Knowledge, attitudes, and willingness of bipolar disorder patients toward electroconvulsive therapy
A cross-sectional study
Bibliographic Data
| ID | 22089480 |
|---|---|
| Authors | Lin Zhou (0000-0002-6428-7392, Nanjing Brain Hospital), Xinmeng Qi, Xiaopeng Qi (Nanjing Brain Hospital), Liuliu Xu (0000-0002-4836-081X, Nanjing Brain Hospital, corresponding author), Xinrong Duanmu (Nanjing Brain Hospital), Ke Wang (0000-0002-4808-2637, Nanjing Brain Hospital), Kai Liu (0000-0002-7995-6456, Nanjing Brain Hospital), Yue Zhang (0000-0003-1198-882X, Nanjing Brain Hospital) |
| Year | 2025 |
| Volume | 13 |
| Pages | 1572046-1572046 |
| Publication date | 2025-06-25 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Publisher | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2025.1572046 |
| PMID | 40636871 |
| OpenAlex | W4411661960 |
| Language | EN |
| Citations received | 1 |
| References cited | 54 |
Objective This research aims to explore the levels of knowledge, attitudes, and willingness (KAW) of patients with bipolar disorder (BD) regarding electroconvulsive therapy (ECT). Methods A cross-sectional survey was conducted in Nanjing from April 10 to November 3, 2024, using a validated questionnaire [Cronbach's α = 0.936, Kaiser–Meyer–Olkin (KMO) = 0.917]. Participants completed structured items assessing knowledge, attitudes, and willingness toward ECT. Data analysis involved descriptive statistics, non-parametric tests, Spearman correlation, multivariate logistic regression, and structural equation modeling (SEM). Results The study successfully enrolled 479 participants. Of these, 282 participants (58.87%) were female. One hundred and sixty seven respondents (34.86%) had previously undergone ECT. The mean knowledge, attitude, and willingness scores were 5.57 ± 4.84 (possible range: 0–16), 29.08 ± 6.21 (possible range: 9–45), and 21.49 ± 5.14 (possible range: 6–30), respectively. SEM analysis showed that electroconvulsive therapy (β = −0.377, P = 0.014), years of BD (β = 0.196, P = 0.014) had direct effects on knowledge. Knowledge (β = 0.526, P = 0.023) directly affected attitude. Meanwhile, electroconvulsive therapy (β = −0.198, P = 0.013) and years of BD (β = 0.103, P = 0.016) indirectly affected attitude. Knowledge (β = 0.107, P = 0.018), attitude (β = 0.674, P = 0.009), and gender (β = 0.104, P = 0.020) directly affected willingness. Knowledge (β = 0.355, P = 0.011), electroconvulsive therapy (β = −0.174, P = 0.015), and years of BD (β = 0.090, P = 0.020) indirectly affected willingness. Conclusion The study found that bipolar disorder patients generally lack knowledge and hold negative attitudes but demonstrate a relatively high willingness to accept ECT treatment. Targeted educational programs are recommended to improve understanding, shift attitudes, and enhance acceptance of this treatment in clinical willingness
Bipolar disorder · Cognition · Cross-sectional study · Electroconvulsive therapy · Pathology · Psychiatry · Bipolar Disorder and Treatment · Clinical Psychology · Electroconvulsive Therapy Studies · Medication Adherence and Compliance · Medicine · Psychology
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| Citations per year | 1 |
|---|---|
| Citation span | 2026 - 2026 (1) |
| Highly cited | No |