Electroconvulsive therapy use in New South Wales between 1944 and 1949.

IF 1.2 4区医学 Q4 PSYCHIATRY Australasian Psychiatry Pub Date : 2024-12-12 DOI:10.1177/10398562241306899

Brian Draper, Chanaka Wijeratne

{"title":"Electroconvulsive therapy use in New South Wales between 1944 and 1949.","authors":"Brian Draper, Chanaka Wijeratne","doi":"10.1177/10398562241306899","DOIUrl":null,"url":null,"abstract":"Aims: To identify clinical and other factors associated with the use of electroconvulsive therapy (ECT) in New South Wales for the period 1944-1949 and to compare with contemporaneous practice.Method: Annual reports of the Inspector-General of Mental Hospitals in NSW (1944/45 to 1948/49) were examined.Main findings: Seven hospitals reported a total of 8964 courses of treatment during the period. Demographically, 60.6% of patients who received ECT were female, and rural hospitals reported 13.6% of courses. ECT was as likely to be given for non-affective psychoses (37.7%), as for affective psychoses (35.0%). ECT was also administered for confusional states and non-psychotic disorders. Better outcomes were observed for depression, anxiety and confusional states than non-affective psychoses. Recovery rates declined over the study period. Mortality was <1%.Conclusions: The clinical indications for ECT in the mid-twentieth century in NSW were much broader than currently. There has been no change in the sex ratio of patients administered ECT or reported mortality.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562241306899"},"PeriodicalIF":1.2000,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Australasian Psychiatry","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/10398562241306899","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PSYCHIATRY","Score":null,"Total":0}

引用次数: 0

Abstract

Aims: To identify clinical and other factors associated with the use of electroconvulsive therapy (ECT) in New South Wales for the period 1944-1949 and to compare with contemporaneous practice.

Method: Annual reports of the Inspector-General of Mental Hospitals in NSW (1944/45 to 1948/49) were examined.

Main findings: Seven hospitals reported a total of 8964 courses of treatment during the period. Demographically, 60.6% of patients who received ECT were female, and rural hospitals reported 13.6% of courses. ECT was as likely to be given for non-affective psychoses (37.7%), as for affective psychoses (35.0%). ECT was also administered for confusional states and non-psychotic disorders. Better outcomes were observed for depression, anxiety and confusional states than non-affective psychoses. Recovery rates declined over the study period. Mortality was <1%.

Conclusions: The clinical indications for ECT in the mid-twentieth century in NSW were much broader than currently. There has been no change in the sex ratio of patients administered ECT or reported mortality.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

1944年至1949年间在新南威尔士州使用的电休克疗法。

目的：确定1944-1949年新南威尔士州使用电休克疗法（ECT）相关的临床和其他因素，并与同期实践进行比较。方法：研究了新南威尔士州精神病院监察长（1944/45至1948/49）的年度报告。主要发现：7家医院在此期间共报告了8964个疗程的治疗。在人口统计学上，接受电痉挛治疗的患者中有60.6%是女性，农村医院报告了13.6%的疗程。对非情感性精神病（37.7%）和情感性精神病（35.0%）给予电痉挛治疗的可能性相同。ECT也用于治疗精神错乱和非精神障碍。抑郁、焦虑和混乱状态的治疗效果优于非情感性精神病。在研究期间，恢复率有所下降。结论：二十世纪中期，新南威尔士州电痉挛治疗的临床适应症比现在广泛得多。接受电痉挛治疗的患者的性别比例和报告的死亡率没有变化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Australasian Psychiatry 医学-精神病学

CiteScore

2.80

自引率

5.60%

发文量

159

审稿时长

6-12 weeks

期刊介绍： Australasian Psychiatry is the bi-monthly journal of The Royal Australian and New Zealand College of Psychiatrists (RANZCP) that aims to promote the art of psychiatry and its maintenance of excellence in practice. The journal is peer-reviewed and accepts submissions, presented as original research; reviews; descriptions of innovative services; comments on policy, history, politics, economics, training, ethics and the Arts as they relate to mental health and mental health services; statements of opinion and letters. Book reviews are commissioned by the editor. A section of the journal provides information on RANZCP business and related matters.