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A happiness magnet? Reviewing the evidence for repetitive transcranial magnetic stimulation in major depressive disorder
Citation
Pridmore, W and Pridmore, S, A happiness magnet? Reviewing the evidence for repetitive transcranial magnetic stimulation in major depressive disorder, Australasian Psychiatry, 29, (2) pp. 207-213. ISSN 1039-8562 (2020) [Refereed Article]
Copyright Statement
Copyright 2020 The Royal Australian and New Zealand College of Psychiatrists
DOI: doi:10.1177/1039856220956474
Abstract
Objectives: First, to conduct a historical review of the evidence for repetitive transcranial magnetic stimulation (rTMS) for major depressive disorder and determine a clinical algorithm. Second, to identify opportunities for research.
Methods: Literature searches were conducted of the MEDLINE database, UpToDate and the Australian National University Library SuperSearch from 1 January 2000 to 30 September 2019. The search terms used were ‘transcranial magnetic stimulation’, ‘major depressive disorder’ and ‘depression’.
Results: There were 24 meta-analyses identified, demonstrating a clear clinical effect. Left high-frequency rTMS had the most evidence. Ideal clinical parameters and study design were explored.
Conclusion: Use of rTMS for some patients with depression is justified. Open research questions include the comparative efficacy of right low-frequency and bilateral stimulation, the role of rTMS in medication-naïve patients, and maintenance of effect.
Item Details
Item Type: | Refereed Article |
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Keywords: | transcranial magnetic stimulation, brain stimulation, major depressive disorder, mood disorder, meta-analysis |
Research Division: | Health Sciences |
Research Group: | Health services and systems |
Research Field: | Mental health services |
Objective Division: | Health |
Objective Group: | Public health (excl. specific population health) |
Objective Field: | Mental health |
UTAS Author: | Pridmore, S (Professor Saxby Pridmore) |
ID Code: | 141087 |
Year Published: | 2020 |
Deposited By: | Medicine |
Deposited On: | 2020-09-24 |
Last Modified: | 2021-09-28 |
Downloads: | 0 |
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