Exploring the Experience of Electro-Convulsive Therapy (ECT) Among Service Users at Amanuel Mental Specialized Hospital

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Date

2025-02-01

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Addis Ababa University

Abstract

Background፡- Electroconvulsive therapy is a treatment option for serious mental illness. However, little is known about service users’ experiences with regarding ECT in Ethiopia. Objectives፡- To explore the experience of people who get ECT treatment and their recommendations for future improvement. Methods፡- The study used a qualitative phenomenological descriptive approach to explore the experience of service users receiving ECT at Amanuel Mental Specialized Hospital in Addis Ababa. The study included nine participants who had received ECT within the past year, selected through purposive sampling to ensure diverse experiences. Data were collected through semi structured in-depth interviews, conducted in Amharic, and analyzed thematically using Open Code version 10. Ethical approval was obtained and confidentiality was maintained. The discussions held with the supervisor ensured the data quality. Results; In the thematic analysis our theme were developed; (1) Knowledge about ECT and consent process, where many participants lacked prior knowledge ECT, had limited involvement in decision-making, and received minimal information from healthcare providers. (2) Journey through ECT treatment; participants shared their experiences from preparation to post-ECT care. They appreciated the organized preparation and post-ECT care though some faced anxiety, long wait times and challenges related to the procedure. (3) Perspective on ECT, where most found ECT beneficial, noting improvements in mental health, sleep, and social engagement. Some experienced side effects like forgetfulness or temporary physical discomfort but found them manageable. (4) Recommendations for ECT, Suggestions included providing more pre-treatment information, increasing ECT room to minimize waiting times, and ensuring gender-specific ECT rooms. Conclusions; This study examined the experience of individuals undergoing ECT, focusing on informed consent, experience of each step of the procedure, perceptions and attitudes. It found that many participants lacked prior knowledge of ECT, but found it beneficial treatment. Family and healthcare support played key roles in treatment acceptance. Participants suggested improving ECT services

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Keywords

Electro-Convulsive Therapy, ECT, Mental Illness, Amanuel Mental Specialized Hospital

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