Change in the Use of Electroconvulsive Therapy Between 2012 and 2022 in Northern Finland.

IF 2.4 4区医学 Q3 BEHAVIORAL SCIENCES

Journal of Ect Pub Date : 2026-09-01 Epub Date: 2026-06-03 DOI:10.1097/YCT.0000000000001275

Matias Leppäaho, Saana Karttunen, Marianne Haapea, Anna-Sofia Myllynen, Helinä Hakko, Erika Jääskeläinen

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引用次数: 0

Abstract

Objectives: The demand for Electroconvulsive Therapy (ECT) has been increasing. The aim of this study was to analyze changes in the rate of ECT use at Oulu University Hospital in Northern Finland from 2012 to 2022 and to explore factors associated with these changes.

Methods: The data include all patients who received ECT between April 2012 and the end of 2022 at the neuromodulation unit in the department of psychiatry at Oulu University Hospital. The unit's catchment area covers a population of 484,400 people. The study focuses on the annual number of ECT and maintenance ECT (M-ECT) sessions, the ECT use rate per 100,000 people, and the number of individual patients and their characteristics, with a focus on yearly changes.

Results: The number of ECT sessions has increased significantly during the follow-up period. There were 1373 ECT sessions in the first full year of 2013 and 3000 sessions in 2022. The growth was particularly notable in M-ECT. ECT was performed on 96 unique patients in 2013 and 189 in 2022. The ECT use rate in 2022 was 45.7 per 100,000 population. 54.6% of the patients were female. The most common diagnosis was major nonpsychotic depression (45.9%).

Conclusions: The results show a steady increase in the demand for ECT. The use rate in Northern Finland is higher than in the previous Finnish study and among the highest in Europe. Improved strategies to prevent post-ECT relapses and alternative treatment methods for treatment-resistant depression (TRD) are needed.

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2012年至2022年芬兰北部电痉挛疗法使用的变化

目的：对电休克治疗（ECT）的需求日益增加。本研究的目的是分析2012年至2022年芬兰北部奥卢大学医院电痉挛疗法使用率的变化，并探讨与这些变化相关的因素。方法：数据包括2012年4月至2022年底在奥卢大学医院精神科神经调节科接受电痉挛治疗的所有患者。该单位的集水区覆盖484,400人口。该研究的重点是每年ECT和维持ECT （M-ECT）疗程的数量，每10万人的ECT使用率，个体患者的数量及其特征，重点是每年的变化。结果：随访期间电痉挛治疗次数明显增加。2013年全年有1373次ECT治疗，2022年有3000次。这种增长在M-ECT中尤为显著。2013年和2022年分别有96例和189例患者接受了电痉挛治疗。2022年，电痉挛疗法的使用率为每10万人45.7人。女性占54.6%。最常见的诊断是重度非精神病性抑郁症（45.9%）。结论：结果显示对电痉挛治疗的需求稳步增长。芬兰北部的使用率高于之前芬兰的研究，是欧洲使用率最高的地区之一。需要改进预防ect后复发的策略和治疗难治性抑郁症（TRD）的替代治疗方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Ect 医学-行为科学

CiteScore

3.70

自引率

20.00%

发文量

154

审稿时长

6-12 weeks

期刊介绍： The Journal of ECT covers all aspects of contemporary electroconvulsive therapy, reporting on major clinical and research developments worldwide. Leading clinicians and researchers examine the effects of induced seizures on behavior and on organ systems; review important research results on the mode of induction, occurrence, and propagation of seizures; and explore the difficult sociological, ethical, and legal issues concerning the use of ECT.