A study of the use of electroconvulsive therapy in Massachusetts shows
that between 1974 and 1980 ECT use decreased significantly in both public-
and private-sector hospitals. This decline was particularly pronounced in
public-sector hospitals. The average age of ECT-treated patients rose
during the period; women received ECT more often than men; and bilateral
ECT remained in more frequent use. Though ECT was most frequently
prescribed for major depression, about 20% of those receiving it were
diagnosed as having a dysthymic disorder. State regulation and advances in
psychiatric treatment may partially explain the decrease in ECT use.Abstract Teaser