The effect of family teaching on depression, anxiety and stress in caregivers of patients received electroconvulsive therapy
| DOI | https://doi.org/10.1108/JMHTEP-10-2018-0061 |
| Published date | 27 June 2019 |
| Pages | 289-296 |
| Date | 27 June 2019 |
| Author | Farshid Shamsaei,Hassan Kazemian,Fatemeh Cheraghi,Maryam Farhadian |
| Subject Matter | Health & social care,Mental health,Mental health education |
The effect of family teaching on
depression, anxiety and stress in
caregivers of patients received
electroconvulsive therapy
Farshid Shamsaei, Hassan Kazemian, Fatemeh Cheraghi and Maryam Farhadian
Abstract
Purpose –The purpose of this paper is to evaluate the effect of the planned pre-electroconvulsive therapy
(ECT) family teaching on depression, anxiety and stress of caregivers of patients with mental disorders
receiving ECT.
Design/methodology/approach –In this quasi-experimental study, 130 participants were randomized
allocated into intervention or control groups. The planned family teaching program consisted of four 90 min
sessions held during four weeks. Assessments occurred at pre-intervention (one week before the first session),
and post-intervention(one months afterthe four session).Data were collectedusing demographic questionnaire
andDepression, Anxietyand StressScale (DASS-21).Mean comparisonswere performedusing Student’st-test
whileeffect sizes were estimated by Cohen’sd coefficient. Thesignificancelevel was consideredless than 0.05.
Findings –The mean scores of the depression, anxiety and stress levels in the intervention group were
significantly reduced compared to the control group (p ¼0.001).
Originality/value –The family pre-ECT teaching intervention and counseling decreased the depression,
anxiety and stress level of family caregivers of patients with mental disorders receiving ECT and the
maintenance of other favorable conditions at baseline. These results suggest that even a short-term
educational intervention for family members of patients received ECT can improve emotional outcomes of
treatment in the family.
Keywords Anxiety, Stress, Depression, Electroconvulsive therapy, Family caregivers
Paper type Research paper
1. Introduction
Various approaches are used to treat the patients with mental disorders, such as drug therapy,
psychotherapy and electroconvulsive therapy (ECT). ECT is utilized worldwide for various severe
and treatment-resistant psychiatric disorders (Kerner and Prudic, 2014). ECT is a biological
treatment procedure involving a brief application of electric stimulus to produce a generalized
seizure. ECT is utilized worldwide as one of the most effective treatment modalities for severe,
treatment-refractory and or treatment-resistant psychiatric disorders, in particular, for major
depressive disorder in western countries and schizophrenia in Asian countries (Leiknes et al.,
2012). In addition, outpatient ECT, as a continuation treatment or an independent acute course,
has become a trend over the past 20 years (Weiner and Prudic, 2013). Although ECT is used
widely in different parts of Iran for several decades, there is paucity of data on this procedure in
our country. Mowla and Sahraian (2015) reported of 4,806 patients that were admitted in two
hospitals in Iran, 1,064 patients received ECT.
Despite the widespread use of ECT, there are some limitations in its application such as memory
and dizziness disorders (Goswami et al., 2003). In clinical practice, it is evident that most patients
Received 19 October 2018
Revised 23 December 2018
5 April 2019
Accepted 7 May 2019
The authors would like to thank
the Research and Technology
Vice-Chancellor of Hamadan
University of Medical Sciences in
Hamadan/Iran for their active
support to the project.
Farshid Shamsaei is based at
the Department of Behavioral
Disorders and Substance
Abuse Research Center,
Hamadan University of Medical
Sciences, Hamadan, Iran.
Hassan Kazemian is based at
the Department of Nursing,
Hamadan University of Medical
Sciences, Hamadan, Iran.
Fatemeh Cheraghi is based at
the Department of Chronic
Disease (Home Care) Research
Center, Hamadan University of
Medical Sciences,
Hamadan, Iran.
Maryam Farhadian is based at
the Department of Biostatistics,
School of Public Health,
Hamadan University of Medical
Sciences, Hamadan, Iran.
DOI 10.1108/JMHTEP-10-2018-0061 VOL. 14 NO. 4 2019, pp. 289-296, © Emerald Publishing Limited, ISSN 1755-6228
j
THE JOURNAL OF MENTALHEALTH TRAINING, EDUCATION AND PRACTICE
j
PAGE289
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