Inpatient Use of Electroconvulsive Therapy in the Middle East, North Africa, and Turkey (MENAT) Region: A Systematic Review and Meta-Analysis of Recent Practice | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Inpatient Use of Electroconvulsive Therapy in the Middle East, North Africa, and Turkey (MENAT) Region: A Systematic Review and Meta-Analysis of Recent Practice Mohammed A. Alhassan, Mohammed A. Alarabi, Waled M. Albalawi, and 1 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-4586554/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Background Electroconvulsive therapy (ECT) is among the oldest treatments in psychiatry, is used variably worldwide due to different factors. Aims The study aimed to estimate inpatient ECT indication and utilization in the MENAT region. Method A systematic review and meta-analysis of relevant articles published from 2013 to 2024 was conducted. Results Six studies were included, showing an average inpatient prevalence of ECT at 14.48 per 100 inpatients. The studies were characterized by high heterogeneity (I2 = 100%). ECT was most commonly administered to male inpatients averaging 35.14 years old, with schizophrenia (29.7%) and bipolar disorder (29.28%) being the most common diagnoses. The average number of ECT sessions was 9.36. Overall, the studies reported the use of bilateral modified ECT. Conclusions ECT utilization rates vary globally and within the MENAT region. More efforts are needed to standardize and expand the delivery of modified ECT in the region. ECT Electroconvulsive Therapy Inpatient Prevalence MENAT region Middle East North Africa & Turkey Psychiatric Disorders Review Systematic Meta-analysis Use rate Full Text Additional Declarations No competing interests reported. Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-4586554","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":319639919,"identity":"b7442ae6-de96-42c2-b1fe-0cdb84d30fe9","order_by":0,"name":"Mohammed A. Alhassan","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAA2klEQVRIiWNgGAWjYBACg8PMbRAWewOIZCasxfJ4I1QLzwEitdifOQjVIpFApBazG4ltD378qZM3l3ydJsFQYZ3YwH/4ASEt7Ya9bYcNd87O3SbBcCY9sUEizYCgLRK8DQcYN9wGamFsOwzUwoBfi8H9h22Sf/7U2W+4eRao5R9QC//xD/i1AG2R5mFjTtxwgxeopQGohSGHgC0gLbJth5M3nMndbJFwLN24TSKngICW5GOSb/7U2W44fnbjjQ811rL9/Mc34NWCChKAmI0E9aNgFIyCUTAKcAAAEEhPcZ6gRQoAAAAASUVORK5CYII=","orcid":"","institution":"Majmaah University","correspondingAuthor":true,"prefix":"","firstName":"Mohammed","middleName":"A.","lastName":"Alhassan","suffix":""},{"id":319639920,"identity":"ca8261c5-e7e1-452b-9044-74c1241f8fe0","order_by":1,"name":"Mohammed A. Alarabi","email":"","orcid":"","institution":"King Saud University","correspondingAuthor":false,"prefix":"","firstName":"Mohammed","middleName":"A.","lastName":"Alarabi","suffix":""},{"id":319639921,"identity":"cd211fc2-9981-4048-b7e6-5fb09d23f5d5","order_by":2,"name":"Waled M. Albalawi","email":"","orcid":"","institution":"King Salman Armed Forces Hospital","correspondingAuthor":false,"prefix":"","firstName":"Waled","middleName":"M.","lastName":"Albalawi","suffix":""},{"id":319639922,"identity":"ac71ef00-fecd-4dd8-b47c-ed85a318f47c","order_by":3,"name":"Ebraheem S. AlRabiah","email":"","orcid":"","institution":"Edrak medical center","correspondingAuthor":false,"prefix":"","firstName":"Ebraheem","middleName":"S.","lastName":"AlRabiah","suffix":""}],"badges":[],"createdAt":"2024-06-15 12:38:22","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-4586554/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-4586554/v1","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":61247391,"identity":"397cb81a-0089-4888-9c29-9c9201404c92","added_by":"auto","created_at":"2024-07-28 08:35:15","extension":"pdf","order_by":1,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":541387,"visible":true,"origin":"","legend":"","description":"","filename":"ECTinMENATManuscriptversionrerevise.pdf","url":"https://assets-eu.researchsquare.com/files/rs-4586554/v1_covered_1a5302d7-1b76-4abe-bb2e-37fa6c17deb1.pdf"}],"financialInterests":"No competing interests reported.","formattedTitle":"Inpatient Use of Electroconvulsive Therapy in the Middle East, North Africa, and Turkey (MENAT) Region: A Systematic Review and Meta-Analysis of Recent Practice","fulltext":[],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":false,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":true,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":true,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":true,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"
[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"ECT, Electroconvulsive Therapy, Inpatient Prevalence, MENAT region, Middle East North Africa \u0026 Turkey, Psychiatric Disorders, Review, Systematic, Meta-analysis, Use rate","lastPublishedDoi":"10.21203/rs.3.rs-4586554/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-4586554/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003ch2\u003eBackground\u003c/h2\u003e \u003cp\u003eElectroconvulsive therapy (ECT) is among the oldest treatments in psychiatry, is used variably worldwide due to different factors.\u003c/p\u003e\u003ch2\u003eAims\u003c/h2\u003e \u003cp\u003eThe study aimed to estimate inpatient ECT indication and utilization in the MENAT region.\u003c/p\u003e\u003ch2\u003eMethod\u003c/h2\u003e \u003cp\u003eA systematic review and meta-analysis of relevant articles published from 2013 to 2024 was conducted.\u003c/p\u003e\u003ch2\u003eResults\u003c/h2\u003e \u003cp\u003eSix studies were included, showing an average inpatient prevalence of ECT at 14.48 per 100 inpatients. The studies were characterized by high heterogeneity (I2\u0026thinsp;=\u0026thinsp;100%). ECT was most commonly administered to male inpatients averaging 35.14 years old, with schizophrenia (29.7%) and bipolar disorder (29.28%) being the most common diagnoses. The average number of ECT sessions was 9.36. Overall, the studies reported the use of bilateral modified ECT.\u003c/p\u003e\u003ch2\u003eConclusions\u003c/h2\u003e \u003cp\u003eECT utilization rates vary globally and within the MENAT region. More efforts are needed to standardize and expand the delivery of modified ECT in the region.\u003c/p\u003e","manuscriptTitle":"Inpatient Use of Electroconvulsive Therapy in the Middle East, North Africa, and Turkey (MENAT) Region: A Systematic Review and Meta-Analysis of Recent Practice","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2024-07-04 18:29:55","doi":"10.21203/rs.3.rs-4586554/v1","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"
[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"b5ec5d54-5bdb-4f87-92fa-4afa69cb0bfb","owner":[],"postedDate":"July 4th, 2024","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"posted","subjectAreas":[],"tags":[],"updatedAt":"2024-07-31T02:17:14+00:00","versionOfRecord":[],"versionCreatedAt":"2024-07-04 18:29:55","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-4586554","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-4586554","identity":"rs-4586554","version":["v1"]},"buildId":"qtupq5eGEP_6zYnWcrvyt","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}
Text is read by the "Ask this paper" AI Q&A widget below.
Extraction quality varies by source — PMC NXML preserves structure
cleanly, OA-HTML may include some navigation residue, and OA-PDF can
have broken hyphenation. The publisher copy
(via DOI)
is the canonical version.