Inpatient Use of Electroconvulsive Therapy in the Middle East, North Africa, and Turkey (MENAT) Region: A Systematic Review and Meta-Analysis of Recent Practice

Author:

Alhassan Mohammed A.1,Alarabi Mohammed A.2,Albalawi Waled M.3,AlRabiah Ebraheem S.4

Affiliation:

1. Majmaah University

2. King Saud University

3. King Salman Armed Forces Hospital

4. Edrak medical center

Abstract

Abstract

Background Electroconvulsive therapy (ECT) is among the oldest treatments in psychiatry, is used variably worldwide due to different factors. Aims The study aimed to estimate inpatient ECT indication and utilization in the MENAT region. Method A systematic review and meta-analysis of relevant articles published from 2013 to 2024 was conducted. Results Six studies were included, showing an average inpatient prevalence of ECT at 14.48 per 100 inpatients. The studies were characterized by high heterogeneity (I2 = 100%). ECT was most commonly administered to male inpatients averaging 35.14 years old, with schizophrenia (29.7%) and bipolar disorder (29.28%) being the most common diagnoses. The average number of ECT sessions was 9.36. Overall, the studies reported the use of bilateral modified ECT. Conclusions ECT utilization rates vary globally and within the MENAT region. More efforts are needed to standardize and expand the delivery of modified ECT in the region.

Publisher

Springer Science and Business Media LLC

Reference54 articles.

1. Knowledge of and attitudes towards electroconvulsive therapy (ECT) among psychiatrists and family physicians in Saudi Arabia;AlHadi AN;Ann Gen Psychiatry,2017

2. The use of ECT in the treatment of psychiatric disorders in a teaching hospital in Saudi Arabia;Alhamad A;Bahrain Med Bull,1999

3. ECT practices in Iraq: a national audit;Alhemiary N;BJPsych Bull,2015

4. Electroconvulsive therapy in Oman: a national audit of demographics and standards;Al-Mahrouqi T;Middle East Curr Psychiatry,2023

5. The Practice of Electroconvulsive Therapy in Asia: Variations and Deviations From the Guidelines-A Response to Dr Grunhaus;Andrade C;J ect,2010

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