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Electroconvulsive therapy use in New South Wales between 1944 and 1949.

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Title: Electroconvulsive therapy use in New South Wales between 1944 and 1949.
Authors: Draper, Brian (AUTHOR), Wijeratne, Chanaka (AUTHOR)
Source: Australasian Psychiatry. Jun2025, Vol. 33 Issue 3, p481-485. 5p.
Subjects: Electroconvulsive therapy, Clinical indications, Post-World War II Period, Mental health, Treatment effectiveness, Death rate, Psychoses
Geographic Terms: New South Wales
Abstract: Aims: To identify clinical and other factors associated with the use of electroconvulsive therapy (ECT) in New South Wales for the period 1944–1949 and to compare with contemporaneous practice. Method: Annual reports of the Inspector-General of Mental Hospitals in NSW (1944/45 to 1948/49) were examined. Main findings: Seven hospitals reported a total of 8964 courses of treatment during the period. Demographically, 60.6% of patients who received ECT were female, and rural hospitals reported 13.6% of courses. ECT was as likely to be given for non-affective psychoses (37.7%), as for affective psychoses (35.0%). ECT was also administered for confusional states and non-psychotic disorders. Better outcomes were observed for depression, anxiety and confusional states than non-affective psychoses. Recovery rates declined over the study period. Mortality was <1%. Conclusions: The clinical indications for ECT in the mid-twentieth century in NSW were much broader than currently. There has been no change in the sex ratio of patients administered ECT or reported mortality. [ABSTRACT FROM AUTHOR]
Copyright of Australasian Psychiatry is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Electroconvulsive therapy use in New South Wales between 1944 and 1949.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Draper%2C+Brian%22&quot;&gt;Draper, Brian&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Wijeratne%2C+Chanaka%22&quot;&gt;Wijeratne, Chanaka&lt;/searchLink&gt; (AUTHOR)
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Australasian+Psychiatry%22&quot;&gt;Australasian Psychiatry&lt;/searchLink&gt;. Jun2025, Vol. 33 Issue 3, p481-485. 5p.
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Electroconvulsive+therapy%22&quot;&gt;Electroconvulsive therapy&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Clinical+indications%22&quot;&gt;Clinical indications&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Post-World+War+II+Period%22&quot;&gt;Post-World War II Period&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Mental+health%22&quot;&gt;Mental health&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Treatment+effectiveness%22&quot;&gt;Treatment effectiveness&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Death+rate%22&quot;&gt;Death rate&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Psychoses%22&quot;&gt;Psychoses&lt;/searchLink&gt;
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22New+South+Wales%22&quot;&gt;New South Wales&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
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  Data: Aims: To identify clinical and other factors associated with the use of electroconvulsive therapy (ECT) in New South Wales for the period 1944–1949 and to compare with contemporaneous practice. Method: Annual reports of the Inspector-General of Mental Hospitals in NSW (1944/45 to 1948/49) were examined. Main findings: Seven hospitals reported a total of 8964 courses of treatment during the period. Demographically, 60.6% of patients who received ECT were female, and rural hospitals reported 13.6% of courses. ECT was as likely to be given for non-affective psychoses (37.7%), as for affective psychoses (35.0%). ECT was also administered for confusional states and non-psychotic disorders. Better outcomes were observed for depression, anxiety and confusional states than non-affective psychoses. Recovery rates declined over the study period. Mortality was &lt;1%. Conclusions: The clinical indications for ECT in the mid-twentieth century in NSW were much broader than currently. There has been no change in the sex ratio of patients administered ECT or reported mortality. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: &lt;i&gt;Copyright of Australasian Psychiatry is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1177/10398562241306899
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      – Code: eng
        Text: English
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        PageCount: 5
        StartPage: 481
    Subjects:
      – SubjectFull: Electroconvulsive therapy
        Type: general
      – SubjectFull: Clinical indications
        Type: general
      – SubjectFull: Post-World War II Period
        Type: general
      – SubjectFull: Mental health
        Type: general
      – SubjectFull: Treatment effectiveness
        Type: general
      – SubjectFull: Death rate
        Type: general
      – SubjectFull: Psychoses
        Type: general
      – SubjectFull: New South Wales
        Type: general
    Titles:
      – TitleFull: Electroconvulsive therapy use in New South Wales between 1944 and 1949.
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            NameFull: Draper, Brian
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            NameFull: Wijeratne, Chanaka
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            – D: 01
              M: 06
              Text: Jun2025
              Type: published
              Y: 2025
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              Value: 33
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