PDF(Pubmed)
Abstract：
OBJECTIVE: The study aimed to analyze and clinically correlate 10-year trends in the demographic characteristics of patients receiving electroconvulsive therapy (ECT) to provide an overview of ECT utilization in South Korea.
METHODS: Using health insurance claims data from 2008 to 2018 retrieved from Health Insurance Review and Assessment Service database in South Korea, we identified individuals undergoing ECT based on procedural codes. Descriptive analysis evaluated baseline clinical characteristics, and trend analysis used a linear regression model.
RESULTS: The prevalence of ECT increased by 240.49% (0.405/105 inhabitants in 2008 to 0.974/105 inhabitants in 2018). The increasing trend was more pronounced in younger and older patients. The proportion of women consistently exceeded that of men. A rise in the proportion of patients with affective disorders, and a decrease in the proportion of psychotic disorders was observed. More antidepressants and atypical antipsychotics were prescribed to patients undergoing ECT. The proportion of ECT sessions conducted in large hospital inpatient settings also decreased during the observation period. Despite increasing global trends, ECT prevalence in South Korea remains significantly lower than worldwide rates.
CONCLUSIONS: This study demonstrated an increasing trend of ECT across a wide range of population demographics and in more accessible settings. The comparatively low prevalence of ECT in Korea compared to other countries might be attributed to insufficient mental health literacy and the stigma associated with ECT. Given the elevated suicide rates in Korea, more extensive adoption of ECT appears imperative.
METHODS: Using health insurance claims data from 2008 to 2018 retrieved from Health Insurance Review and Assessment Service database in South Korea, we identified individuals undergoing ECT based on procedural codes. Descriptive analysis evaluated baseline clinical characteristics, and trend analysis used a linear regression model.
RESULTS: The prevalence of ECT increased by 240.49% (0.405/105 inhabitants in 2008 to 0.974/105 inhabitants in 2018). The increasing trend was more pronounced in younger and older patients. The proportion of women consistently exceeded that of men. A rise in the proportion of patients with affective disorders, and a decrease in the proportion of psychotic disorders was observed. More antidepressants and atypical antipsychotics were prescribed to patients undergoing ECT. The proportion of ECT sessions conducted in large hospital inpatient settings also decreased during the observation period. Despite increasing global trends, ECT prevalence in South Korea remains significantly lower than worldwide rates.
CONCLUSIONS: This study demonstrated an increasing trend of ECT across a wide range of population demographics and in more accessible settings. The comparatively low prevalence of ECT in Korea compared to other countries might be attributed to insufficient mental health literacy and the stigma associated with ECT. Given the elevated suicide rates in Korea, more extensive adoption of ECT appears imperative.
摘要：
目的：本研究旨在分析和临床关联接受电惊厥治疗（ECT）患者的10年人口统计学特征的趋势，以提供韩国ECT使用的概述。
方法：使用从韩国健康保险审查和评估服务数据库检索的2008年至2018年的健康保险索赔数据，我们根据程序代码确定了接受ECT的个体.描述性分析评估了基线临床特征，趋势分析采用线性回归模型。
结果：ECT的患病率增加了240.49％（2008年为0.405/105居民，2018年为0.974/105居民）。在年轻和老年患者中，增加趋势更为明显。妇女的比例始终超过男子。情感障碍患者比例的上升，观察到精神病患者的比例下降。为接受ECT的患者开了更多的抗抑郁药和非典型抗精神病药。在观察期间，在大型医院住院患者中进行的ECT会话的比例也有所下降。尽管全球趋势日益增强，韩国的ECT患病率仍然显着低于世界范围。
结论：这项研究表明，在广泛的人口统计学和更容易获得的环境中，ECT的趋势增加。与其他国家相比，韩国的ECT患病率相对较低，这可能归因于心理健康素养不足和与ECT相关的污名。鉴于韩国的自杀率上升，更广泛地采用ECT似乎势在必行。
方法：使用从韩国健康保险审查和评估服务数据库检索的2008年至2018年的健康保险索赔数据，我们根据程序代码确定了接受ECT的个体.描述性分析评估了基线临床特征，趋势分析采用线性回归模型。
结果：ECT的患病率增加了240.49％（2008年为0.405/105居民，2018年为0.974/105居民）。在年轻和老年患者中，增加趋势更为明显。妇女的比例始终超过男子。情感障碍患者比例的上升，观察到精神病患者的比例下降。为接受ECT的患者开了更多的抗抑郁药和非典型抗精神病药。在观察期间，在大型医院住院患者中进行的ECT会话的比例也有所下降。尽管全球趋势日益增强，韩国的ECT患病率仍然显着低于世界范围。
结论：这项研究表明，在广泛的人口统计学和更容易获得的环境中，ECT的趋势增加。与其他国家相比，韩国的ECT患病率相对较低，这可能归因于心理健康素养不足和与ECT相关的污名。鉴于韩国的自杀率上升，更广泛地采用ECT似乎势在必行。
