Objective: We sought to determine the degree of satisfaction with bifrontal and right unilateral electroconvulsive therapy (ECT) and to investigate the relation with treatment-related variables, such as memory complaints, and patient-related variables, such as self-rated depression severity and negative affectivity.
Methods: Subjects included all patients who started a course of ECT between May 2001 and December 2003, or still were receiving continuation or maintenance ECT (C/M-ECT) at the time of the study. A psychiatric nurse that was not a member of the treatment team conducted semi-structured interviews based on a battery of questionnaires (Patient Satisfaction Survey [PSS], Mini-Mental State Examination [MMSE], Squire Subjective Memory Questionnaire [SSMQ], Beck Depression Inventory [BDI], and Positive and Negative Affect Schedule [PANAS]).
Results: Of 50 eligible subjects, 36 (72%) completed the survey. Fourteen patients refused to participate. At the time of the interview, 19 patients (52.8%) were hospitalized, and 14 (38.9%) were receiving C/M-ECT. The mean time between last treatment session and interview was 282 days. Diagnostic categories were depressive disorder (50%) and psychotic disorder (47.2%). Bifrontal electrode position was used in 25 (69.4%) of the study patients and unilateral in 4 (11.1%). Patients had a considerable degree of satisfaction (mean PSS 153.41; SD 16.29), although they had prominent cognitive complaints (mean score SSMQ -11.86; SD 21.30). In a multiple regression model, in which satisfaction was predicted on the basis of age, sex, and scores on BDI, SSMQ, PANAS, and GAF, only the GAF-score at the time of the interview was significantly related to satisfaction. All other predictors were not significant.
Conclusion: Patients receiving bifrontal or right unilateral ECT do have considerable memory complaints, even a long time after their treatment. However, the degree of these complaints does not seem to predict satisfaction with the treatment. Only 38% of the variance of satisfaction could be predicted on the basis of age, sex, BDI, SSMQ, Negative Affectivity subscale of the PANAS, and GAF-scores, which proves that satisfaction with ECT is based on other factors than just the relief of symptoms or the occurrence of side-effects. The factors that contribute to patients' satisfaction remain largely unknown.
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http://dx.doi.org/10.1097/01.yct.0000183268.62735.c0 | DOI Listing |
J Hand Ther
March 2025
Schulich School of Medicine and Dentistry, Western University, London, Canada; Department of Surgery, London Health Sciences Centre, London, Canada. Electronic address:
Background: The COVID-19 pandemic prompted a shift in healthcare delivery, necessitating the rapid adoption of technology, including telerehabilitation. This study focused on understanding the current perspectives and experiences of hand therapists in Canada and the United States regarding implementation of telerehabilitation in hand therapy, traditionally reliant on in-person interactions.
Purpose: The study aimed to assess the utilization, perceptions, and barriers of telerehabilitation among hand therapists, providing insights into challenges and opportunities for incorporation into practices.
J Pediatr Urol
February 2025
Department of Pediatric Surgery, Sri Ramachandra Institute of Higher Education and Research, Porur, 600 116, Chennai, India. Electronic address:
Introduction: Hypospadias repair can be complicated, especially with poorly developed glans. This study evaluates the outcomes of the Two-Flip Mathieu (TFM) procedure, which aims to reinforce the glans and reduce dehiscence in patients with small glans, comparing it to conventional Mathieu's repair.
Methods: This retrospective study analyzed case records of patients with distal hypospadias and minimal ventral curvature.
Soc Sci Res
March 2025
University of Hamburg, Germany.
Little is known about the socio-emotional consequences of dropping out of college. Here, we investigate the effects of college non-completion on a range of markers for general psychological well-being (self-esteem, life satisfaction, and fear of failure) as well as health-related well-being (self-rated general health and clinical depressive symptoms). Based on rich panel data from Germany in combination with entropy balancing, we find that by around age 31, non-completers fared worse compared to college graduates as well as non-college goers, i.
View Article and Find Full Text PDFSoc Sci Res
March 2025
Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Nuremberg, Germany. Electronic address:
Numerous studies illustrate that a lack of reciprocity between effort and reward in the employer-employee relationship produces negative effects on employees' health and well-being. This might motivate employees to change jobs as a consequence. Based on German panel data with 16,243 observations from 4,641 employees, I analyze the effect of effort-reward imbalance (ERI) on turnover intentions and actual job changes and whether health-threatening ERI exposure affects the realization of job changes.
View Article and Find Full Text PDFAppl Nurs Res
April 2025
Department of Neurosurgery, Tangdu Hospital, The Fourth Military Medical University, Xi'an, Shaanxi, China. Electronic address:
Background: ICU nurses frequently confront lengthy working hours, elevated job intensity, heavy medical responsibilities, round-the-clock shifts, and a comparatively closed working environment. The high-risk, high-intensity, high-stress nature of the profession may prompt nurses to consider resignation, culminating in a significant shortage of nursing staff, adversely affecting the health and well-being of nurses. Necessitating a comprehensive investigation into the factors influencing their subjective well-being and the interrelations among these factors, thereby establishing a theoretical foundation for a more focused intervention program aimed at enhancing the subjective well-being of nurses.
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