Bilateral repetitive transcranial magnetic stimulation for treatment-resistant depression: a systematic review and meta-analysis of randomized controlled trials

被引：22
作者：
Zhang, Y. Q. [1 ,2 ]
Zhu, D. [1 ]
Zhou, X. Y. [1 ,2 ]
Liu, Y. Y. [1 ,2 ]
Qin, B. [1 ,2 ]
Ren, G. P. [1 ,2 ]
Xie, P. [1 ,2 ]
机构：
[1] Chongqing Med Univ, Affiliated Hosp 1, Dept Neurol, Chongqing, Peoples R China
[2] Chongqing Med Univ, Chongqing Key Lab Neurobiol, Chongqing, Peoples R China
来源：
BRAZILIAN JOURNAL OF MEDICAL AND BIOLOGICAL RESEARCH | 2015年 / 48卷 / 03期
关键词：
Repetitive transcranial magnetic stimulation; Treatment-resistant depression; Meta-analysis; Randomized controlled trials; DORSOLATERAL PREFRONTAL CORTEX; DOUBLE-BLIND; MAJOR DEPRESSION; LOW-FREQUENCY; UNILATERAL LEFT; RTMS; EFFICACY; ACCEPTABILITY;
D O I：
10.1590/1414-431X20144270
中图分类号：
Q [生物科学];
学科分类号：
07 ; 0710 ; 09 ;
摘要：
There has been concern regarding the use of controversial paradigms for repetitive transcranial magnetic stimulation (rTMS) to manage treatment-resistant depression (TRD). This meta-analysis assessed the efficacy of bilateral rTMS compared with unilateral and sham rTMS in patients with TRD. PubMed, Embase, CENTRAL, PsycINFO, Web of Science, EAGLE and NTIS databases were searched to identify relevant studies, and randomized controlled trials (RCTs) on bilateral rTMS for TRD patients were included. The response was defined as the primary outcome, and remission was the secondary outcome. Ten RCTs that included 634 patients met the eligibility criteria. The risk ratio (RRs) of both the primary and secondary outcomes of bilateral rTMS showed non-significant increases compared to unilateral rTMS (RR=1.01, P=0.93; odds ratio [OR]=0.77, P=0.22). Notably, the RR of the primary bilateral rTMS outcome was significantly increased compared to that for sham rTMS (RR=3.43, P=0.0004). The results of our analysis demonstrated that bilateral rTMS was significantly more effective than sham rTMS but not unilateral rTMS in patients with TRD. Thus, bilateral rTMS may not be a useful paradigm for patients with TRD.
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收藏
页码：198 / 206
页数：9
相关论文
共 44 条
[11]   Comparative efficacy and acceptability of 12 new-generation antidepressants: a multiple-treatments meta-analysis [J].
Cipriani, Andrea ;
Furukawa, Toshiaki A. ;
Salanti, Georgia ;
Geddes, John R. ;
Higgins, Julian P. T. ;
Churchill, Rachel ;
Watanabe, Norio ;
Nakagawa, Atsuo ;
Omori, Ichiro M. ;
McGuire, Hugh ;
Tansella, Michele ;
Barbui, Corrado .
LANCET, 2009, 373 (9665) :746-758
[12]   Combining high and low frequencies in rTMS antidepressive treatment:: preliminary results [J].
Conca, A ;
Di Pauli, J ;
Beraus, W ;
Hausmann, A ;
Peschina, W ;
Schneider, H ;
König, P ;
Hinterhuber, H .
HUMAN PSYCHOPHARMACOLOGY-CLINICAL AND EXPERIMENTAL, 2002, 17 (07) :353-356
[13]  
Dell'osso Bernardo, 2011, Clin Pract Epidemiol Ment Health, V7, P167, DOI 10.2174/1745017901107010167
[14]   Orbitofrontal cortex function and structure in depression [J].
Drevets, Wayne C. .
LINKING AFFECT TO ACTION: CRITICAL CONTRIBUTIONS OF THE ORBITOFRONTAL CORTEX, 2007, 1121 :499-527
[15]   Preventing recurrent depression: Long-term treatment for major depressive disorder [J].
Dunner, David L. ;
Blier, Pierre ;
Keller, Martin B. ;
Pollack, Mark H. ;
Thase, Michael E. ;
Zajecka, John M. .
JOURNAL OF CLINICAL PSYCHIATRY, 2007, 68 (04) :619-630
[16]   Recent developments and current controversies in depression [J].
Ebmeier, KP ;
Donaghey, C ;
Steele, JD .
LANCET, 2006, 367 (9505) :153-167
[17]   Modulatory effects of low- and high-frequency repetitive transcranial magnetic stimulation on visual cortex of healthy subjects undergoing light deprivation [J].
Fierro, B ;
Brighina, F ;
Vitello, G ;
Piazza, A ;
Scalia, S ;
Giglia, G ;
Daniele, O ;
Pascual-Leone, A .
JOURNAL OF PHYSIOLOGY-LONDON, 2005, 565 (02) :659-665
[18]   A randomized trial of unilateral and bilateral prefrontal cortex transcranial magnetic stimulation in treatment-resistant major depression [J].
Fitzgerald, P. B. ;
Hoy, K. ;
Gunewardene, R. ;
Slack, C. ;
Ibrahim, S. ;
Bailey, M. ;
Daskalakis, Z. J. .
PSYCHOLOGICAL MEDICINE, 2011, 41 (06) :1187-1196
[19]   A double blind randomized trial of unilateral left and bilateral prefrontal cortex transcranial magnetic stimulation in treatment resistant major depression [J].
Fitzgerald, Paul B. ;
Hoy, Kate E. ;
Herring, Sally E. ;
McQueen, Susan ;
Peachey, Amy V. J. ;
Segrave, Rebecca A. ;
Maller, Jerome ;
Hall, Phillip ;
Daskalakis, Z. Jeff .
JOURNAL OF AFFECTIVE DISORDERS, 2012, 139 (02) :193-198
[20]   A randomized, controlled trial of sequential bilateral repetitive transcranial magnetic stimulation for treatment-resistant depression [J].
Fitzgerald, PB ;
Benitez, J ;
de Castella, A ;
Daskalakis, ZJ ;
Brown, TL ;
Kulkarni, J .
AMERICAN JOURNAL OF PSYCHIATRY, 2006, 163 (01) :88-94
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