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Use of electroconvulsive therapy for Asian patients with schizophrenia (2001-2009): Trends and correlates
Xiang, Yu-Tao1,2; Ungvari, Gabor S.8,9; Correll, Christoph U.10; Chiu, Helen F. K.2; Lai, Kelly Y. C.2; Wang, Chuan-Yue4; Si, Tian-Mei5,6; Lee, Edwin H. M.3; He, Yan-Ling7; Yang, Shu-Yu11; Chong, Mian-Yoon12,13; Kua, Ee-Heok14; Fujii, Senta17; Sim, Kang15; Yong, Michael K. H.; Trivedi, Jitendra K.19; Chung, Eun-Kee20; Udomratn, Pichet21; Chee, Kok-Yoon22; Sartorius, Norman23; Tan, Chay-Hoon16; Shinfuku, Naotaka18
关键词Asia electroconvulsive therapy inpatients schizophrenia
刊名PSYCHIATRY AND CLINICAL NEUROSCIENCES
2015-08-01
DOI10.1111/pcn.12283
69期:8页:489-496
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Clinical Neurology ; Neurosciences ; Psychiatry
研究领域[WOS]Neurosciences & Neurology ; Psychiatry
关键词[WOS]HONG-KONG ; CHINA ; PERSPECTIVE ; HOSPITALS ; EFFICACY ; ECT
英文摘要

AimsLittle is known about electroconvulsive therapy (ECT) use in Asian inpatients with schizophrenia. This study examined trends of ECT use for schizophrenia patients in Asia between 2001 and 2009 and its independent demographic and clinical correlates.

MethodsData on 6761 hospitalized schizophrenia patients (2001=2399, 2004=2136, and 2009=2226) in nine Asian countries and territories were collected by either chart review or interviews during a 1-month period. Patients′ sociodemographic and clinical characteristics, prescriptions of psychotropic drugs and ECT use were recorded using a standardized protocol and data-collection procedure.

ResultsThe frequency of ECT was 3.3% in the whole sample; rising from 1.8% in 2001 to 3.3% in 2004 and 4.9% in 2009 (P<0.0001). However, this increased trend was driven solely by increased ECT use in China (P<0.0001), and the inclusion of India in the 2009 survey. There were wide inter-country variations: 2001, 0% (Hong Kong, Korea) to 5.9% (China); 2004, 0% (Singapore) to 11.1% (China); 2009, 0% (Hong Kong) to 13.8% (India) and 15.2% (China). Multiple logistic regression analysis of the whole sample revealed that patients receiving ECT were less likely in the 35-64-year age group, had shorter length of current hospitalization and fewer negative symptoms, and were more likely to receive second-generation antipsychotic medications compared to those who were not treated with ECT (R-2=0.264, P<0.001).

ConclusionsECT use for schizophrenia has increased over the past decade in China, being low/relatively stable in other Asian countries/regions. Reasons for substantial variations in ECT frequency in Asia require further study.

语种英语
WOS记录号WOS:000358730400007
项目编号81171270 ; 30800367 ; 30770776 ; 2008B59 ; 2041454 ; CRC 249/2008 ; DOH92-NH-1025 ; CMRPG83043 ; 97001-62-010
资助机构National Natural Science Foundation of China ; Beijing Municipal Science and Technology Commission ; Chinese University of Hong Kong ; Institute of Mental Health in Singapore ; Taiwan Bureau of National Health Insurance ; Chang Gung Memorial Hospital ; Taipei City Government in Taiwan ; Bristol-Myers Squibb ; Novo Nordisk A/S ; Otsuka
引用统计
被引频次:11[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/66080
专题北京大学精神卫生研究所
作者单位1.Fukushima Med Univ, Fukushima, Japan
2.Seinan Gakuin Univ, Sch Human Sci, Fukuoka, Japan
3.Univ Notre Dame Australia, Perth, WA, Australia
4.Taipei City Hosp, Taipei, Taiwan
5.Kaohsiung Chang Gung Mem Hosp, Chang Gung, Taiwan
6.Chang Gung Univ, Sch Med, Chang Gung, Taiwan
7.Univ Macau, Fac Hlth Sci, Macau, Peoples R China
8.Chinese Univ Hong Kong, Dept Psychiat, Hong Kong, Hong Kong, Peoples R China
9.Minist Mental Hlth, Key Lab Mental Hlth, Beijing, Peoples R China
10.Peking Univ, Inst Mental Hlth, Beijing 100871, Peoples R China
11.Shanghai Mental Hlth Ctr, Shanghai, Peoples R China
12.Univ Hong Kong, Dept Psychiat, Hong Kong, Hong Kong, Peoples R China
13.Capital Med Univ, Beijing Anding Hosp, Beijing, Peoples R China
14.Univ Western Australia, Sch Psychiat & Clin Neurosci, Perth, WA 6009, Australia
15.North Shore Long Isl Jewish Hlth Syst, Zucker Hillside Hosp, Div Psychiat Res, Glen Oaks, NY USA
16.Natl Univ Singapore, Dept Med Pharmacol, Singapore 117548, Singapore
17.Natl Univ Singapore, Inst Mental Hlth, Buangkok View, Singapore 117548, Singapore
18.Natl Univ Singapore, Dept Pharmacol, Singapore 117548, Singapore
19.Prince Songkla Univ, Fac Med, Dept Psychiat, Hat Yai, Thailand
20.Kuala Lumpur Hosp, Tunku Abdul Rahman Inst Neurosci, Dept Psychiat & Mental Hlth, Kuala Lumpur, Malaysia
21.CSM Med Univ UP, Dept Psychiat, Lucknow, Uttar Pradesh, India
22.Natl Seoul Hosp, Dept Psychiat, Seoul, South Korea
23.Assoc Improvement Mental Hlth Programs, Geneva, Switzerland
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GB/T 7714
Xiang, Yu-Tao,Ungvari, Gabor S.,Correll, Christoph U.,et al. Use of electroconvulsive therapy for Asian patients with schizophrenia (2001-2009): Trends and correlates[J]. PSYCHIATRY AND CLINICAL NEUROSCIENCES,2015,69(8):489-496.
APA Xiang, Yu-Tao.,Ungvari, Gabor S..,Correll, Christoph U..,Chiu, Helen F. K..,Lai, Kelly Y. C..,...&Shinfuku, Naotaka.(2015).Use of electroconvulsive therapy for Asian patients with schizophrenia (2001-2009): Trends and correlates.PSYCHIATRY AND CLINICAL NEUROSCIENCES,69(8),489-496.
MLA Xiang, Yu-Tao,et al."Use of electroconvulsive therapy for Asian patients with schizophrenia (2001-2009): Trends and correlates".PSYCHIATRY AND CLINICAL NEUROSCIENCES 69.8(2015):489-496.
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