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Sykehusene villeder om elektrosjokk

Mens sykehusene hevder at elektrosjokk er en veldokumentert og effektiv behandling mot depresjon, finner Kunnskapssenteret og Helsedirektoratet ingen godt dokumenterte effekter.

På Sykehuset Telemark sin nettside, kan en lese om elektrosjokk (ECT):

"Elektrokonvulsiv terapi (også kalt ECT) er en trygg og godt etablert behandling ved psykiatriske avdelinger i de fleste land. Effekten er veldokumentert for alvorlige depresjoner, men også for andre psykiske lidelser som mani og noen former for schizofreni. Ved alvorlig depresjon som kan være preget av næringsvegring, selvmordsfare og vrangforestilling, bør behandling med ECT være et førstevalg. Dette gjelder også depresjoner ved høy alder."

Tilsvarende finner en på nettsidene til Sykehuset Østfold, Helse Bergen, Helse Stavanger. Flere andre sykehus har tilsvarende og lignende omtale på sine nettsider. Finnmarkssykehuset skriver f.eks. at "Behandlingsmetodene som anbefales i veiledere og retningslinjer fra Helsedirektoratet har dokumentert god effekt."

Flere andre nettsider viderebringer påstandene fra sykehusenes nettsider. Fagfolk anbefaler også ECT-behandling overfor mennesker med utviklingshemming med alvorlig depresjon.

På oppdrag fra Helsedirektoratet gjennomførte Kunnskapssenteret en systematisk gjennomgang av dokumentert effekten av ECT. Kunnskapssenteret fant ingen overbevisende eller entydig dokumentasjon av de positive effektene av ECT-behandling.

En metastudie fra 2010 som inngikk i Kunnskapssenterets systematiske gjennomgang konkluderer i klar tekst: Det finnes ingen kontrollerte studier som viser at ECT reduserer sjansen for selvmord og det finnes heller ikke robuste funn fra andre typer studier som støtter opp under hypotesen om ECT som effektiv behandling mot depresjon.

Helsedirektoratet utarbeidet i 2017 nasjonale anbefalinger om ECT-behandling. Ved alle lidelser hvor det kan være relevant å anvende ECT-behandling, fant Helsetilsynet at dokumentasjonen var svak:

Helsedirektoratets ECT-anbefalinger

Det hører med til historien at FN-komiteen som overvåker statenes etterlevelse av konvensjonen om økonomiske-, sosiale- og kulturelle rettigheter ber Norge å slutte med ECT-behandling uten fritt og informert samtykke til behandlingen.

Hadde sykehusene drevet med kjøp og salg, så ville de blitt tatt for villedende reklame. Når det bare er folks helse det er snakk om, så synes villedende reklame å være mer akseptabelt enn i kremmervirksomheten.

Jens Petter Gitlesen

31 januar 2020

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