Electroconvulsive therapy in South Asia : Past, present, and future
Copyright © 2023 Elsevier B.V. All rights reserved..
The practice of electroconvulsive therapy (ECT) varies both between and within countries. We aimed to review historical and current trends in ECT practices, perceptions, and legislations in South Asia, a region with a high burden of mental illness and suicide. We searched MEDLINE (PubMed) and Google Scholar databases for relevant literature on ECT from each country. Additionally, a team of country-specific investigators performed supplemental searches and contacted key country contacts for relevant information. Relevant data were abstracted under the following headings: ECT practices, perceptions, and legislations. Knowledge gaps and research priorities were synthesized. Modified bitemporal ECT, delivered using brief pulse devices, was most commonly offered across institutions. Schizophrenia, not affective illness, was the most common indication. Electroencephalographic monitoring of seizures was rarely practiced. Thiopentone or propofol was preferred for anesthetic induction, while the favored muscle relaxant was succinylcholine. In India and Sri Lanka, perceptions about ECT were largely favorable; not so in Pakistan and Nepal. Only India and Pakistan had laws that governed any aspect of ECT practice; ECT practice guidelines were available only in India. There is a lack of research on efficacy, ECT in special populations, continuation ECT practices, and interventions to improve ECT-related perceptions. Most regional institutions offered modified brief-pulse ECT, and schizophrenia was the most common indication. Knowledge of and attitude towards ECT varied between countries. There is a need to develop a regional ECT consortium to facilitate uniform training, advocacy efforts, and the development of regional practice guidelines.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2024 |
|---|---|
| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:92 |
|---|---|
| Enthalten in: |
Asian journal of psychiatry - 92(2024) vom: 14. Feb., Seite 103875 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Menon, Vikas [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Asia |
|---|
| Anmerkungen: |
Date Completed 14.02.2024 Date Revised 14.02.2024 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1016/j.ajp.2023.103875 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM366483579 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM366483579 | ||
| 003 | DE-627 | ||
| 005 | 20240214233037.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 240108s2024 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1016/j.ajp.2023.103875 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1293.xml |
| 035 | |a (DE-627)NLM366483579 | ||
| 035 | |a (NLM)38157713 | ||
| 035 | |a (PII)S1876-2018(23)00432-X | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Menon, Vikas |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Electroconvulsive therapy in South Asia |b Past, present, and future |
| 264 | 1 | |c 2024 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 14.02.2024 | ||
| 500 | |a Date Revised 14.02.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2023 Elsevier B.V. All rights reserved. | ||
| 520 | |a The practice of electroconvulsive therapy (ECT) varies both between and within countries. We aimed to review historical and current trends in ECT practices, perceptions, and legislations in South Asia, a region with a high burden of mental illness and suicide. We searched MEDLINE (PubMed) and Google Scholar databases for relevant literature on ECT from each country. Additionally, a team of country-specific investigators performed supplemental searches and contacted key country contacts for relevant information. Relevant data were abstracted under the following headings: ECT practices, perceptions, and legislations. Knowledge gaps and research priorities were synthesized. Modified bitemporal ECT, delivered using brief pulse devices, was most commonly offered across institutions. Schizophrenia, not affective illness, was the most common indication. Electroencephalographic monitoring of seizures was rarely practiced. Thiopentone or propofol was preferred for anesthetic induction, while the favored muscle relaxant was succinylcholine. In India and Sri Lanka, perceptions about ECT were largely favorable; not so in Pakistan and Nepal. Only India and Pakistan had laws that governed any aspect of ECT practice; ECT practice guidelines were available only in India. There is a lack of research on efficacy, ECT in special populations, continuation ECT practices, and interventions to improve ECT-related perceptions. Most regional institutions offered modified brief-pulse ECT, and schizophrenia was the most common indication. Knowledge of and attitude towards ECT varied between countries. There is a need to develop a regional ECT consortium to facilitate uniform training, advocacy efforts, and the development of regional practice guidelines | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Review | |
| 650 | 4 | |a Asia | |
| 650 | 4 | |a Attitudes | |
| 650 | 4 | |a Electroconvulsive therapy | |
| 650 | 4 | |a India | |
| 650 | 4 | |a Neuromodulation | |
| 650 | 4 | |a South Asia | |
| 700 | 1 | |a Kar, Sujita Kumar |e verfasserin |4 aut | |
| 700 | 1 | |a Gupta, Snehil |e verfasserin |4 aut | |
| 700 | 1 | |a Baminiwatta, Anuradha |e verfasserin |4 aut | |
| 700 | 1 | |a Mustafa, Ali Burhan |e verfasserin |4 aut | |
| 700 | 1 | |a Sharma, Pawan |e verfasserin |4 aut | |
| 700 | 1 | |a Abhijita, Bandita |e verfasserin |4 aut | |
| 700 | 1 | |a Arafat, S M Yasir |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Asian journal of psychiatry |d 2008 |g 92(2024) vom: 14. Feb., Seite 103875 |w (DE-627)NLM193264730 |x 1876-2026 |7 nnns |
| 773 | 1 | 8 | |g volume:92 |g year:2024 |g day:14 |g month:02 |g pages:103875 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1016/j.ajp.2023.103875 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 92 |j 2024 |b 14 |c 02 |h 103875 | ||