People who have involuntary electroconvulsive therapy (ECT) for depression have similar outcomes to those who have voluntary treatment, according to a ground-breaking new study conducted by researchers from Trinity College Dublin’s Department of Psychiatry.
The findings, which have just been published in the July issue of the journal Brain Stimulation, are based on the largest study of its kind internationally and one of very few studies to report on people requiring involuntary treatment, who are rarely able to take part in clinical research. The results provide reassurance for people who have had involuntary ECT, their families and healthcare providers, according to Professor of Psychiatry Declan McLoughlin from Trinity’s Department of Psychiatry and Trinity Institute of Neuroscience.
The study found that people who have involuntary ECT were more severely unwell before treatment than those having voluntary ECT and were more likely to have psychotic symptoms such as hallucinations and delusions, and have more physical deterioration as a result of severe self-neglect. However, in both groups, outcomes at the end of ECT were similar, with the large majority of people rated “very much improved” or “much improved.”