Use of electroconvulsive therapy in older Chinese psychiatric patients

X.Q. Zhang, Z.M. Wang, Y.L. Pan, H.F.K. Chiu, C.H. Ng, Gabor Ungvari, K.Y.C. Lai, X.L. Cao, Y. Li, B.L. Zhong, Y.T. Xiang

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    Abstract

    Copyright © 2014 John Wiley & Sons, Ltd. Copyright © 2014 John Wiley & Sons, Ltd. Objective Little is known about the use of electroconvulsive therapy (ECT) in older Chinese psychiatric patients. This study examined the frequency of ECT and the demographic and clinical correlates in older psychiatric patients hospitalized in a large psychiatric institution in Beijing, China. Methods This was a retrospective chart review of 2339 inpatients aged 60 years and older treated over a period of 8 years (2007-2013) in a university-affiliated psychiatric institution in Beijing. Sociodemographic and clinical data were collected from the electronic chart management system for discharged patients. Results The rate of ECT use was 28.1% in the whole sample; 37.9% in those with bipolar disorders, 43.6% in major depression, 21.2% in schizophrenia, and 10.7% in other diagnoses. ECT ("ECT group") was associated with 60-65-year age group, high risk for suicide and low risk for falls at the time of admission, use of mood stabilizers and antidepressants, lack of health insurance, and having major medical conditions and diagnosis of major depression. The above significant correlates explained 24.9% of the variance of ECT use (p <0.001). Conclusions In a major psychiatric hospital in China, the use of ECT was common among older patients. ECT use in older patients treated in other clinical settings warrants further investigations.
    Original languageEnglish
    Pages (from-to)851-856
    JournalInternational Journal of Geriatric Psychiatry
    Volume30
    Issue number8
    DOIs
    Publication statusPublished - 2015

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    Electroconvulsive Therapy
    Psychiatry
    Nuclear Family
    China
    Depression
    Psychiatric Hospitals
    Health Insurance
    Bipolar Disorder
    Suicide
    Antidepressive Agents
    Inpatients
    Schizophrenia
    Age Groups
    Demography

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    Zhang, X. Q., Wang, Z. M., Pan, Y. L., Chiu, H. F. K., Ng, C. H., Ungvari, G., ... Xiang, Y. T. (2015). Use of electroconvulsive therapy in older Chinese psychiatric patients. International Journal of Geriatric Psychiatry, 30(8), 851-856. https://doi.org/10.1002/gps.4227
    Zhang, X.Q. ; Wang, Z.M. ; Pan, Y.L. ; Chiu, H.F.K. ; Ng, C.H. ; Ungvari, Gabor ; Lai, K.Y.C. ; Cao, X.L. ; Li, Y. ; Zhong, B.L. ; Xiang, Y.T. / Use of electroconvulsive therapy in older Chinese psychiatric patients. In: International Journal of Geriatric Psychiatry. 2015 ; Vol. 30, No. 8. pp. 851-856.
    @article{75e6617bb20947e88036b25927a0596c,
    title = "Use of electroconvulsive therapy in older Chinese psychiatric patients",
    abstract = "Copyright {\circledC} 2014 John Wiley & Sons, Ltd. Copyright {\circledC} 2014 John Wiley & Sons, Ltd. Objective Little is known about the use of electroconvulsive therapy (ECT) in older Chinese psychiatric patients. This study examined the frequency of ECT and the demographic and clinical correlates in older psychiatric patients hospitalized in a large psychiatric institution in Beijing, China. Methods This was a retrospective chart review of 2339 inpatients aged 60 years and older treated over a period of 8 years (2007-2013) in a university-affiliated psychiatric institution in Beijing. Sociodemographic and clinical data were collected from the electronic chart management system for discharged patients. Results The rate of ECT use was 28.1{\%} in the whole sample; 37.9{\%} in those with bipolar disorders, 43.6{\%} in major depression, 21.2{\%} in schizophrenia, and 10.7{\%} in other diagnoses. ECT ({"}ECT group{"}) was associated with 60-65-year age group, high risk for suicide and low risk for falls at the time of admission, use of mood stabilizers and antidepressants, lack of health insurance, and having major medical conditions and diagnosis of major depression. The above significant correlates explained 24.9{\%} of the variance of ECT use (p <0.001). Conclusions In a major psychiatric hospital in China, the use of ECT was common among older patients. ECT use in older patients treated in other clinical settings warrants further investigations.",
    author = "X.Q. Zhang and Z.M. Wang and Y.L. Pan and H.F.K. Chiu and C.H. Ng and Gabor Ungvari and K.Y.C. Lai and X.L. Cao and Y. Li and B.L. Zhong and Y.T. Xiang",
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    Zhang, XQ, Wang, ZM, Pan, YL, Chiu, HFK, Ng, CH, Ungvari, G, Lai, KYC, Cao, XL, Li, Y, Zhong, BL & Xiang, YT 2015, 'Use of electroconvulsive therapy in older Chinese psychiatric patients' International Journal of Geriatric Psychiatry, vol. 30, no. 8, pp. 851-856. https://doi.org/10.1002/gps.4227

    Use of electroconvulsive therapy in older Chinese psychiatric patients. / Zhang, X.Q.; Wang, Z.M.; Pan, Y.L.; Chiu, H.F.K.; Ng, C.H.; Ungvari, Gabor; Lai, K.Y.C.; Cao, X.L.; Li, Y.; Zhong, B.L.; Xiang, Y.T.

    In: International Journal of Geriatric Psychiatry, Vol. 30, No. 8, 2015, p. 851-856.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Use of electroconvulsive therapy in older Chinese psychiatric patients

    AU - Zhang, X.Q.

    AU - Wang, Z.M.

    AU - Pan, Y.L.

    AU - Chiu, H.F.K.

    AU - Ng, C.H.

    AU - Ungvari, Gabor

    AU - Lai, K.Y.C.

    AU - Cao, X.L.

    AU - Li, Y.

    AU - Zhong, B.L.

    AU - Xiang, Y.T.

    PY - 2015

    Y1 - 2015

    N2 - Copyright © 2014 John Wiley & Sons, Ltd. Copyright © 2014 John Wiley & Sons, Ltd. Objective Little is known about the use of electroconvulsive therapy (ECT) in older Chinese psychiatric patients. This study examined the frequency of ECT and the demographic and clinical correlates in older psychiatric patients hospitalized in a large psychiatric institution in Beijing, China. Methods This was a retrospective chart review of 2339 inpatients aged 60 years and older treated over a period of 8 years (2007-2013) in a university-affiliated psychiatric institution in Beijing. Sociodemographic and clinical data were collected from the electronic chart management system for discharged patients. Results The rate of ECT use was 28.1% in the whole sample; 37.9% in those with bipolar disorders, 43.6% in major depression, 21.2% in schizophrenia, and 10.7% in other diagnoses. ECT ("ECT group") was associated with 60-65-year age group, high risk for suicide and low risk for falls at the time of admission, use of mood stabilizers and antidepressants, lack of health insurance, and having major medical conditions and diagnosis of major depression. The above significant correlates explained 24.9% of the variance of ECT use (p <0.001). Conclusions In a major psychiatric hospital in China, the use of ECT was common among older patients. ECT use in older patients treated in other clinical settings warrants further investigations.

    AB - Copyright © 2014 John Wiley & Sons, Ltd. Copyright © 2014 John Wiley & Sons, Ltd. Objective Little is known about the use of electroconvulsive therapy (ECT) in older Chinese psychiatric patients. This study examined the frequency of ECT and the demographic and clinical correlates in older psychiatric patients hospitalized in a large psychiatric institution in Beijing, China. Methods This was a retrospective chart review of 2339 inpatients aged 60 years and older treated over a period of 8 years (2007-2013) in a university-affiliated psychiatric institution in Beijing. Sociodemographic and clinical data were collected from the electronic chart management system for discharged patients. Results The rate of ECT use was 28.1% in the whole sample; 37.9% in those with bipolar disorders, 43.6% in major depression, 21.2% in schizophrenia, and 10.7% in other diagnoses. ECT ("ECT group") was associated with 60-65-year age group, high risk for suicide and low risk for falls at the time of admission, use of mood stabilizers and antidepressants, lack of health insurance, and having major medical conditions and diagnosis of major depression. The above significant correlates explained 24.9% of the variance of ECT use (p <0.001). Conclusions In a major psychiatric hospital in China, the use of ECT was common among older patients. ECT use in older patients treated in other clinical settings warrants further investigations.

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    DO - 10.1002/gps.4227

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