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Regional Variations in ECT Use in Europe

Published online by Cambridge University Press:  15 April 2020

E. Verdura
Affiliation:
Department of PsSychiatry, Hospital Infanta Cristina, Fundación Jiménez Díaz, Spain
I. Vera
Affiliation:
Department of PSychiatry, Hospital Infanta Cristina, Parla – Madrid, Spain
J. Sanz-Fuentenebro
Affiliation:
Psychiatry, Hospital 12 Octubre, Fundación Jiménez Díaz, Spain

Abstract

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Introduction

Large variations in worldwide ECT utilization have been described (Leiknes et al. 2012) and concerns have been raised that ECT is being underused in some countries (with some patients being deprived of the most effective treatments available) While overused in certain locations (Smith et al. 1985).

Objectives and Aims

To describe ECT utilization rates in European countries and to examine barriers difficulting its accesibility to ECT in Europe

Methods

A systematic review was conducted of studies which reported on ECT utilization rates in european countries in the last 25 years

Results

Wide variations in the use of ECT have also been reported among neighbouring countries and even among different regions within the same country. Lack of human and material resources, economic and legal restrictions, lack of agreement between psychiatrists and social prejudices against ECT might be behind these variations.

Conclusions

Action is needed that ensures a more uniform access to ECT. Health education campaigns, clinical practice guidelines development and implementation and ECT training courses promotion could contribute toward this.

Type
Article: 0840
Copyright
Copyright © European Psychiatric Association 2015
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