{"title":"The sham ECT literature: implications for consent to ECT.","authors":"Colin A Ross","doi":"10.1891/ehpp.8.1.17","DOIUrl":null,"url":null,"abstract":"<p><p>The author reviewed the placebo-controlled literature on electroconvulsive therapy (ECT) for depression. No study demonstrated a significant difference between real and placebo (sham) ECT at 1 month posttreatment. Many studies failed to find a difference between real and sham ECT even during the period of treatment. Claims in textbooks and review articles that ECT is effective are not consistent with the published data. A large, properly designed study of real versus sham ECT should be undertaken. In the absence of such a study, consent forms for ECT should include statements that there is no controlled evidence demonstrating any benefit from ECT at 1 month posttreatment. Consent forms should also state that real ECT is only marginally more effective than placebo.</p>","PeriodicalId":39734,"journal":{"name":"Ethical Human Psychology and Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1891/ehpp.8.1.17","citationCount":"39","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ethical Human Psychology and Psychiatry","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1891/ehpp.8.1.17","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Psychology","Score":null,"Total":0}
引用次数: 39
Abstract
The author reviewed the placebo-controlled literature on electroconvulsive therapy (ECT) for depression. No study demonstrated a significant difference between real and placebo (sham) ECT at 1 month posttreatment. Many studies failed to find a difference between real and sham ECT even during the period of treatment. Claims in textbooks and review articles that ECT is effective are not consistent with the published data. A large, properly designed study of real versus sham ECT should be undertaken. In the absence of such a study, consent forms for ECT should include statements that there is no controlled evidence demonstrating any benefit from ECT at 1 month posttreatment. Consent forms should also state that real ECT is only marginally more effective than placebo.
期刊介绍：
Visit Ethical Human Psychology and Psychiatry Online on IngentaConnect to view tables of contents or to subscribe. Ethical Human Psychology and Psychiatry (EHPP) is a peer-reviewed journal that publishes original research reports, reviews, essays, book reviews, commentaries, and case reports examining all the ramifications of the idea that emotional distress is due to an underlying organic disease that is best treated with pharmacological therapy. This oversimplified view of human nature permeates virtually every area of our society including medicine, business, law, education, politics, and the media. Thus, we welcome submissions from a broad range of specialties. EHPP is the official publication of the International Center for the Study of Psychiatry and Psychology (ICSPP).
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