generally reported insufficient knowledge and/or negative attitudes toward techniques, methods, side effects, and other factors related to clinical implementation of ECT, as well as a lack of clinical experience. In addition, responses were influenced by personal views. Conclusions We assume that insufficient knowledge, lack of experience with the advanced technologies and methods of modern ECT, and negative perceptions of side effects limit the use of ECT for treating mental disorders. Further research aimed at improving knowledge of and attitudes toward ECT among psychiatrists is needed to enhance therapeutic efficacy in the treatment of mental disorders.
참고문헌 (46)
- Oji C, "A review of electroconvulsive therapy in suicidality", Ment Health Clin, 5, pp.212~215 (2015)
- 주은정, "전기경련치료에 대한 환자의 만족도 조사", 신경정신의학, 60(2), pp.135~142 (2021), 대한신경정신의학회[DOI]
- Brender R, "Electroconvulsive therapy : relating attitude towards treatment and knowledge among mental health professionals in a mental health center", Isr J Psychiatry, 55, pp.40~45 (2018)
- Griffiths C, "Patients’, carers’, and the public’s perspectives on electroconvulsive therapy", Front Psychiatry, 10, pp.304~ (2019)
- Jeong WJ, "Survey on the use of ECT in Korean psychiatrists", J Korean Neuropsychiatr Assoc, 22, pp.573~581 (1983)
- 김기태, "국내 신경정신과 전문의의 전기경련요법에 대한 견해", 신경정신의학, 40(6), pp.1072~1089 (2001), 대한신경정신의학회
- Kring IS, "The perspectives of former recipients and experts on stigmatization related to electroconvulsive therapy in Denmark : a focus group study", J Psychiatr Ment Health Nurs, 25, pp.358~367 (2018)
- 이준희, "전기경련치료에 대한 사회적 낙인과 해소 방안", 생물정신의학, 27(2), pp.37~41 (2020), 대한생물정신의학회[DOI]
- "Guideline.or.kr" (2008)[URL]
- "Guideline.or.kr" (2020)[URL]
- "Mohw.go.kr" (2022)[URL]
- Moon SJ, "Experience with nonpharmacological therapies during psychiatric residency training", J Korean Assoc Soc Psychiatry, 14, pp.18~24 (2009)
- Jeong Seok Seo, "Korean Medication Algorithm for Depressive Disorders 2017: Third Revision", Clinical Psychopharmacology and Neuroscience, 16(1), pp.67~87 (2018), 대한정신약물학회[DOI]
- Jung Suk Lee, "Korean Medication Algorithm for Schizophrenia 2019, Second Revision: Treatment of Psychotic Symptoms", Clinical Psychopharmacology and Neuroscience, 18(3), pp.386~394 (2020), 대한정신약물학회[DOI]
- "Mhlw.go.jp"[URL]
- Hirata R, "An online survey about electroconvulsive therapy in Japan during the COVID-19 pandemic : comparison of early and recent stages", Neuropsychiatr Dis Treat, 18, pp.1277~1285 (2022)
- Luccarelli J, "Changes in inpatient electroconvulsive therapy utilization between 2019 and 2020 : a national inpatient sample analysis", J ECT, 39, pp.173~178 (2023)
- "Opendata.hira.or.kr"[URL]
- Folkerts HW, "Electroconvulsive therapy vs. paroxetine in treatmentresistant depression--a randomized study", Acta Psychiatr Scand, 96, pp.334~342 (1997)
- Park Mi Jin, "Recent Updates on Electro-Convulsive Therapy in Patients with Depression", PSYCHIATRY INVESTIGATION, 18(1), pp.1~10 (2021), 대한신경정신의학회[DOI]
- 이화영, "주요우울장애에서의 전기경련요법", 생물정신의학, 15(2), pp.75~82 (2008), 대한생물정신의학회
- 주은정, "노년기 정신장애의 전기경련치료", 생물정신의학, 27(2), pp.42~57 (2020), 대한생물정신의학회[DOI]
- 최영민, "일 대학병원에서 시행한 전기경련요법의 치료적 효과", 신경정신의학, 54(3), pp.330~337 (2015), 대한신경정신의학회[DOI]
- 송태홍, "전기경련치료가 치료저항성 조현병 환자의 치료에 미치는 영향", 신경정신의학, 51(5), pp.271~276 (2012), 대한신경정신의학회
- Small JG, "Efficacy of electroconvulsive therapy in schizophrenia, mania, and other disorders. I. Schizophrenia", Convuls Ther, 1, pp.263~270 (1985)
- Mankad MV, "Clinical manual of electroconvulsive therapy" (2010), American Psychiatric Publishing
- Kaster TS, "Clinical effectiveness and cognitive impact of electroconvulsive therapy for schizophrenia : a large retrospective study", J Clin Psychiatry, 78, pp.e383~e389 (2017)
- Stenmark L, "Predictors of treatment response to electroconvulsive therapy in schizophrenia—A nationwide registry-based study", Schizophr Bull Open, 1, pp.sgaa019~ (2020)
- Janicak PG, "ECT : an assessment of mental health professionals’ knowledge and attitudes", J Clin Psychiatry, 46, pp.262~266 (1985)
- Agarwal AK, "Indian psychiatrists’ attitudes towards electroconvulsive therapy", Indian J Psychiatry, 39, pp.54~60 (1997)
- Lutchman RD, "Mental health professionals’attitudes towards and knowledge of electroconvulsive therapy", J Ment Health, 10, pp.141~150 (2001)
- Kitay B, "Electroconvulsive therapy : a video-based educational resource using standardized patients", Acad Psychiatry, 44, pp.531~537 (2020)
- Antosik-Wójcińska A, "Attitudes towards ECT : a survey of Polish mental health professionals", Psychiatr Danub, 33, pp.328~333 (2021)
- Cabrera LY, "Last resort interventions? : a qualitative study of psychiatrists’ experience with and views on psychiatric electroceutical interventions", Psychiatr Q, 92, pp.419~430 (2021)
- Chanpattana W, "ECT knowledge in psychiatrists, psychiatry residents, and medical students : effect of training", J Med Assoc Thai, 82, pp.819~825 (1999)
- Ezeobele IE, "Current knowledge and attitudes of psychiatric nurses toward electroconvulsive therapy", Perspect Psychiatr Care, 58, pp.1967~1972 (2022)
- Leiknes KA, "Contemporary use and practice of electroconvulsive therapy worldwide", Brain Behav, 2, pp.283~344 (2012)
- Palińska D, "Electroconvulsive therapy in Poland in 2005--a nationwide questionnaire study performed in Polish psychiatric clinics", Psychiatr Pol, 42, pp.825~839 (2008)
- Finch JM, "A survey of psychiatrists’ attitudes toward electroconvulsive therapy", Psychiatr Serv, 50, pp.264~265 (1999)
- Gazdag G, "Attitudes towards electroconvulsive therapy among Hungarian psychiatrists", J ECT, 20, pp.204~207 (2004)
- Gazdag G, "Attitudes toward electroconvulsive therapy in Romanian psychiatrists", J ECT, 27, pp.e55~e56 (2011)
- Golenkov A, "ECT practice and psychiatrists’attitudes towards ECT in the Chuvash Republic of the Russian Federation", Eur Psychiatry, 25, pp.126~128 (2010)
- Lauber C, "Can a seizure help? The public’s attitude toward electroconvulsive therapy", Psychiatry Res, 134, pp.205~209 (2005)
- Fink M, "Electroconvulsive therapy : evidence and challenges", JAMA, 298, pp.330~332 (2007)
- Chung IW, "Korean version of guideline for electroconvulsive therapy" (2021), National Center for Mental Health
- Chakrabarti S, "Electroconvulsive therapy : a review of knowledge, experience and attitudes of patients concerning the treatment", World J Biol Psychiatry, 11, pp.525~537 (2010)
