Practice of electroconvulsive therapy at the research and training hospital in Turkey
We sought to obtain an overview of electroconvulsive therapy (ECT) practice in Bakirkoy Research and Training Hospital for Psychiatric and Neurological Diseases, which is the biggest hospital for psychiatry in Turkey.
From 1st January 2006 to 30th June 2007, a form enquiring about evaluation of ECT was filled retrospectively.
The total number of patients, admitted for psychiatry during the survey period was 265,283. A total of 1,531 patients (12.4% among inpatients and 0.58% in all psychiatric admissions) received 13,618 sessions (including multiple hospitalizations) of ECT from 12,341 psychiatric inpatients during the survey period. Ninety-eight patients had multiple hospitalizations. The male-to-female ratio was 1.26–1. Patients with bipolar affective disorder, current episode manic with or without psychotic symptoms received ECT most frequently (30.3%), followed by patients with schizophrenia (29.5%), severe depressive episode with or without psychotic symptoms (include bipolar affective disorder current episode severe depression) (15.2%), other non-organic psychotic disorders (14.4%), schizoaffective disorders (6.3%), mental and behavioral disorders due to psychoactive substance abuse with psychotic disorders (3.5%) and catatonic schizophrenia (0.7%). Patients who received ECT were in age group of 25–44 years (64.7%), followed by 45–64 years (17.7%), 18–24 years (15.4%), 65 years and older (1.4%), and younger than 18 years (0.8%). All patients received modified ECT. There were no ECT-related deaths during the survey.
The rate of ECT among all psychiatric inpatients during the survey period was 12.4%. The majority of patients who received ECT were diagnosed with bipolar affective disorder-current episode manic and schizophrenia. ECT training programs for psychiatry residents and specialists should be planned, and conducted systematically.
Key wordselectroconvulsive therapy ECT ECT survey modified ECT epidemiology
- 1.American Psychiatric Association (2002) The practice of ECT: recommendations for treatment, training and privileging. American Psychiatric Press, Washington DCGoogle Scholar
- 8.Chanpattana W, Kramer BA, Kunigiri G, Gangadhar BN, Kitphati R, Andrade C (2007) ECT Practice in Asia. J ECT 23:53 (Meeting Abstracts: 2007 ACT/ISTS Scientific Program)Google Scholar
- 10.Coskun B (2004) Psychiatry in Turkey. Int Psychiatry Bull Board Int Affairs R Coll Psychiatr 3:13–15Google Scholar
- 11.Duffet R, Siegert DR, Lelliot P (1999) Electroconvulsive therapy in Wales. Psychiatr Bull 23:597–601Google Scholar
- 12.ECPT (2003) European committee for the prevention of torture and inhuman or degrading treatment or punishment, Report to the Turkish government on the visit to turkey carried out by the European Committee for the prevention of torture and inhuman and degrading treatment or Punishment (CPT) from 5 to 17 October 1993 (February 23, 1999), para182. http://www.cpt.coe.int/documents/tur/1999-02-inf-eng.htm#ii.c.3
- 23.MDRI (2005) Behind closed doors: human rights abuses in the psychiatric facilities, orphanages and rehabilitation centers of Turkey. A report by mental disability rights international released in Istanbul, Turkey. http://www.mdri.org
- 28.Royal College of Psychiatrists (1995) The ECT handbook. The 2nd Report of the Royal College of Psychiatrists’ Special Committee on ECT. Council Report CR39. Gaskell, LondonGoogle Scholar
- 30.Savas BS, Karahan O, Saka RO (2002) Introduction and historical background. In: Thomson S, Mossialos E (eds) Health care systems in transition: Turkey. Cpn Eur Observatory Health Care Syst 4(4):1–16Google Scholar
- 31.Statistics annual report of hospitals in Turkey (2006) The Ministry of Health of Turkey (Turkish), General Directorate of Curative Services, Ankara. http://www.saglik.gov.tr/TR/BelgeGoster.aspx?F6E10F8892433CFFAC8287D72AD903BEFFB31D DACD1CE3B0
- 33.Tancer ME, Golden RN, Ekstrom RD, Evans DL (1989) Use of electroconvulsive therapy at a university hospital. Hosp Comm Psychiatry 40:64–68Google Scholar
- 37.Yıldız A, Gökmen N, Turgut K, Yücel G, Tunca Z (2003) Place of electroconvulsive therapy among the somatic treatments at a university hospital inpatient psychiatry unit (Turkish). Bull Clin Psychopharmacol 13:65–71Google Scholar
- 38.Zeren T, Tamam L, Evlice YE (2003) Electroconvulsive therapy: assessment of practice of 12 years (Turkish). New Symposium 41:54–63Google Scholar