کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
7301664 | 1475279 | 2018 | 52 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Efficacy and acceptability of non-invasive brain stimulation for the treatment of adult unipolar and bipolar depression: A systematic review and meta-analysis of randomised sham-controlled trials
ترجمه فارسی عنوان
اثربخشی و پذیرش تحریک مغزی غیر تهاجمی برای درمان افسردگی یکپارچه و دوقطبی بالغ: یک بررسی سیستماتیک و متاآنالیز آزمایشات تصادفی شاهد
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کلمات کلیدی
تحریک مغناطیسی ترانس مغناطیسی، تحریک تله، تحریک جریان مستقیم ترانس کرانانیال، افسردگی، متاآنالیز، تحریک مغزی، بررسی سیستماتیک،
موضوعات مرتبط
علوم زیستی و بیوفناوری
علم عصب شناسی
علوم اعصاب رفتاری
چکیده انگلیسی
We examined the efficacy and acceptability of non-invasive brain stimulation in adult unipolar and bipolar depression. Randomised sham-controlled trials of transcranial direct current stimulation (tDCS), transcranial magnetic stimulation (TMS) and theta-burst stimulation (TBS), without co-initiation of another treatment, were included. We analysed effects on response, remission, all-cause discontinuation rates and continuous depression severity measures. Fifty-six studies met our criteria for inclusion (Nâ¯=â¯3058, mean ageâ¯=â¯44.96 years, 61.73% female). Response rates demonstrated efficacy of high-frequency rTMS over the left DLPFC (ORâ¯=â¯3.75, 95% CI [2.44; 5.75]), right-sided low-frequency rTMS (ORâ¯=â¯7.44, 95%CI [2.06; 26.83]) bilateral rTMS (ORâ¯=â¯3.68,95%CI [1.66; 8.13]), deep TMS (ORâ¯=â¯1.69, 95%CI [1.003; 2.85]), intermittent TBS (ORâ¯=â¯4.70, 95%CI [1.14; 19.38]) and tDCS (ORâ¯=â¯4.17, 95% CI [2.25; 7.74]); but not for continuous TBS, bilateral TBS or synchronised TMS. There were no differences in all-cause discontinuation rates. The strongest evidence was for high-frequency rTMS over the left DLPFC. Intermittent TBS provides an advance in terms of reduced treatment duration. tDCS is a potential treatment for non-treatment resistant depression. To date, there is not sufficient published data available to draw firm conclusions about the efficacy and acceptability of TBS and sTMS.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Neuroscience & Biobehavioral Reviews - Volume 92, September 2018, Pages 291-303
Journal: Neuroscience & Biobehavioral Reviews - Volume 92, September 2018, Pages 291-303
نویسندگان
Julian Mutz, Daniel R. Edgcumbe, Andre R. Brunoni, Cynthia H.Y. Fu,