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Transcranial direct current stimulation in treatment-resistant obsessive-compulsive disorder: An open-label pilot study
被引:65
作者:

Bation, Remy
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Univ Lyon 1, Ctr Hosp Vinatier, EA 4615, F-69003 Bron, France Univ Lyon 1, Ctr Hosp Vinatier, EA 4615, F-69003 Bron, France

Poulet, Emmanuel
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Univ Lyon 1, Ctr Hosp Vinatier, EA 4615, F-69003 Bron, France
CHU Lyon, Groupement Hosp Edouard Herriot, Serv Psychiat Urgences, Lyon, France Univ Lyon 1, Ctr Hosp Vinatier, EA 4615, F-69003 Bron, France

Haesebaert, Frederic
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Univ Lyon 1, Ctr Hosp Vinatier, EA 4615, F-69003 Bron, France Univ Lyon 1, Ctr Hosp Vinatier, EA 4615, F-69003 Bron, France

Saoud, Mohamed
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Univ Lyon 1, Ctr Hosp Vinatier, EA 4615, F-69003 Bron, France
CHU Lyon, Hop Pierre Wertheimer Psychiat Adultes Consultat, Groupement Hosp Est, Lyon, France Univ Lyon 1, Ctr Hosp Vinatier, EA 4615, F-69003 Bron, France

Brunelin, Jerome
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h-index: 0
机构:
Univ Lyon 1, Ctr Hosp Vinatier, EA 4615, F-69003 Bron, France Univ Lyon 1, Ctr Hosp Vinatier, EA 4615, F-69003 Bron, France
机构:
[1] Univ Lyon 1, Ctr Hosp Vinatier, EA 4615, F-69003 Bron, France
[2] CHU Lyon, Groupement Hosp Edouard Herriot, Serv Psychiat Urgences, Lyon, France
[3] CHU Lyon, Hop Pierre Wertheimer Psychiat Adultes Consultat, Groupement Hosp Est, Lyon, France
关键词:
Obsessive-compulsive disorder;
OCD;
tDCS;
Transcranial direct current stimulation;
Orbitofrontal cortex;
OFC;
Cerebellum;
MAGNETIC STIMULATION;
BRAIN ACTIVATION;
CONTROLLED TRIAL;
NETWORKS;
CORTEX;
TDCS;
MODULATION;
COGNITION;
SYMPTOMS;
EFFICACY;
D O I:
10.1016/j.pnpbp.2015.10.001
中图分类号:
R74 [神经病学与精神病学];
学科分类号:
摘要:
Background: Obsessive-compulsive disorder (OCD) is a severe mental illness. OCD symptoms are often resistant to available treatments. Abnormalities within the orbitofronto-striato-pallido-thalamic circuitry, especially orbitofrontal cortex (OFC) hyperactivity and cerebellar hypoactivity have been observed in patients. Noninvasive brain stimulation studies have indicated that transcranial direct current stimulation (tDCS) may be a useful alternative to alleviate treatment-resistant symptoms in various neuropsychiatric conditions. Methods: In an open-label pilot study, 8 patients with treatment-resistant OCD received 10 sessions (twice a day) of 2 mA tDCS applied with the cathode over the left OFC and the anode over the right cerebellum. OCD (Y-BOCS and OCD-VAS) as well as depressive (MADRS) symptoms were measured 4 times: one time before tDCS and 3 times after (immediately after, 1 and 3 months after the 10th tDCS session). Results: We reported a significant 26.4% (+/- 15.8) decrease of Y-BOCS score (p = 0.002). The beneficial effect lasted during the 3 month follow-up. No effect of tDCS was observed on depressive symptoms. At end point, 5 out of 8 patients had a decrease of >= 25%; and 3 out of 8 patients had a decrease of >= 35% in Y-BOCS score. tDCS was well tolerated. Conclusion: tDCS with the cathode placed over the left OFC combined with the anode placed over the right cerebellum is a suitable and safe approach to decrease OCD symptoms in patients with treatment-resistant OCD. Large scale randomized controlled studies are needed to confirm this promising result. (C) 2015 Elsevier Inc. All rights reserved.
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页码:153 / 157
页数:5
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