Repetitive Transcranial Magnetic Stimulation in Depressed Adolescents

Mayer, Gad; Faivel, Nurit; Aviram, Shai; Walter, Garry; Bloch, Yuval

doi:10.1097/yct.0b013e318250058c

Cited by 25 publications

(8 citation statements)

References 8 publications

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“…(A treatment in which a magnetic field is used),” and most reported that they would agree to be treated with rTMS if recommended in the future. 20 , 21 …”

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confidence: 99%

Knowledge of and Attitude Toward Repetitive Transcranial Magnetic Stimulation Among Psychiatrists in Saudi Arabia

AlHadi

Alshiban

Alomar³

et al. 2017

J ECT

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ObjectivesThe aims of this study were to assess psychiatrists' knowledge of and attitudes toward repetitive transcranial magnetic stimulation (rTMS) in Saudi Arabia and to determine the contributing factors.MethodsA quantitative observational cross-sectional study was conducted using an online survey. The sample consisted of 96 psychiatrists in Saudi Arabia. A new valid and reliable questionnaire was developed.ResultsA total of 96 psychiatrists enrolled in the study, 81% of whom were men. Half of the participants were consultants. The sample mainly consisted of general psychiatrists (65%). The mean age of the participants was 37 years. The results showed that 80% of the psychiatrists had a sufficient level of knowledge about rTMS. Consultants had greater knowledge than residents. Training abroad was not significantly associated with the level of knowledge or the type of attitude. Most psychiatrists (79%) had a positive attitude toward rTMS. Only 53% of the psychiatrists said they would agree to receive rTMS if they experienced a psychotic depressive condition. A minority of psychiatrists (7%) said they would not refer their patients for rTMS.ConclusionsMost of the psychiatrists surveyed had good knowledge of and a positive attitude toward rTMS. Those who had a high level of training and experience showed higher levels of knowledge. Articles were reported to be a better source for improving physician knowledge than textbooks. Having a family member or relative who was treated with rTMS positively affected psychiatrists' attitudes toward rTMS.

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“…(A treatment in which a magnetic field is used),” and most reported that they would agree to be treated with rTMS if recommended in the future. 20 , 21 …”

mentioning

confidence: 99%

Knowledge of and Attitude Toward Repetitive Transcranial Magnetic Stimulation Among Psychiatrists in Saudi Arabia

AlHadi

Alshiban

Alomar³

et al. 2017

J ECT

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“…However, it is not clear to what extent this was influenced by the monetary compensation provided. In other tDCS studies too (stroke rehabilitation) participants also reported feelings of discomfort (Tedesco Triccas et al, 2018 ), whereas individuals receiving rTMS for depression did not raise such concerns (Walter et al, 2001 ; Mayer et al, 2012 ). RTMS was perceived as less frightening than “having something done at the dentist” by most adults (88%) (Walter et al, 2001 ) and less than half of adolescents (37.5%) (Mayer et al, 2012 ).…”

Section: Discussionmentioning

confidence: 98%

“…In other tDCS studies too (stroke rehabilitation) participants also reported feelings of discomfort (Tedesco Triccas et al, 2018 ), whereas individuals receiving rTMS for depression did not raise such concerns (Walter et al, 2001 ; Mayer et al, 2012 ). RTMS was perceived as less frightening than “having something done at the dentist” by most adults (88%) (Walter et al, 2001 ) and less than half of adolescents (37.5%) (Mayer et al, 2012 ). This difference could be due to the fact that 2/3 of the adult sample in that study had previously had ECT (Walter et al, 2001 ), whereas the adolescents would have been more treatment naïve.…”

Section: Discussionmentioning

confidence: 98%

“…As of May 2021, there were 1,336 journal articles describing NIBS in people with schizophrenia and only one small study ( n = 4) of rTMS for auditory hallucinations reported limited data on participant experience, with two individuals describing the stimulation as relaxing, and one as uncomfortable (Subramanian et al, 2013 ). There has been some interest in patient experience of NIBS, mainly rTMS, in other clinical populations (Walter et al, 2001 ; Rosedale et al, 2009 ; Mayer et al, 2012 ; Singh et al, 2018 ).…”

Section: Introductionmentioning

confidence: 99%

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Participant Experiences of Transcranial Direct Current Stimulation (tDCS) as a Treatment for Antipsychotic Medication Induced Weight Gain

et al. 2021

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Background: Despite the growing number of studies on the use of non-invasive brain stimulation in people with schizophrenia, there is limited research on participant views of such treatment methods.Aim: Explore participant experiences and perceptions of transcranial direct current stimulation (tDCS).Methods: Twelve people with schizophrenia took part in semi-structured interviews after having completed 5 sessions of tDCS. Thematic analysis was used to identify codes and themes.Results: Five themes were identified: (1) motivation for study enrolment; (2) concerns about tDCS; (3) factors reducing the fear of tDCS; (4) experience of tDCS; (5) perceived effects of tDCS.Conclusions: The study provides insight into the perceptions and experiences of each individual. Participants were concerned about the safety of tDCS and associated it with invasive procedures such as electroconvulsive therapy and lobotomy. Educational materials and a good relationship with the researcher played an important role in reducing the fear of brain stimulation. All participants described tDCS as uncomfortable, however, agreed that unpleasant sensations only lasted for a short while (20 s−5 min). After the first session, participants no longer felt anxious about the remaining ones. Strategies to improve treatment experience and study recruitment have been identified.

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“…Early evidence also suggests that treatment of resistant depression by rTMS in adolescents is not associated with long-term cognitive deterioration and that some patients may derive long-term benefit from rTMS 23. However, although rTMS is relatively well tolerated in adolescent patients with major depression, there are also reports suggesting that rTMS may not be perceived as being very helpful by patients and their parents,24 and its efficacy in adolescents has only been evaluated in a small number of open-label studies.…”

Section: Introductionmentioning

confidence: 99%

Magnetic seizure therapy in an adolescent with refractory bipolar depression: a case report

Blumberger¹,

Noda²,

Daskalakis³

et al. 2014

NDT

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Magnetic seizure therapy (MST) has shown efficacy in adult patients with treatment-resistant depression with limited impairment in memory. To date, the use of MST in adolescent depression has not been reported. Here we describe the first successful use of MST in the treatment of an adolescent patient with refractory bipolar depression. This patient received MST in an ongoing open-label study for treatment-resistant major depression. Treatments employed a twin-coil MST apparatus, with the center of each coil placed over the frontal cortex (ie, each coil centered over F3 and F4). MST was applied at 100 Hz and 100% machine output at progressively increasing train durations. Depressive symptoms were assessed using the 24-item Hamilton Depression Rating Scale and cognitive function was assessed with a comprehensive neuropsychological battery. This adolescent patient achieved full remission of clinical symptoms after an acute course of 18 MST treatments and had no apparent cognitive decline, other than some autobiographical memory impairment that may or may not be related to the MST treatment. This case report suggests that MST may be a safe and well tolerated intervention for adolescents with treatment-resistant bipolar depression. Pilot studies to further evaluate the effectiveness and safety of MST in adolescents warrant consideration.

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Repetitive Transcranial Magnetic Stimulation in Depressed Adolescents

Cited by 25 publications

References 8 publications

Knowledge of and Attitude Toward Repetitive Transcranial Magnetic Stimulation Among Psychiatrists in Saudi Arabia

Knowledge of and Attitude Toward Repetitive Transcranial Magnetic Stimulation Among Psychiatrists in Saudi Arabia

Participant Experiences of Transcranial Direct Current Stimulation (tDCS) as a Treatment for Antipsychotic Medication Induced Weight Gain

Magnetic seizure therapy in an adolescent with refractory bipolar depression: a case report

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Repetitive Transcranial Magnetic Stimulation in Depressed Adolescents

Cited by 25 publications

References 8 publications

Knowledge of and Attitude Toward Repetitive Transcranial Magnetic Stimulation Among Psychiatrists in Saudi Arabia

Knowledge of and Attitude Toward Repetitive Transcranial Magnetic Stimulation Among Psychiatrists in Saudi Arabia

Participant Experiences of Transcranial Direct Current Stimulation (tDCS) as a Treatment for Antipsychotic Medication Induced Weight Gain

Magnetic seizure therapy in an adolescent with&nbsp;refractory bipolar depression: a case report

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Magnetic seizure therapy in an adolescent with refractory bipolar depression: a case report