Abstract:
Introduction: Electro convulsive therapy is the effective somatic treatment for a range of mental
illnesses, including catatonia, depression with severe suicidality, bipolar disorder,
schizophrenia, and mental illness during pregnancy.
Objective: To assess the treatment outcomes of electroconvulsive therapy and its associated
factors at Ethiopian hospitals, Ethiopia, (2024- 2025).
Methods: pre-post study design was conducted at Jimma medical center and Eka kotobe hospital
from November 2024 to march 2025. 59 participants were included; consecutive sampling
technique was used. Continuous variables were analyzed in the form of mean and standard
deviation. Categorical variables were summed up as frequency and percentages. Difference
between two means before and after Electro convulsive therapy was analyzed by using paired t
test. Chi-square test was applied to analyze the relationship between categorical variables.
Fisher’s-exact test was used wherever chi-square test assumptions did not meet Cochrane
criteria. A logistic regression was used to identify association between treatment outcomes of
ECT and its associated factors. 95% confidence intervals and P-value of < 0.05 was considered
as statically significant.
Result; the mean score of post Electro convulsive therapy brief psychiatry rating scale was
decreased by 38.44(SD=±28.89) with p value of (p=<0.001). Based on this, Out of total 59
patients
42(71.2%) of patients respond for treatment of Electro convulsive therapy. The
response rate is 75%(9), 88.9%(16), 61.5%(8), 75%(12) and77.8%(7) for depression, catatonia,
bipolar disorder, schizophrenia and suicidal behavior respectively. Employment status, Number
of episode, Duration of current episode, Frequency of Electro convulsive therapy, Duration of
seizure, current substance use, stress, and social supports were found to be associated with
outcomes of ECT.
Conclusion; Electro convulsive therapy is effective treatment for psychiatry conditions with high
response rate and low side effect reports
