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|Title:||Australian and US responses to electroconvulsive therapy dosage selection.|
Varma, Shashjit L.
|Place of publication:||London|
|Journal title:||Australian and New Zealand journal of Psychiatry|
|Abstract:||OBJECTIVE: The practice of electroconvulsive therapy (ECT) varies considerably across sites with a lack of certainty as to what constitutes seizure adequacy. The aim of this study was to trial a method to explore decision making and to describe any differences between Australian and US practitioners. METHOD: Two hundred and thirty-six consultant psychiatrists from Australia and US were asked what dosage of electrical energy they would prescribe after reading a standardized clinical vignette in which an unremarked upon change in seizure tracings followed the first two treatments. RESULTS: Considerable variability in the dosage was found with 17.3% decreasing, 46.8% maintaining and 30% increasing charge. Involvement in administration of ECT was unrelated to this decision. CONCLUSION: Standardized vignettes may be a useful method to assess clinicians' responses in dosage selection.|
|Internal ID Number:||00108|
|Health Subject:||ADULT COMPARISONS|
|Appears in Collections:||Research Output|
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