Attitude and knowledge about electroconvulsive therapy among trainee doctors and psychiatrists: A survey before and after a training session

Abstract

Abstract: BACKGROUND: Electroconvulsive therapy (ECT) is a safe and effective treatment in psychiatry, but its use is decreasing. AIM: It was intended to evaluate the attitude and knowledge among psychiatric trainees and psychiatrists and any change following a training session on ECT. MATERIALS AND METHODS: A survey was conducted in a teaching psychiatric hospital before and after a training session on ECT using questionnaires on attitude, knowledge, and clinical scenarios for prescribing ECT. RESULTS: This study suggested that the majority of trainees and psychiatrists had positive attitudes and appreciable knowledge base regarding ECT. There were uncertainties in a few areas, such as ECT for treatment-resistant depression without risk of self or others, treatment-resistant schizophrenia, patients with no mental capacity, and those who refuse to consent. The change following the training session was more prominent in prescribing scenarios. In other areas, the change was marginal, probably because of the ceiling effect. CONCLUSIONS: While psychiatrists and trainees maintain positive attitude and appreciable knowledge about ECT, it is essential to remain aware of recent advances and guidelines about ECT through training to continue prescribing it appropriately.