Long-term Follow-up of MDD Patients Who Respond to Deep rTMS: A Brief Report.

IF 0.5 4区 医学 Q4 PSYCHIATRY Israel Journal of Psychiatry and Related Sciences Pub Date : 2015-01-01
Oded Rosenberg, Limor Dinur Klein, Roman Gersner, Moshe Kotler, Abraham Zangen, Pinhas Dannon
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引用次数: 0

Abstract

Background: Deep transcranial magnetic stimulation (dTMS) is effective in treatment of Major Depressive Disorder (MDD), and in re-treatment in case of relapse. Our study evaluates the long-term durability of dTMS in MDD.

Method: Seventeen patients that responded to dTMS treatment evaluated. Follow-up period was 9.3 months. Patients were considered as relapsed if: HDRS (Hamilton Depression Rating Scale) score was 16 points or more, in case of change in antidepressants, hospitalization due to exacerbation, referral to ECT.

Results: Six months after last treatment three patients relapsed (17.6%). During the follow-up of 9.3 months, nine relapsed. Relapse rate was 5.6 per 100 person-months. Patients continued to improve in HDRS following the treatment. We have found number of treatment sessions, stimulation, age, age of depressive disorder onset, length of depressive episode prior to the first treatment, as well as number of depressive episodes to have no predictive value regarding propensity to relapse in these patients.

Limitations: The study's main limitations are the relatively small sample size, patients differing in follow-up periods and the lack of a control group.

Conclusion: Relapse rates after dTMS are comparable to pharmacotherapy and ECT.

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对深度rTMS有反应的重度抑郁症患者的长期随访:简要报告。
背景:深经颅磁刺激(dTMS)是治疗重度抑郁症(MDD)的有效方法,在复发的情况下可再次治疗。我们的研究评估了MDD患者dTMS的长期持久性。方法:对17例经dTMS治疗的患者进行疗效评价。随访时间9.3个月。如果HDRS(汉密尔顿抑郁评定量表)得分为16分或以上,在抗抑郁药发生变化的情况下,因恶化而住院,转诊到ECT,则认为患者复发。结果:末次治疗6个月后复发3例(17.6%)。随访9.3个月,9例复发。复发率为5.6 / 100人月。治疗后患者的HDRS持续改善。我们发现治疗次数、刺激、年龄、抑郁症发病年龄、第一次治疗前抑郁发作的时间以及抑郁发作的次数对这些患者的复发倾向没有预测价值。局限性:该研究的主要局限性是样本量相对较小,患者随访期不同,缺乏对照组。结论:dTMS术后复发率与药物治疗和电痉挛治疗相当。
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来源期刊
CiteScore
0.80
自引率
25.00%
发文量
0
审稿时长
>12 weeks
期刊介绍: THE ISRAEL JOURNAL OF PSYCHIATRY publishes original articles dealing with the all bio-psycho-social aspects of psychiatry. While traditionally the journal has published manuscripts relating to mobility, relocation, acculturation, ethnicity, stress situations in war and peace, victimology and mental health in developing countries, papers addressing all aspects of the psychiatry including neuroscience, biological psychiatry, psychopharmacology, psychotherapy and ethics are welcome. The Editor also welcomes pertinent book reviews and correspondence. Preference is given to research reports of no more than 5,000 words not including abstract, text, references, tables and figures. There should be no more than 40 references and 4 tables or figures. Brief reports (1,500 words, 5 references) are considered if they have heuristic value. Books to be considered for review should be sent to the editorial office. Selected book reviews are invited by the editor.
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