Survey on "Psychiatric Electroceutical Intervention" Use
Out on Pubmed, from authors in Michigan and Pennsylvania, is this article:
Explaining key stakeholders' preferences for potential policies governing psychiatric electroceutical intervention use.
In recent years, legislators in many states have proposed laws governing the use of psychiatric electroceutical interventions (PEIs), which use electrical or magnetic stimulation to treat mental disorders. To examine how the PEI views of relevant stakeholder groups (e.g., psychiatrists, patients, caregivers, and general public) relate to preferences for proposed policies governing PEI use, we analyze data from a survey on using one of four PEIs to treat major depressive disorder administered to national samples of the stakeholder groups above. We find that the three non-clinician groups' similar PEI policy preferences differ significantly from those of psychiatrists-with the greatest divide on policies governing the use of electroconvulsive therapy. This divide between psychiatrists' and non-clinicians' PEI policy preferences was greater with access-reducing than with access-expanding policies. We advise policymakers to consider such variation in the preferred availability of PEIs across modalities and stakeholder groups when crafting legislation on these interventions.
The article is here.
And from the text:
This article is of modest interest, mainly because of its discussion of public policy towards ECT. The term "psychiatric electroceutical intervention", (PEI), is catchy, but misleading. It is a false equivalence to bundle ECT, DBS, rTMS and "adaptive brain implants" into a single category, as if they were equivalent. At least the authors point out ECT's superior evidence base of effectiveness. And the psychiatrists surveyed were supportive of ECT.
Furthermore, to survey lay opinions about very technical medical procedures, just because lay people are "stakeholders" is of limited value. Would you want cardiothoracic surgeons being told what procedure to do based on "perceptions" of lay people? (Asking for a friend...)
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