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The Effect of Counseling on Stigma in Psychiatric Patients Receiving Electroconvulsive Therapy: A Clinical Trial Study

Authors Sadeghian E, Rostami P, Shamsaei F, Tapak L

Received 1 October 2019

Accepted for publication 26 November 2019

Published 6 December 2019 Volume 2019:15 Pages 3419—3427

DOI https://doi.org/10.2147/NDT.S233094

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Dr Roger Pinder


Efat Sadeghian,1 Parisa Rostami,2 Farshid Shamsaei,3 Lily Tapak4

1Assistant Professor, Chronic Diseases (Home Care) Research Centre, Hamadan University of Medical Sciences, Hamadan, Iran; 2MSc of Psychiatric Nursing, Department of Nursing, Hamadan University of Medical Sciences, Hamadan, Iran; 3Associate Professor, Behavioral Disorders and Substance Abuse Research Center, Hamadan University of Medical Sciences, Hamadan, Iran; 4Assistant Professor, Department of Biostatistics, School of Public, Hamadan University of Medical Sciences, Hamadan, Iran

Correspondence: Farshid Shamsaei
School of Nursing & Midwifery, Hamadan University of Medical Sciences, Shahid Fahmideh Bulv., Hamadan 65178, Iran
Tel +98-81-38381941
Email shamsaei68@yahoo.com

Purpose: Despite its efficacy and safety, electroconvulsive therapy (ECT) is underutilized, in part, due to the stigma associated with the treatment. This study aimed to evaluate the effect of counseling on stigma in patients with psychiatric disorders receiving ECT.
Patients and methods: A total of 114 patients with psychiatric disorders undergoing ECT were randomly divided into two groups. Both the groups received routine care and treatment, but the intervention group (n=57) received four counseling sessions. At the beginning and end of the study (6 weeks, post-treatment), patients completed the Internalized Stigma of Mental Illness scale. The data were analyzed using independent and paired sample t-tests.
Results: There was no significant difference in the mean stigma scores of participants in the control and intervention groups before counseling (P>0.08). However, post-intervention, there was a significant difference in the mean stigma scores between both the groups (P<0.001).
Conclusion: The findings demonstrate that the counseling intervention is effective in decreasing stigma in patients undergoing ECT. Therefore, it is recommended to use this therapeutic method in such patients.

Keywords: counseling, stigma, mental illness, electroconvulsive therapy

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