Electroconvulsive Therapy at a Veterans Health Administration Medical Center.
Electroconvulsive Therapy at a Veterans Health Administration Medical Center.
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DOI：
10.1097/yct.0000000000000400
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发表时间：
2017-12
期刊：
影响因子：
--
通讯作者：
Rosenheck RA
中科院分区：
文献类型：
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作者：
Wilkinson ST;Rosenheck RA
Little epidemiologic research has examined the practice of electroconvulsive therapy (ECT). We investigated socio-demographic and clinical characteristics, service use, and psychotropic medication prescription patterns associated with ECT use at a Veterans Health Administration Medical Center. Among veterans receiving specialty mental health services, we compared those who received ECT with those who did not using bivariate chi-square and t-tests and multivariate logistic regression. In fiscal year 2012, 11,117 veterans received specialty mental health services, of whom 50 received ECT (0.45%) in FY2012 or FY2013. Those who received ECT were more likely to be diagnosed with Major Depressive or Bipolar Disorders and had substantially higher levels of mental health service utilization (Cohen’s d>0.75) and psychotropic prescription fills, including antidepressants (Cohen’s d=2.66), antipsychotics (Cohen’s d=2.15), lithium (Cohen’s d=1.34), mood stabilizers (Cohen’s d=1.30), and anxiolytic/sedative/hypnotics (Cohen’s d=1.34). Our findings suggest that ECT is used as a treatment of last resort, although available evidence and guidelines recommend wider use.
