Evaluation the level of knowledge and attitude of the Medical personnel and Patient Companions Referred to Ibn Sina Hospital in the Use of ECT to Treatment Patients with Major Depression in Bandar Abbas

Document Type : Original Article


1 Bandar Abbas School of Medical Sciences, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

2 Department of Emergency Medicine, Bandar Abbas School of Medical Sciences, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.


< p >Introduction: The attitude and knowledge of the personnel and the companions are effective in using electroconvulsive to treatment patients with severe depression and it can have positive and negative effects on the treatment of these patients.

Aim: the aim was to evaluation and assessment the knowledge and attitude of companions and personnel in the use of electroconvulsive in the treatment of patients with major depression in Bandar Abbas.

Method: The present study was an evaluation study in which the study population was selected from the personnel and companions referred to Ibn Sina Center . 187 people from the companions and 56 people from the personnel of this center were selected as available samples and they completed a standard questionnaire with high reliability in relation to attitude and knowledge in the field. Data were analyzed using SPSS statistical software and independent t-test, one-way analysis of variance and correlation of chi-square test.

Results: The level of knowledge of the companions and personnel was not significantly different from each other, and more than half of the companions and more than 60% of the personnel were moderately aware of electroshock therapy. More than 70% of companions and more than 95% of personnel had a positive attitude towards electroconvulsive and the attitude of the personnel was significantly better than that of the companions.

Conclusion: Because of the importance of knowledge and attitude of personnel and companions in improving the process of electroconvulsive treatment, continuous education and notification are essential to raising people''s knowledge and attitude.


1-Anderson EL, Reti IM. (2009). “ECT in pregnancy: a review of the literature from 1941 to 2007”, Psychosom Med; 71(2): 235-242.
2-Apéria B. (1986). “Hormone pattern and post-treatment attitudes in patients with major depressive disorder given electroconvulsive therapy”, Acta Psychiatr Scand; 73:271– 4.
3-Atkinson RL, Atkinson RC, Hilgard ER. (1996). [Introduction to psychology]. Baraheni MN. (Translator). 7th ed. Tehran: Noor-e-Hekmat. 287. (In Persian)
4-Brender R, Dar N, Dannon P. (2018) Electroconvulsive Therapy: Relating Attitude Towards Treatment and Knowledge Among Mental Health Professionals in a Mental Health Center. Isr J Psychiatry Relat Sci, 55(2):40-45.
5-Baune BT, Miller R, McAfoose J, Johnson M, Quirk F, Mitchell D. (2010). “The role of cognitive impairment in general functioning in major depression”, Psychiatry Res; 176(2-3): 183-189.
6-Bhatia SK, Bhatia SC. (2007). “Childhood and adolescent depression”, American Family Physician. 75(1): 73-80.
7-Chakrabarti, S, Grover, S, & Rajagopal, R. (2010). “Electroconvulsive therapy: A review of knowledge, experience & attitudes of patients concerning the treatment”. The world journal of biological Psychiatry: the official journal of the World Federation of Societies of Biological Psychiatry. 11. 525-37.
8-Carson VB. (2000), “Mental Health Nursing: The NursePatient Journey”, 2nd Edition, Philadelphia; London: W.B. Saunders. 1182.
9-Fava M, Rush AJ, Trivedi MH, Niergenberg AA, Thase ME, Sackeim HA, et al. (2003).  “Background and rationale for the sequenced treatment alternatives to relieve depression (STAR*D) study”, Psychiatr Clin North Am; 26(2): 457-494.
10-Fink M. (2001). “ECT has much to offer our patients: It should not be ignored”, World J Biol Psychiatry; 2:1–8.
11-Fortinash K, & Holoday Worret P. (2011). “Psychiatric Mental Health Nursing”, Psychiatric Mental Health Nursing - Elsevier eBook on Vital Source, 5th ed. St Louise: Mosby. 752.
12-Gruber S, Rathgeber K, Braunig P, Gauggel S. (2007). “Stability and course of neuropsychological deficits in manic and depressed bipolar patients compared to patients with major depression”, J Affect Disord; 104(1-3): 61-71.
13-Gelenberg AJ, Hopkins HS. (2007). “Assessing and treating depression in primary care medicine”, Am J Med; 120(2): 105-108.
14-Gelder M, Andreasen N, Lopez-Ibor J. (2012). “New oxford textbook of psychiatry”. Publisher: Oxford University. 2nd ed. Oxford University Press. 2021.
15-Mehrabian S, Mohammad Alizadeh S, Bahrampour MR. (2017)."Awareness and Attitude of Nursing Staff Working in Shahid Beheshti Hospital in the Field ECT”, Kerman Journal of Medical Sciences, 32-41. (In Persian)
16-Meduna L. (1985). “Autobiography, Convulsive Therapy”, 1, 43-57, 121-38.
17-Najafi M, Tavakoli S, Ganji F, Rostami A. (2011). “Basics of anesthesia”, Iranian Journal of Medical Education, 10(5), 1216-1227. (In Persian)
18-Pathare S. (2003). Beyond ECT: “Priorities in mental health care in India”, Issues Med Ethics”; 11:11–2.
19-Parikh SV, Segal ZV, Grigoriadis S, Ravindran AV, Kennedy SH, Lam RW et al. (2009). “Canadian Network for Mood and Anxiety Treatments (CANMAT) clinical guidelines for the management of major depressive disorder in adults”, II. Psychotherapy alone or in combination with antidepressant medication. J Affect Disord. 117(Suppl 1). 15-25.
20-Rafoul B, Mashiach-Eizenberg M, Hasson-Ohayon I, & Roe D. (2020). “Knowledge about, attitudes toward, and willingness to undergo electroconvulsive therapy among mental health patients, staff, and family members”. International Journal of Mental Health. 1. 1-14.
21-Rafiei H, Sobhanian Kh. (translators). (2004). “Synopsis of psychiatry: behavioral sciences”. Kaplan H, Sadock BJ (Authors). Tehran: Arjmand. 1, 9-28. (In Persian)
22-Rush AJ, Wisniewski SR, Warden D, Luther JF, Davis LL, Fava M et al. (2008). “Selecting among second-step antidepressant medication monotherapies: predictive value of clinical, demographic, or first-step treatment features” Arch Gen Psychiatry; 65(8): 870-880.
23-Sarkhel S. (2009). Kaplan and Sadock''s Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry, 10th edition. Indian J Psychiatry. 51(4). 331.
24-Szuba MP, Baxter JL, Liston EH, Roy-Byrne P. (1991). Patient and family perspectives of electroconvulsive therapy: correlation with outcome. Convuls Ther. 7(3):175–83.
25-Taieb O. et al, (2001). “Electroconvulsive therapy in adolescents with mood disoder: patient’s and parent’s attitude”, Psychiatry research, 104(4). 183-190.
26-Weiner RD. (2001). “Practice of Electroconvulsive Therapy: Recommendations for Treatment, Training, & Privileging” American Psychiatric Association. 2nd ed. Washington DC: Amer Psychiatric Pub. 368.
27-Walter G, Koster K, & Rey JM. (1999). “Views about treatment among parents of adolescents who received electroconvulsive therapy”, Psychiatric services, 50, 701-702.