PMID- 12656959
OWN - NLM
STAT- MEDLINE
DCOM- 20031010
LR  - 20170214
IS  - 0004-8674 (Print)
IS  - 0004-8674 (Linking)
VI  - 37
IP  - 2
DP  - 2003 Apr
TI  - Perceptions of outcome from electroconvulsive therapy by depressed patients and 
      psychiatrists.
PG  - 196-9
AB  - OBJECTIVE: To determine (i) patients' expectations before and attitudes after a 
      course of electroconvulsive therapy (ECT); (ii) the concordance between the 
      perceptions of patients and their psychiatrists; and (iii) whether patients and 
      psychiatrists are accurate in predicting a positive outcome with ECT. METHOD: 
      Eighty-one inpatients (mean 67.2 years, median 70 years) with major depression 
      were assessed before and after receiving a course of ECT. On both occasions, 
      patients were administered the Hamilton Rating Scale for Depression (HRSD) and 
      the Global Assessment of Functioning Scale (GAF). Patients and two research 
      psychiatrists rated their expectancy of treatment outcome before ECT and their 
      impression of outcome after ECT was completed. RESULTS: Both HRSD and GAF scores 
      improved with treatment. Before treatment, 39.7% of patients believed ECT would 
      improve their condition. Following treatment, 68.8% of patients thought their 
      condition had improved as a result of ECT. There was only slight agreement 
      between patients' and psychiatrists' expectations before and ratings of efficacy 
      after treatment. The psychiatrists', but not the patients', pretreatment 
      expectations of ECT efficacy were significantly associated with improvement in 
      depression as measured by the effect size change in HRSD score from pre- to 
      post-ECT. CONCLUSIONS: Patients were poor judges of ECT outcome and, in this 
      sample, less positive than previous reports had suggested. Psychiatrists' 
      expectations however, were generally accurate indicating good clinical selection.
FAU - Brodaty, Henry
AU  - Brodaty H
AD  - School of Psychiatry, University of New South Wales, and Academic Department for 
      Old Age Psychiatry, Prince of Wales Hospital, Randwick, New South Wales 2031, 
      Australia. h.brodaty@unsw.edu.au
FAU - Berle, David
AU  - Berle D
FAU - Hickie, Ian
AU  - Hickie I
FAU - Mason, Cathy
AU  - Mason C
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - England
TA  - Aust N Z J Psychiatry
JT  - The Australian and New Zealand journal of psychiatry
JID - 0111052
SB  - IM
MH  - Aged
MH  - *Attitude of Health Personnel
MH  - *Attitude to Health
MH  - Depressive Disorder, Major/*therapy
MH  - Electroconvulsive Therapy/*methods
MH  - Female
MH  - Humans
MH  - Male
MH  - *Psychiatry
MH  - *Surveys and Questionnaires
MH  - Time Factors
EDAT- 2003/03/27 05:00
MHDA- 2003/10/11 05:00
CRDT- 2003/03/27 05:00
PHST- 2003/03/27 05:00 [pubmed]
PHST- 2003/10/11 05:00 [medline]
PHST- 2003/03/27 05:00 [entrez]
AID - 1129 [pii]
AID - 10.1046/j.1440-1614.2003.01129.x [doi]
PST - ppublish
SO  - Aust N Z J Psychiatry. 2003 Apr;37(2):196-9. doi: 
      10.1046/j.1440-1614.2003.01129.x.