ECT in disorganized schizophrenia

A qualitative study of experience of parents of adolescents who received ECT

AIM OF THIS STUDY

To evaluate the experience of parents of adolescents who received ECT for severe mental illness.

METHODOLOGY

Using qualitative methods, 6 parents of 5 adolescents were interviewed by using a self-designed semi-structured interview after the completion of ECT course. The clinicians involved in the ECT procedure, i.e., seeking informed consent and administration of ECT were not aware about the study. All the interviews were recorded and the content was analysed and themes were generated.

RESULTS

Parents of all the 5 adolescents expressed that their children were considered for ECT only after the patient had not responded to medication and were unmanageable. Prior to ECT the treating doctors did explain to them about the ECT procedure, they were given information booklet and they were not coerced to consent for ECT. Some of the parents reported that they had dilemma prior to giving consent and were scared prior to the first ECT. However, as the clinical condition of their children improved, they felt that ECT was a good treatment. Majority of the parents felt that ECT was delayed for their children. When asked about restriction in use of ECT in children and adolescents, the parents expressed that it is important for law makers to understand the distress of the parents,when their children are acutely ill. They expressed that decision of administration of ECT must be left to the family and the treating clinicians.

CONCLUSION

Parents of adolescents considered for ECT are generally satisfied with the treatment procedure.

Electroconvulsive therapy in early adolescents with schizophrenia spectrum disorders

Electroconvulsive therapy is scarcely used in adolescents with diagnoses of schizophrenia, although it has been reported as an effective and safe treatment in the previous literature. We present 3 cases of early adolescent patients with schizophrenia who were treated with electroconvulsive therapy without adverse effects.