Repetitive transcranial magnetic stimulation in the treatment of depression in adolescents: An open-label study

被引:66
作者
Bloch, Yarval [1 ]
Grisaru, Nimrod [2 ]
Harel, Eiran V. [1 ]
Beitler, Gabriela [1 ]
Faivel, Nurit [1 ]
Ratzoni, Gideon [1 ]
Stein, Daniel [3 ]
Levkovitz, Yechiel [1 ]
机构
[1] Shalvata Mental Hlth Ctr, Hod Hasharon, Israel
[2] Ben Gurion Univ Negev, Fac Hlth Sci, Minist Hlth, Mental Hlth Ctr, Beer Sheva, Israel
[3] Safra Childrens Hosp, Chaim Sheba Med Ctr, Pediat Psychosomat Dept, Tel Hashomer, Israel
关键词
adolescents; depression; transcranial magnetic stimulation;
D O I
10.1097/YCT.0b013e318156aa49
中图分类号
B84 [心理学]; C [社会科学总论]; Q98 [人类学];
学科分类号
03 ; 0303 ; 030303 ; 04 ; 0402 ;
摘要
Objective: This open-label pilot study examined repetitive transcranial magnetic stimulation as a possible treatment of adolescent resistant depression. Method: Nine adolescents (aged 16-18 years) with severe resistant depression (determined by SCID) were recruited, and their depression, suicidality, and cognitive functions were evaluated before, during, and after a course of twenty 10-Hz, 2-second trains (intertrain intervals of 58 seconds) given over 20 min/d over 14 working days. Results: Lower levels of depression with progression in therapy were recorded by both the Beck Depression Inventory and Child Depression Rating Scale measures (F-1.7,F-14.01 = 4.52, P < 0.05; F-4,F-32 = 6.645, P < 0.01, respectively). Three patients reached the primary outcome measure of less than 30% reduction in their Child Depression Rating Scale. The effect on suicidality was not significant. Side effects were considered mild. Conclusions: Repetitive transcranial magnetic stimulation might be a possible therapy for adolescent depression. Our preliminary findings warrant double-blind, controlled studies.
引用
收藏
页码:156 / 159
页数:4
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