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. 2022 Jul:313:114612.
doi: 10.1016/j.psychres.2022.114612. Epub 2022 May 11.

Jumping through the hoops: Barriers and other ethical concerns regarding the use of psychiatric electroceutical interventions

Laura Y Cabrera  1 , Maryssa M C Gilbert  2 , Eric D Achtyes  3 , Aaron M McCright  4 , Robyn Bluhm  5
Affiliations

Jumping through the hoops: Barriers and other ethical concerns regarding the use of psychiatric electroceutical interventions

Laura Y Cabrera et al. Psychiatry Res. 2022 Jul.

Abstract

Stakeholders' perceptions of barriers to and other ethical concerns about using psychiatric electroceutical interventions (PEIs), interventions that use electrical or magnetic stimuli to treat psychiatric conditions like treatment-resistant depression (TRD), may influence the uptake of these interventions. This study examined such perceptions among psychiatrists, patients with depression, and members of the public. We conducted semi-structured qualitative interviews with 16 members of each group to examine their views on practical barriers and ethical concerns. We used qualitative content analysis to identify relevant themes, and compared findings across stakeholder groups. Access limitations to the interventions, including cost and availability of the interventions, cut across all PEIs-including those that are still experimental, and were raised by all groups. Most participants across all groups raised concerns about informed consent, in terms of receiving adequate, appropriate, and understandable information. Our results suggest that these three stakeholder groups perceive similar structural and attitudinal barriers to, and have similar ethical concerns about, using PEIs for TRD. These results identify key issues that must be addressed for the full potential of PEIs to be realized. Future research with larger samples will help to better understand how to address these barriers to treatment for individuals with TRD.

Keywords: Barriers; Depression; Ethical issues; Psychiatric electroceutical interventions.

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References

    1. ACGME, 2019. ACGME Program Requirements for Graduate Medical Education in Psychiatry 1–63.
    1. Ali R, DiFrancesco MF, Ho AL, Kampman KM, Caplan AL, Halpern CH, 2016. Attitudes Toward Treating Addiction with Deep Brain Stimulation. Brain Stimulation 9, 466–468. doi:10.1016/j.brs.2016.03.009 - DOI - PubMed
    1. American Psychiatric Association, 2010. Practice guideline for the treatment of patients with major depressive disorder. APA. - PubMed
    1. Andrade LH, Alonso J, Mneimneh Z, Wells JE, Al-Hamzawi A, Borges G, Bromet E, Bruffaerts R, de Girolamo G, de Graaf R, Florescu S, Gureje O, Hinkov HR, Hu C, Huang Y, Hwang I, Jin R, Karam EG, Kovess-Masfety V, Levinson D, Matschinger H, O’Neill S, Posada-Villa J, Sagar R, Sampson NA, Sasu C, Stein DJ, Takeshima T, Viana MC, Xavier M, Kessler RC, 2013. Barriers to mental health treatment: results from the WHO World Mental Health surveys. Psychol. Med. 44, 1303–1317. doi:10.1017/S0033291713001943 - DOI - PMC - PubMed
    1. APA. 2001. The Practice of Electroconvulsive Therapy: Recommendations for Treatment, Training, and Privileging: A Task Force Report of the American Psychiatric Association, 2nd ed.

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