History of the implementation of electroconvulsive therapy at the General Public Hospital of Palmas
DOI:
https://doi.org/10.33448/rsd-v12i6.42206Keywords:
Electroconvulsive therapy; Mental disorders; History; Stigma; Brazil.Abstract
Electroconvulsive therapy (ECT), as an effective, safe, internationally recognized and accepted therapeutic method, must be performed under appropriate conditions. This article will present a descriptive and historical report on the implementation of the electroconvulsive therapy procedure in the State of Tocantins, including its difficulties and successes. For this, a qualitative and descriptive research was carried out. Resistance was observed in health teams and managers due to stigma and lack of knowledge. However, guidance and good results made it possible to overcome barriers and make the procedure accepted and demanded. For the future, it is expected to expand neuromodulation activities, either through more indications and a greater number of technical applications.
References
Amaechi, I. A., Nwani, P. O., & Akadieze, A. O. (2023). Stigmatizing attitude towards mental illness, disabilities, emotional and behavioural disorders, among healthcare students in a Tropical University College of Health Sciences. J Educ Health Promot, 12, 82. https://doi.org/10.4103/jehp.jehp_730_22.
Associação Brasileira de Psiquiatria, Associação Médica Brasileira, Conselho Federal de Medicina, Federal Nacional de Médicos, Associação Brasileira de Impulsividade e Patologia Dual, & Sociedade Brasileira de Neuropsicologia. (2020). Diretrizes para um modelo de atenção integral em saúde mental no Brasil. In (pp. 34). Rio de Janeiro.
Baldaçara, L. R., Fidelis, F. A. P., Fidalgo, T. M., Generoso, M. B., Passos, I. C., Zago-Gomes, M. d. P., Peterle, V. C. U., Grudtner, R. R., Porto, D. M., & Silva, A. G. d. (2022). Matriz de competências em psiquiatria. Debates em Psiquiatria, 12, 1-24. https://doi.org/10.25118/2763-9037.2022.v12.350.
Bergink, V., Rasgon, N., & Wisner, K. L. (2016). Postpartum Psychosis: Madness, Mania, and Melancholia in Motherhood. Am J Psychiatry, 173(12), 1179-1188. https://doi.org/10.1176/appi.ajp.2016.16040454
Brasil, M. d. E. (2022). Matrizes de Competências. https://www.gov.br/mec/pt-br/residencia-medica/matrizes-de-competencias-aprovadas-pela-cnrm#:~:text=As%20matrizes%20de%20compet%C3%AAncia%20s%C3%A3o,no%20Di%C3%A1rio%20Oficial%20da%20Uni%C3%A3o.
Busetto, L., Wick, W., & Gumbinger, C. (2020). How to use and assess qualitative research methods. Neurol Res Pract, 2, 14. https://doi.org/10.1186/s42466-020-00059-z.
CFM. (2002). RESOLUÇÃO CFM Nº 1.640/2002. Retrieved from https://sistemas.cfm.org.br/normas/visualizar/resolucoes/BR/2002/1640.
CFM. (2013). RESOLUÇÃO CFM nº. 2.057/2013. Retrieved from https://sistemas.cfm.org.br/normas/visualizar/resolucoes/BR/2013/2057.
Chail, A., Saini, R. K., Bhat, P. S., Srivastava, K., & Chauhan, V. (2018). Transcranial magnetic stimulation: A review of its evolution and current applications. Ind Psychiatry J, 27(2), 172-180. https://doi.org/10.4103/ipj.ipj_88_18.
CFM. (2002). RESOLUÇÃO CFM nº 1634/2002. Retrieved from https://sistemas.cfm.org.br/normas/visualizar/resolucoes/BR/2002/1634.
CNRM. (2021). RESOLUÇÃO CNRM Nº 18, DE 6 DE JULHO DE 2021. Aprova a matriz de competências dos programas de Residência Médica em Psiquiatria no Brasil.: DIÁRIO OFICIAL DA UNIÃO Retrieved from https://in.gov.br/en/web/dou/-/resolucao-cnrm-n-18-de-6-de-julho-de-2021-330651716
da Silva, A. G., Baldaçara, L., Cavalcante, D. A., Fasanella, N. A., & Palha, A. P. (2020). The Impact of Mental Illness Stigma on Psychiatric Emergencies. Front Psychiatry, 11, 573. https://doi.org/10.3389/fpsyt.2020.00573.
Gazdag, G., & Ungvari, G. S. (2019). Electroconvulsive therapy: 80 years old and still going strong. World J Psychiatry, 9(1), 1-6. https://doi.org/10.5498/wjp.v9.i1.1.
Gontijo, E. D., Alvim, C., Megale, L., Melo, J. R. C., & Lima, M. E. C. C. (2013). Matriz de competências essenciais para a formação e avaliação de desempenho de estudantes de medicina. Rev. bras. educ. med., 37(4), 526-539. https://doi.org/10.1590/S0100-55022013000400008.
Governo no Estado do Tocantins. (2020). Hospital Geral de Palmas completa 15 anos de assistência aos usuários do SUS. https://www.to.gov.br/saude/noticias/hospital-geral-de-palmas-completa-15-anos-de-assistencia-aos-usuarios-do-sus/26gprikaotcr.
Grover, S., Sahoo, S., Rabha, A., & Koirala, R. (2019). ECT in schizophrenia: a review of the evidence. Acta Neuropsychiatr, 31(3), 115-127. https://doi.org/10.1017/neu.2018.32.
Hermida, A., Glass, O., Shafi, H., & McDonald, W. (2018). Electroconvulsive Therapy in Depression. Current Practice and Future Direction. Psychiatr Clin N Am, 41(3), 341-353.
Kekic, M., Boysen, E., Campbell, I. C., & Schmidt, U. (2016). A systematic review of the clinical efficacy of transcranial direct current stimulation (tDCS) in psychiatric disorders. J Psychiatr Res, 74, 70-86. https://doi.org/10.1016/j.jpsychires.2015.12.018.
Kritzer, M. D., Peterchev, A. V., & Camprodon, J. A. (2023). Electroconvulsive Therapy: Mechanisms of Action, Clinical Considerations, and Future Directions. Harv Rev Psychiatry, 31(3), 101-113. https://doi.org/10.1097/HRP.0000000000000365.
Liang, C. S., Chung, C. H., Ho, P. S., Tsai, C. K., & Chien, W. C. (2018). Superior anti-suicidal effects of electroconvulsive therapy in unipolar disorder and bipolar depression. Bipolar Disord, 20(6), 539-546. https://doi.org/10.1111/bdi.12589.
MEC. (2018). Programa de expansão amplia número de bolsas. http://portal.mec.gov.br/component/tags/tag/pro-residencia.
Methfessel, I., Sartorius, A., & Zilles, D. (2018). Electroconvulsive therapy against the patients' will: A case series. World J Biol Psychiatry, 19(3), 236-242. https://doi.org/10.1080/15622975.2017.1293296.
Milev, R. V., Giacobbe, P., Kennedy, S. H., Blumberger, D. M., Daskalakis, Z. J., Downar, J., Modirrousta, M., Patry, S., Vila-Rodriguez, F., Lam, R. W., MacQueen, G. M., Parikh, S. V., Ravindran, A. V., & Group, C. D. W. (2016). Canadian Network for Mood and Anxiety Treatments (CANMAT) 2016 Clinical Guidelines for the Management of Adults with Major Depressive Disorder: Section 4. Neurostimulation Treatments. Can J Psychiatry, 61(9), 561-575. https://doi.org/10.1177/0706743716660033.
Nardi, A. E., Silva, A. G., & Quevedo, J. (2022). Tratado da Psiquiatria da Associação Brasileira de Psiquiatria (1 ed.). Artmed.
Nascimento, R. L. X., de Souza, C. C., & de Oliveira, M. A. N. B. l., DF: Codevasf, 2021. (2021). Caderno de Caracterização Estado do Tocantins. CODEVASF. https://www.codevasf.gov.br/acesso-a-informacao/institucional/biblioteca-geraldo-rocha/publicacoes/outras-publicacoes/caderno-de-caracterizacao-estado-do-tocantins.pdf.
Ninke, T., & Groene, P. (2023). Electroconvulsive therapy: recent advances and anesthetic considerations. Curr Opin Anaesthesiol. https://doi.org/10.1097/ACO.0000000000001279.
O'Brien, B. C., Harris, I. B., Beckman, T. J., Reed, D. A., & Cook, D. A. (2014). Standards for reporting qualitative research: a synthesis of recommendations. Acad Med, 89(9), 1245-1251. https://doi.org/10.1097/ACM.0000000000000388.
Perizzolo, J., Berlim, M. T., Szobot, C. M., Lima, A. F. B. S., Schestatsky, S., & Fleck, M. P. A. (2003). Aspectos da prática da eletroconvulsoterapia: uma revisão sistemática. R. Psiquiatr. RS, 25(2), 327-334. https://www.scielo.br/j/rprs/a/Z94LP9jfRJKNbn57JBrxJdc/?format=pdf&lang=pt.
Phutane, V. H., Thirthalli, J., Kesavan, M., Kumar, N. C., & Gangadhar, B. N. (2011). Why do we prescribe ECT to schizophrenia patients? Indian J Psychiatry, 53(2), 149-151. https://doi.org/10.4103/0019-5545.82544.
Romão, G. S. d. S., M.F.S.; Fernandes, C.E.; da Silva Filho, A.L. (2021). Residência médica: ensino e avaliação das competências. Manole.
Sadeghian, E., Rostami, P., Shamsaei, F., & Tapak, L. (2019). The Effect of Counseling on Stigma in Psychiatric Patients Receiving Electroconvulsive Therapy: A Clinical Trial Study. Neuropsychiatr Dis Treat, 15, 3419-3427. https://doi.org/10.2147/NDT.S233094.
Ward, H. B., Fromson, J. A., Cooper, J. J., De Oliveira, G., & Almeida, M. (2018). Recommendations for the use of ECT in pregnancy: literature review and proposed clinical protocol. Arch Womens Ment Health, 21(6), 715-722. https://doi.org/10.1007/s00737-018-0851-0.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Beatriz Ferroli; Leonardo Baldaçara
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
