Table of Contents Table of Contents
Previous Page  692 / 812 Next Page
Information
Show Menu
Previous Page 692 / 812 Next Page
Page Background

S688

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805

Methods

Retrospective cross-sectional descriptive Study. The

three patientswho received the continuation/maintenance electro-

convulsive therapy during the 10 months this unit has been opened

were chosen as a sample.

Results

From the opening of Psychiatric Day Hospital 10 months

ago, 58 patients have been admitted; among them, three patients

come to the hospital monthly to receive the electroconvulsive ther-

apy, maintaining their psychopathological stability over time.

Conclusions

With the creation of this new program we consid-

ered three types of objectives:

– therapeutic: a therapy applied in a more comfortable and satis-

factory for the patient and family regime. To prevent relapse and

exacerbations;

– management: benefits on the best use of existing resources:

– reduction in hospital admissions and readmissions,

– decrease in the average stay,

– reduction in visits to Emergency Services,

– allow referrals from outpatient department,

– individual monitoring of patients that complements the check

at their Mental Health Team;

– teaching, training and investigation.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2044

EV1060

The use of electroconvulsive therapy

(ECT) in the Czech Republic

L. Kalisova

, K. Madlova , J. Albrecht , J. Michalec

1st Medical Faculty and General Hospital, Charles University,

Psychiatric Department, Prague, Czech Republic

Corresponding author.

Aim

The aim of this study was to monitor the use of electro-

convulsive therapy (ECT) in the Czech Republic for the purpose of

harmonizing national practice.

Method

A 13-item questionnaire was sent to all Czech inpatient

psychiatric facilities. This questionnaire assessed technical back-

ground of ECT, indications for the treatment, procedure in detail,

way of documentation and monitoring of side effects.

Results

ECT is used 23 centers (10 psychiatric hospitals, 5 uni-

versity psychiatric departments and 8 psychiatric wards) across

the Czech Republic. There is no special legal act regulating the use

of ECT in the CR, but there are guidelines issued by the Czech Psychi-

atric Society available. All centers use instruments delivering brief

pulse stimuli. All patients have to be indicated for this treatment

and have to sign inform consent form/excluding situation when

patient’s life is endangered/. Somatic state is assessed/EKG, blood

tests, eye check-up regularly and other examinations in individ-

ual cases/. Thiopenthal and succinylcholine are used most often

for anesthesia and myorelaxation. Bitemporal electrode place-

ment is the preferred option in all centers. The ECT is provided

2–4 times a week in special ECT rooms in the presence of staff

team/psychiatrist, anesthetist, psychiatric and anesthesiological

nurses/. Continuation ECT and outpatient ECT is not used. The pro-

cedure including side effects is documented in individual patient’s

documentation, but summarizing documentation is conducted

only in some centers.

Conclusion

ECT is widely used in the Czech Republic. Procedures

in all centers follow national guidelines. There is need to improve

documentation system to harmonize national practice.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2045

EV1061

Public stigma of electroconvulsive

therapy (ECT) in the Czech Republic

K. Mádlová

, L. Kaliˇsová , M. Zajícová

General Hospital Prague, Psychiatric Department of the 1, Medical

Faculty of Charles University and General Hospital Prague, Praha,

Czech Republic

Corresponding author.

Aims

To find out how the use of ECT in psychiatry is perceived by

the public in the Czech Republic.

Method

The questionnaire (8 questions monitoring awareness,

knowledge of ECT and its use in modern psychiatry) created for

the purpose of this study was shared through internet and also

distributed in paper version to public.

Results

The sample consists of 365 respondents – age average

28.9 years, 62% of females, 53% of university graduates, 44% with

secondary education, 3% other education, 27% of healthcare pro-

fessionals outside the field of psychiatry, 20% of medical students

before the start of the traineeship at psychiatry, 53% of the public.

Among the respondents, 98% have heard about ECT, 7% of them

think that ECT is no longer used. Among the respondents, 62%

learned about ECT from the media (film, print). Among the respon-

dents, 22% do not believe in the effectiveness of ECT, 30% think that

ECT is abused by psychiatrists, 86% believe that ECT has side effects

(personality changes, permanent memory disorders, brain damage,

epilepsy). Among the respondents, 77% would agree with ECT, if it

should be applied to their relative.

Discussion

ECT is an effectivemethod in treating of severemental

disorders. But until now the public view is influenced bymedia. Due

to the negative stereotype of the method many people are afraid of

this treatment. The interesting fact is that also health professionals

and medical students are influenced by public stigma of ECT.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2046

EV1062

First experience of electroconvulsive

therapy in Belarus

T. Dokukina

, A. Pinchuk , M. Makhrov , P. Korolevich , N. Misuk ,

S. Marchuk

Republican Scientific and Practical Center for Mental Health,

Department of mental and behavioral disorders, Minsk, Belarus

Corresponding author.

Electroconvulsive therapy (ECT) – a method of psychiatric and neu-

rological treatment in which a large epileptiform seizure caused

by passing an electric current through the brain of the patient

in order to achieve a therapeutic effect. Clinical research of effi-

ciency of application ECT with anesthesia, muscle relaxation and

hardware analysis of EEG in patients with resistant forms of men-

tal and behavioral disorders was held in the Republic of Belarus.

The duration of the course of ECT, the frequency of sessions, as

well as the method of applying electrodes for stimulation were

determined by the doctor conducting the sessions of ECT. Ses-

sions were conducted with general anesthesia with the use of

muscle relaxants. Analysis of EEG data (Average Seizure Energy

Index [ASEI]; Postictal Suppression Index [PSI]; COH–Maximum

Sustained Coherence), on the basis of which the dose of stimulation

was corrected, was conducted to assess the duration and quality of

convulsive seizure during ECT. Significant clinical improvement in

patients who underwent ECT sessions was achieved as a result of

the study. Application of the method allowed to achieve persistent

clinical remission in a short time. The clinical study showed that the