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This page is an AI-assisted Turkish summary of the study presented at the 26th World Congress of Psychiatry. The study belongs to the presenting authors; please refer to the original source when citing it.

The Swedish National Quality Register for ECT: A Gold Mine for Real-World Research

The swedish national quality registry for ect - a gold mine for relevant real-world research

More than fourteen years of national registry data show that electroconvulsive therapy (ECT) is effective and relatively safe in real-world settings, with approximately three-quarters of patients showing meaningful clinical improvement after an index course.

Established in 2012, the Swedish National Quality Register for Electroconvulsive Therapy (Q-ECT) provides comprehensive nationwide data on the use, effectiveness, and safety of ECT in routine psychiatric care. With participation from almost all hospitals providing ECT and high coverage rates, it is a robust resource for observational and comparative research. Registry data show that approximately three-quarters of patients experience meaningful clinical improvement after an index course, with substantial remission rates reported particularly in severe and psychotic depression. Response rates remain high in treatment-resistant depression, although they are somewhat lower than in non-treatment-resistant cases. Safety analyses indicate that ECT is generally well tolerated; cognitive adverse effects, particularly subjective memory impairment, are reported by a minority of patients, and ongoing research has identified clinical predictors and treatment parameters associated with these outcomes. Long-term follow-up studies also suggest benefits in relapse prevention and a reduced risk of serious outcomes such as suicide in older populations. The registry has also enabled the evaluation of treatment practices, including stimulus parameters and continuation and maintenance ECT, as well as comparisons with alternative interventions such as rTMS. Validation studies have confirmed high data accuracy, supporting the reliability of registry-based research.

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