Electroconvulsive Therapy-Related Anxiety: A Survey in an Academic Hospital in the North of Iran
| Author | Gelareh Biazar | en |
| Author | Hossein Khoshrang | en |
| Author | Cyrus Emir Alavi | en |
| Author | Robabeh Soleimani | en |
| Author | Zahra Atrkarroushan | en |
| Author | Zoleikha Bayat | en |
| Author | Mahboobeh Razi Kazemi | en |
| Orcid | Gelareh Biazar [0000-0002-4571-6059] | en |
| Orcid | Cyrus Emir Alavi [0000-0001-8373-8307] | en |
| Orcid | Robabeh Soleimani [0000-0003-1463-0380] | en |
| Orcid | Zahra Atrkarroushan [0000-0001-8687-1242] | en |
| Issued Date | 2020-02-12 | en |
| Abstract | Background: Electroconvulsive therapy (ECT) is a medical treatment most commonly used in the most severe psychiatric diseases; however due to unreal anxiety, it is not widely accepted by patients and their families. Objectives: The present study aimed to investigate the main causes of ECT-related anxiety (ERA) in an academic hospital in the north of Iran. Methods: In this study, the participants were hospitalized psychiatric patients with proper communication skills. A 12-item questionnaire encompassing four sections (namely ECT side-effects, procedure factors, medical team communication, and familial, social, and economic factors) were filled out by a responsible psychiatric resident through a face-to-face interview. The participants’ demographic information, including gender, age, psychiatry disorder, level of education, and history of ECT, were also recorded. Results: In this study, 353 cases were analyzed, among whom 329 patients (93.2%) reported at least one item for ERA, and 143 patients (85.6 %) had the history of ECT. All the participants (100%) had no experience in this regard (P = 0.0001). The most common cause of ERA was ECT-related side effects (70.7%) such as memory impairment (60.4%), disablement (24.9%), and death (14.7%) followed by procedure factors (27.2%), general anesthesia (GA) (73.2 %), and electric current (26.8 %). A significant relationship was observed between gender and the history of ECT with the patients’ anxiety reasons (P = 0.0001); however, the other variables, including age (P = 0.72), type of disease (P = 0.144), and the level of education (P = 0.012) had no impact on the results. Conclusions: In this paper, the main causes of ERA were general anesthesia, memory impairment, and electric current. Obviously, a multidisciplinary approach is required to help these patients to handle their fear and anxiety successfully. | en |
| DOI | https://doi.org/10.5812/aapm.99429 | en |
| Keyword | Electroconvulsive Therapy | en |
| Keyword | Anxiety | en |
| Keyword | Patients | en |
| Publisher | Brieflands | en |
| Title | Electroconvulsive Therapy-Related Anxiety: A Survey in an Academic Hospital in the North of Iran | en |
| Type | Research Article | en |
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