The Family Caregiving Experience of Outpatient ECT

Author:

Sethi Stephanie1,Williams Reg Arthur2

Affiliation:

1. University of Michigan in Ann Arbor, Michigan

2. School of Nursing, University of Michigan in Ann Arbor, Michigan

Abstract

BACKGROUND: Given its safety and efficacy, electroconvulsive therapy (ECT) is increasingly being provided on an outpatient basis. However, there is limited understanding about the educational needs of the family in providing care to one of its members who is receiving outpatient ECT. OBJECTIVE: The purpose of this study was to identify the needs of family members who were providing care to clients receiving outpatient ECT. STUDY DESIGN: Interviews were conducted with eight family members. Themes were identified using Giorgi’s method of data analysis. RESULTS: Five themes were identified: (1) Family members experienced fear and despair as a result of the ineffectiveness of medications. (2) ECT provided hope, and there were no negative attitudes toward ECT. (3) Stress and coping were factors and had two components: (a) Depressive symptoms created distress and interfered with family coping mechanisms, and (b) caregiving tasks associated with outpatient ECT were not stressful as long as the patient improved. (4) Distressed relationships improved after ECT. (5) Families wanted more emotional support and information. CONCLUSION: Results of this study suggest that it is the caregiving associated with severe depressive symptoms, rather than with the ECT, that creates family distress. The need for more information and emotional support is an important finding that can direct the development of nursing interventions.

Publisher

SAGE Publications

Subject

Pshychiatric Mental Health

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