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How Do People Perceive and Adapt to Any Consequences of Electro Convulsive Therapy on Their Daily Lives?

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Abstract

Great controversy surrounds the use of electroconvulsive therapy or ECT. However, it continues to be used internationally. While research on short term effects of ECT abound, there is limited knowledge about long term impacts of ECT on individuals, especially from the lived experience perspective. The aim of this qualitative study was to gain an in-depth understanding of longer-term lived experiences of ECT and how people navigate any impacts on their daily lives. Twenty-three people participated in semi-structured interviews. Data collection and analysis involved an iterative process. Data were coded into four categories: (1) My ECT experience included physical mechanics, decision making, clinic experiences, post ECT support and attitudes and support of others); (2) Direct impacts of ECT on me encompassed both cognitive and emotional impacts; (3) Impacts on my life comprised daily activities, relationships, ongoing health care; and My strategies incorporated fixing or working around the problem, reframing, using support networks, protecting myself and taking control. Insights gleaned through lived experiences have important implications for other service users, direct service providers and those striving for system reforms that embrace more recovery orientated and trauma informed practices.

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References

  • Andre, L. (2009). Doctors of deception: What they don’t want you to know about shock treatment: Rutgers University Press.

  • Austin, E., Ramakrishnan, A., & Hopper, K. (2014). Embodying recovery: A qualitative study of peer work in a consumer-run service setting. Community Mental Health Journal, 50(8), 879–885.

    Article  Google Scholar 

  • Breggin, P. R. (1998). Electroshock: Scientific, ethical, and political issues. International Journal of Risk & Safety in Medicine, 11(1), 5–40.

    Google Scholar 

  • Burstow, B. (2016). Legitimating damage and control: The ethicality of electroshock research. Intersectionalities A Global Journal of Social Work Analysis, Research, Polity, and Practice, 5(1), 94–109.

    Google Scholar 

  • Callard, F., & Rose, D. (2010). Mental health service user leadership in research. London, UK: Institute of Psychiatry at King’s College.

  • Chakrabarti, S., Grover, S., & Rajagopal, R. (2010). Electroconvulsive therapy: A review of knowledge, experience and attitudes of patients concerning the treatment. The World Journal of Biological Psychiatry, 11(3), 525–537.

    Article  Google Scholar 

  • Charmaz, K. (2014). Constructing grounded theory: Sage.

  • Coulter, A., & Collins, A. (2011). Making shared decision-making a reality. King’s Fund.

    Google Scholar 

  • Creswell, J. W., & Poth, C. N. (2016). Qualitative inquiry and research design: Choosing among five approaches. Sage publications.

  • Crocker, A. F., & Smith, S. N. (2019). Person-first language: Are we practicing what we preach? Journal of Multidisciplinary Healthcare, 12, 125.

    Article  Google Scholar 

  • Ejaredar, M., & Hagen, B. (2014). I was told it restarts your brain: Knowledge, power, and women’s experiences of ECT. Journal of Mental Health, 23(1), 31–37.

    Article  Google Scholar 

  • Hailey, S., & Copland, E. (2019). ECT Accreditation Service (ECTAS) Standards for the administration of ECT. Royal College of Psychiatrists. https://www.rcpsych.ac.uk/docs/default-source/improving-care/ccqi/quality-networks/electro-convulsive-therapy-clinics-(ectas)/ectas-14th-edition-standards.pdf?sfvrsn=932fa3b4_2.

  • Happell, B., & Roper, C. (2007). Consumer participation in mental health research: Articulating a model to guide practice. Australasian Psychiatry, 15(3), 237–241.

    Article  Google Scholar 

  • Harrop, C., Read, J., Geekie, J., & Renton, J. (2021). How accurate are ECT patient information leaflets provided by mental health services in England and the Royal College of Psychiatrists? An independent audit. Ethical Human Psychology and Psychiatry.

  • Jelovac, A., Kolshus, E., & McLoughlin, D. M. (2013). Relapse following successful electroconvulsive therapy for major depression: A meta-analysis. Neuropsychopharmacology, 38(12), 2467.

    Article  CAS  Google Scholar 

  • Johnstone, L. (1999). Adverse psychological effects of ECT. Journal of Mental Health, 8(1), 69–85.

    Article  Google Scholar 

  • Knight, F., Ridge, D., McShane, R., Ryan, S., & Griffith, L. (2017). Care, control, and the electroconvulsive therapy ritual: Making sense of polarized patient narratives. Qualitative Health Research, 27(11), 1675–1685.

    Article  Google Scholar 

  • Koopowitz, L. F., Chur-Hansen, A., Reid, S., & Blashki, M. (2003). The subjective experience of patients who received electroconvulsive therapy. Australian & New Zealand Journal of Psychiatry, 37(1), 49–54.

    Article  Google Scholar 

  • Kring, I. S., Bergholt, M. D., & Midtgaard, J. (2018). The perspectives of former recipients and experts on stigmatization related to electroconvulsive therapy in Denmark: A focus group study. Journal of Psychiatric and Mental Health Nursing, 25(5–6), 358–367.

    Article  Google Scholar 

  • Le Boutillier, C., Leamy, M., Bird, V. J., Davidson, L., Williams, J., & Slade, M. (2011). What does recovery mean in practice? A qualitative analysis of international recovery-oriented practice guidance. Psychiatric Services, 62(12), 1470–1476.

    Article  Google Scholar 

  • Mancini, A. D. (2008). Self-determination theory: A framework for the recovery paradigm. Advances in Psychiatric Treatment, 14(5), 358–365.

    Article  Google Scholar 

  • Martin, M., Gálvez, V., Lauf, S., Dong, V., Baily, S. A., Cardoner, N., Chan, H. N., Davidson, D., Fam, J., De Felice, N., Martinez-Amoros, E., Mohan, T., Ramalingam, J., Sarma, S. I., Tor, P. C., Waite, S., & Loo, C. K. (2018). The clinical alliance and research in electroconvulsive therapy network: An Australian initiative for improving service delivery of electroconvulsive therapy. The Journal of ECT, 34(1), 7–13.

    Article  Google Scholar 

  • Polgar, S., & Thomas, S. (2008). Introduction to research in the health sciences. Churchill Livingstone Elsevier.

    Google Scholar 

  • Polit, D. F., & Beck, C. T. (2008). Nursing research: Generating and assessing evidence for nursing practice: Lippincott Williams & Wilkins.

  • QSR International. (2018). NVivo11 [Computer software].

  • Read, J., Cunliffe, S., Jauhar, S., & McLoughlin, D. M. (2019). Should we stop using electroconvulsive therapy? BMJ: British Medical Journal (Online), 364.

  • Read, J., & Bentall, R. (2010). The effectiveness of electroconvulsive therapy: A literature review. Epidemiology and Psychiatric Sciences, 19(4), 333–347.

    Article  Google Scholar 

  • Read, J., Harrop, C., Geekie, J., & Renton, J. (2018). An audit of ECT in England 2011–2015: Usage, demographics, and adherence to guidelines and legislation. Psychology and Psychotherapy: Theory, Research and Practice, 91(3), 263–277.

    Article  Google Scholar 

  • Rehor, G., Conca, A., Schlotter, W., Vonthein, R., Bork, S., Bode, R., Hüll, M., Prapotnik, M. (2009). Relapse rate within 6 months after successful ECT: a naturalistic prospective peer-and self-assessment analysis. Neuropsychiatrie: Klinik, Diagnostik, Therapie und Rehabilitation: Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater, 23(3), 157–163.

    CAS  Google Scholar 

  • Repper, J., & Carter, T. (2011). A review of the literature on peer support in mental health services. Journal of Mental Health, 20(4), 392–411.

    Article  Google Scholar 

  • Rose, D. (2015). Reflections on the contemporary state of service user-led research. The Lancet Psychiatry, 2(11), 959–960.

    Article  Google Scholar 

  • Rose, D., Fleischmann, P., & Wykes, T. (2004). Consumers’ views of electroconvulsive therapy: A qualitative analysis. Journal of Mental Health, 13(3), 285–293.

    Article  Google Scholar 

  • Sackeim, H. A., Prudic, J., Fuller, R., Keilp, J., Lavori, P. W., & Olfson, M. (2007). The cognitive effects of electroconvulsive therapy in community settings. Neuropsychopharmacology, 32(1), 244–254.

    Article  Google Scholar 

  • Slade, M. (2017). Implementing shared decision making in routine mental health care. World Psychiatry, 16(2), 146–153.

    Article  Google Scholar 

  • Thomas, E. C., Zisman-Ilani, Y., & Salzer, M. S. (2019). Self-determination and choice in mental health: Qualitative insights from a study of self-directed care. Psychiatric Services, 70(9), 801–807.

    Article  Google Scholar 

  • UN General Assembly. (2007). Convention on the Rights of Persons with Disabilities A/RES/61/106: Resolution. Retrieved from http://www.unhcr.org/refworld/docid/45f973632.html

  • Van Daalen-Smith, C. (2011). Waiting for oblivion: Women’s experiences with electroshock. Issues in Mental Health Nursing, 32(7), 457–472. https://doi.org/10.3109/01612840.2011.583810

    Article  Google Scholar 

  • Victorian State Government. (2018). Clinical psychiatrist advisory notice: Alternative ECT consent pathway for adults who lack decision making capacity. Retrieved from https://www.health.vic.gov.au/key-staff/advisory-notice-alternative-ect-consent-pathway-for-adults-who-lack-decision-making: https://www.health.vic.gov.au/key-staff/advisory-notice-alternative-ect-consent-pathway-for-adults-who-lack-decision-making

  • Wells, K., Hancock, N., & Honey, A. (2020). The experience of living after ECT: a qualitative meta-synthesis. Journal of Mental Health, 1–15.

  • Wells, K., Scanlan, J. N., Gomez, L., Rutter, S., Hancock, N., Tuite, A., Ho, J., Jacek, S., Jones, A., Mehdi, H., Still, M., & Halliday, G. (2018). Decision making and support available to individuals considering and undertaking electroconvulsive therapy (ECT): A qualitative, consumer-led study. BMC Psychiatry, 18(1), 236.

    Article  Google Scholar 

  • Zisman-Ilani, Y., Barnett, E., Harik, J., Pavlo, A., & O’Connell, M. (2017). Expanding the concept of shared decision making for mental health: systematic search and scoping review of interventions . Mental Health Review Journal.

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Correspondence to Karen Wells.

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Wells, K., Hancock, N. & Honey, A. How Do People Perceive and Adapt to Any Consequences of Electro Convulsive Therapy on Their Daily Lives?. Community Ment Health J 58, 1049–1059 (2022). https://doi.org/10.1007/s10597-021-00913-7

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