Clinical Repetitive Transcranial Magnetic Stimulation for Posttraumatic Stress Disorder, Generalized Anxiety Disorder, and Bipolar Disorder

被引:32
作者
Kozel, F. Andrew [1 ,2 ,3 ,4 ]
机构
[1] James A Haley Vet Adm Hosp & Clin, Mental Hlth & Behav Sci, 116A,13000 Bruce B Downs Blvd, Tampa, FL 33612 USA
[2] James A Haley Vet Adm Hosp & Clin, HSR&D Ctr Innovat Disabil & Rehabil Res CINDRR, 116A,13000 Bruce B Downs Blvd, Tampa, FL 33612 USA
[3] Univ S Florida, Dept Psychiat & Behav Neurosci, 3515 E Fletcher Ave, Tampa, FL 33613 USA
[4] James A Haley Vet Hosp & Clin, 116A,13000 Bruce B Downs Blvd, Tampa, FL 33612 USA
关键词
Transcranial magnetic stimulation; TMS; Posttraumatic stress disorder; PTSD; Generalized anxiety disorder; GAD; Bipolar disorder; MAJOR DEPRESSIVE DISORDER; DORSOLATERAL PREFRONTAL CORTEX; TREATMENT-EMERGENT MANIA; DOUBLE-BLIND; COST-EFFECTIVENESS; LOW-FREQUENCY; RTMS; EFFICACY; THERAPY; TMS;
D O I
10.1016/j.psc.2018.04.007
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Repetitive transcranial magnetic stimulation (rTMS) is being investigated for psychiatric disorders, such as posttraumatic stress disorder (PTSD), generalized anxiety disorder (GAD), and both phases of bipolar disorder. Case series, open trials, and randomized controlled studies have demonstrated preliminary support for treating PTSD with rTMS alone as well as with rTMS combined with psychotherapy. Similarly, there is some evidence that GAD can be treated with rTMS. The results for treating either phase of bipolar disorder are mixed, with most of the current studies showing lack of benefit over sham. Further study is required before rTMS can be recommended for these disorders.
引用
收藏
页码:433 / +
页数:15
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