Review of the Effectiveness of Transcranial Magnetic Stimulation for Post-traumatic Stress Disorder

被引:61
作者
Karsen, Ethan E. [1 ]
Watts, Bradley V. [1 ,2 ]
Holtzheimer, Paul E. [1 ,3 ]
机构
[1] Geisel Sch Med Dartmouth, Dept Psychiat, Lebanon, NH 03756 USA
[2] Vet Affairs Natl Ctr Patient Safety, Dept Psychiat, White River Jct, VT USA
[3] Geisel Sch Med Dartmouth, Dept Surg, Lebanon, NH USA
基金
美国国家卫生研究院;
关键词
Repetitive transcranial magnetic stimulation; Transcranial magnetic stimulation; Post-traumatic stress disorder; MEDIAL PREFRONTAL CORTEX; DOUBLE-BLIND; DEPRESSION; METAANALYSIS; AMYGDALA; IMAGERY; COMBAT; MEMORY; RTMS; PTSD;
D O I
10.1016/j.brs.2013.10.006
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: Post-traumatic stress disorder (PTSD) is a psychiatric condition with significant morbidity and limited treatment options. Transcranial magnetic stimulation (TMS) has been shown to be an effective treatment for mental illnesses including major depressive disorder. Objective: Review effectiveness of TMS for PTSD. Methods: Literature review with descriptions of primary studies as well as meta-analysis of studies with a control group. Results: Eight primary studies were identified and three studies met criteria for meta-analysis. All studies suggest effectiveness of TMS for PTSD. Additionally, right-sided may be more effective than left-sided treatment, there is no clear advantage in high versus low frequency, and the treatment is generally well tolerated. Meta-analysis shows significant effect size on PTSD symptoms that may be correlated with total number of stimulations. Conclusions: TMS for PTSD appears to be an effective and well-tolerated treatment that warrants additional study to further define treatment parameters, course, and side effects. (C) 2014 Elsevier Inc. All rights reserved.
引用
收藏
页码:151 / 157
页数:7
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