A study of the effectiveness of high-frequency left prefrontal cortex transcranial magnetic stimulation in major depression in patients who have not responded to right-sided stimulation

被引:30
作者
Fitzgerald, Paul B. [1 ]
McQueen, Susan [1 ]
Herring, Sally [1 ]
Hoy, Kate [1 ]
Segrave, Rebecca [1 ]
Kulkarni, Jayashri [1 ]
Daskalakis, Zafiris J. [2 ]
机构
[1] Alfred & Monash Univ, Dept Psychol Med, Alfred Psychiat Res Ctr, Melbourne, Vic 3004, Australia
[2] Ctr Addict & Mental Hlth, Toronto, ON, Canada
基金
澳大利亚国家健康与医学研究理事会; 英国医学研究理事会;
关键词
Repetitive transcranial magnetic stimulation; Depression; Prefrontal cortex; Response; Remission; Antidepressant; DOUBLE-BLIND; CONTROLLED-TRIAL; SLOW; RTMS; EFFICACY; SCALE; TMS;
D O I
10.1016/j.psychres.2008.06.017
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
The objective of this study was to explore the response rate to high-frequency left-sided repetitive transcranial magnetic stimulation (rTMS) in patients who had failed to respond to right-sided low-frequency stimulation, and to investigate whether there was differential efficacy between stimulation at 5 or 10 Hz. Data from two randomized controlled trials were pooled. In both studies a group of patients were randomized to receive either 5- or 10-Hz left prefrontal rTMS after failing to respond to right-sided stimulation. These patients received blinded 5- or 10-Hz stimulation (but without a sham control) for a period of up to 4 weeks and outcomes were compared. There was a small but significant overall response to left-sided rTMS but no difference in response between the 5- and 10-Hz treatment conditions. There appears to be a significant but modest likelihood of response to left-sided TMS in patients who fail right-sided stimulation, but there is no difference in efficacy between 5- and 10-Hz stimulation. (C) 2008 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:12 / 15
页数:4
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