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Title: Australian and US responses to electroconvulsive therapy dosage selection.
Authors: Little, John
McFarlane, Joanne
Barton, David
Varma, Shashjit L.
Issue Date: 2002
Publisher: Wiley
Place of publication: London
Publication Title: Australian and New Zealand journal of Psychiatry
Volume: 36
Issue: 5
Start Page: 629
End Page: 632
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.
ISSN: 0004-8674
Internal ID Number: 00108
Type: Journal Article
Appears in Collections:Research Output

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