Health  Vol.7 No.9 , September 2015
Electroconvulsive Therapy (ECT) in Sudan, Probing Differences between Africa and the West
Abstract: It is a retrospective qualitative study of all patients that had received ECT treatment in Khartoum National Psychiatric Hospitals in the period between January 2010 and December 2010 with special reference to indications, side effects, and outcome using the same outcome criteria used by the royal college of Psychiatrists (UK) for modified audit format. 85% from 269 of overall Sudanese patients who had received ECT showed remarkable clinical response, with no major adverse side effects. Interestingly, the response rate was over 90% for patients with mania spectrum diagnosis. 85% of our patients were under the age of 40. Two thirds of the patients, who received ECT, were male. The main indication for ECT (45%) was mania, while depression and mixed affective states constituted less than 25% of the sample. Conclusion: In comparison to the West, ECT plays a major role in the treatment of mania and manic spectrum disorders in Africa.
Cite this paper: Osman, A. , Ali, Z. , Kareem, K. and Suleiman, N. (2015) Electroconvulsive Therapy (ECT) in Sudan, Probing Differences between Africa and the West. Health, 7, 1098-1104. doi: 10.4236/health.2015.79125.

[1]   Rose, L. (1977) ECT in Underdeveloped Countries. British Medical Journal, 2, 895.

[2]   National Institute for Clinical Excellence (2003) Guidance on the Use of Electroconvulsive Therapy (Technology Appraisal 59, April).

[3]   Royal College of Psychiatrists (1995) The ECT. Handbook. The Second Report of the Royal College of Psychiatrists’ Special Committee on ECT (Council Report CR39). Royal College of Psychiatrists, London.

[4]   McCall, W.V. (2001) Electroconvulsive Therapy in the Era of Modern Psychopharmacology. International Journal of Neuropsychopharmacology, 4, 315-324.

[5]   Philpot, M., Treloar, A., Gormley, N. and Gustafson, L. (2002) Barriers to the Use of Electroconvulsive Therapy in the Elderly: A European Survey. European Psychiatry, 17, 41-45.

[6]   Mukherjee, S., Sackeim, H.A. and Schnur, D.A. (1994) Elec-troconvulsive Therapy of Acute Manic Episodes: A Review of 50 Years’ Experience. The American Journal of Psychiatry, 151, 169-176.

[7]   Glen, T. and Scott, A.I.F. (2000) Variation in Rates of Electroconvulsive Therapy Use among Consultant Teams in Edinburgh (1993-1996). Journal of Affective Disorders, 58, 75-78.

[8]   Hermann, R.C., Dorwart, R.A., Hoover, C.W., et al. (1995) Variation in ECT Use in the United States. American Journal of Psychiatry, 152, 869-875.

[9]   Glen, T. and Scott, A.I.F. (1999) Rates of Electroconvulsive Therapy Use in Edinburgh (1992-1997). Journal of Affective Disorders, 54, 81-85.

[10]   Duffett, R. and Lelliott, P. (1998) Auditing Electroconvulsive Therapy. The Third Cycle. The British Journal of Psychiatry, 172, 401-405.

[11]   Pippard, J. and Ellam, L. (1981) Electroconvulsive Treatment in Great Britain, 1980. Gaskell, London.

[12]   Duffett, R., Siegert, R.D. and Lelliott, P. (1999) Electroconvulsive Therapy in Wales. Psychiatric Bulletin, 23, 597-601.

[13]   Bharadwaj, V., Grover, S., Chakrabarti, S., Avasthi, A. and Kate, N. (2012) Clinical Profile and Outcome of Bipolar Disorder Patients Receiving Electroconvulsive Therapy: A Study from North India. Indian Journal of Psychiatry, 54, 41-47.

[14]   Scottish, E.C.T. (2009) Accreditation Network. Annual Report 2009: Reporting on 2008. NHS National Services Scotland.

[15]   Bryman, A. and Cramer, D. (2009) Quantitative Data Analysis with SPSS 14, 15 and 16: A Guide for Social Scientists. Routledge, New York.

[16]   Sikdar, S., Kulhara, P., Avasthi, A. and Singh, H. (1994) Combined Chlorpromazine and Electroconvulsive Therapy in Mania. British Journal of Psychiatry, 164, 806-810.

[17]   van den Broek, W.W., de Lely, A., Mulder, P.G.H. and Bruijn, J.A. (2004) Effect of Antidepressant Medication Resistance on Short-Term Response to Electro-convulsive Therapy. Journal of Clinical Psychopharmacology, 24, 400-403.

[18]   Brown, K.A. (2009) Unilateral and Bilateral Electroconvulsive Therapy: What Informs Scottish Psychiatrists’ Choices? Psychiatric Bulletin, 33, 95-98.

[19]   Scott, A.I.F. (2005) College Guidelines on Electroconvulsive Therapy: An Update for Permissions. The Place of ECT in the Treatment of Mania.

[20]   White, C. (2005) New Guidance on ECT Looks Set to Curb Its Use. Advances in Psychiatric Treatment, 11, 150-156.

[21]   Sackeim, H.A., Prudic, J., Fuller, A.R., Keilp, J., Lavori, P.W. and Olfson, M. (2007) The Cognitive Effects of Electroconvulsive Therapy in Community Settings. Neuropsychopharmacology, 32, 244-254.

[22]   Dombrovski, A.Y., Mulsant, B.H., Hasket, R.F., Prudic, J., Begley, A.E. and Sackeim, H.A. (2005) Predictors of Remission after Electroconvulsive Therapy in Unipolar Major Depression. Journal of Clinical Psychiatry, 66, 1043-1049.

[23]   Piolino, P., Desgranges, B. and Eustache, F. (2009) Episodic Autobiographical Memories over the Course of Time: Cognitive, Neuropsychological and Neuroimaging Findings. Neuropsychologia, 47, 2314-2329.

[24]   Grunze, H., Kasper, S., Goodwin, G., Bowden, C., Baldwin, D., Licht, R.W., et al. (2003) The World Federation of Societies of Biological Psychiatry (WFSBP) Guidelines for the Biological Treatment of Bipolar Disorders, Part II: Treatment of Mania. The World Journal of Biological Psychiatry, 4, 5-13.

[25]   The UK ECT Review Group (2003) Efficacy and Safety of Electroconvulsive Therapy in Depressive Disorders: A Systematic Review and Meta-Analysis. The Lancet, 361, 799-808.