Objectives: Electroconvulsive therapy (ECT) is commonly indicated for refractory psychiatric disorders. However, little research has compared response across diagnoses. Here, we aimed to evaluate the relative impact of diagnosis and clinical staging as response predictors in a cross-diagnostic sample. Methods: In a retrospective cohort of adult inpatients (n=287) who underwent at least six sessions of ECT, we investigated predictors of complete response (a clinical global impression of 1) to ECT. We use adjusted regression models to estimate the impact of clinical diagnosis and staging on complete response and dominance analysis to assess the relative importance of these predictors. Results: Those for whom a depressive episode was a primary indication for treatment were the most likely to have complete improvement, while those with psychosis were the least likely; clinical stage had a significant influence on outcome in all diagnoses. A diagnosis of psychosis was the strongest predictor of non-response. Conclusions: A diagnosis of psychosis (mainly schizophrenia) was the strongest predictor of non-response. We also found that clinical staging can aggregate information on ECT response that is independent of clinical diagnosis.

Resumen: A partir de marzo de 2020, la pandemia COVID-19 causó importantes impactos en el trabajo a escala global. A falta de una vacuna, las medidas más adoptadas fueron la distancia social y la preferencia por el trabajo a distancia. El presente estudio buscó comprender qué significados atribuían ocho profesionales de la salud a su trabajo en este contexto. Se realizaron encuentros en los que se dialogó con un dentista, un médico, una terapeuta ocupacional, una enfermera, un psicólogo, una fisioterapeuta, una logopeda y una nutricionista, registrados a través de relatos exhaustivos Se encontraron tres categorías de resultados: 1) el significado del trabajo, 2) la opción por la práctica liberal y 3) las implicaciones de la pandemia. Se pudo comprobar cómo los efectos de la pandemia estaban siendo vividos de forma peculiar por cada uno de los participantes y les hacía replantearse, en algunos casos, el significado del trabajo en sus vidas.

Abstract: As of March 2020, the COVID-19 pandemic made an important impact on work on a global scale. In the absence of a vaccine, the most adopted measures were social distance and preference for remote work. The present study sought to understand the meanings that eight health professionals attributed to their practices in this context. Meetings held with a dentist, a physician, an occupational therapist, a nurse, a psychologist, a physiotherapist, a speech therapist, and a nutritionist, were registered through comprehensive narratives. Three categories of results were found: 1) the meaning of work, 2) the option for liberal practice, and 3) the implications of the pandemic. It was possible to see how the effects of the pandemic were peculiarly experienced by each of the participants, in some cases making them reconsider the meaning of work in their lives.

Resumo: A partir de março de 2020 a pandemia da COVID-19 gerou importantes impactos sobre o trabalho em escala mundial. Diante da inexistência de uma vacina, as medidas mais adotadas foram o distanciamento social e preferência pelo trabalho remoto. O presente estudo buscou compreender quais significados que oito profissionais liberais da área da saúde estavam atribuindo aos seus ofícios em meio a esse contexto. Foram realizados encontros dialógicos com um odontólogo, um médico, uma terapeuta ocupacional, uma enfermeira, um psicólogo, uma fisioterapeuta, uma fonoaudióloga e uma nutricionista registrados por meio de narrativas compreensivas. Três categorias de resultados foram encontradas: 1) o significado do trabalho, 2) a opção pela atuação liberal e 3) as implicações da pandemia. Foi possível constatar como os efeitos da pandemia foram sendo vividos de maneiras peculiares por cada um dos participantes e fazendo-os repensar, em alguns casos, o significado do trabalho em suas vidas.