Consensus Recommendations for the Clinical Application of Repetitive Transcranial Magnetic Stimulation (rTMS) in the Treatment of Depression

被引:398
作者
McClintock, Shawn M. [1 ,2 ]
Reti, Irving M. [3 ]
Carpenter, Linda L. [4 ]
McDonald, William M. [5 ]
Dubin, Marc [6 ]
Taylor, Stephan F. [7 ]
Cook, Ian A. [8 ,9 ]
O'Reardon, John [10 ]
Husain, Mustafa M. [1 ,2 ]
Wall, Christopher [11 ]
Krystal, Andrew D. [2 ,12 ]
Sampson, Shirlene M. [13 ]
Morales, Oscar [14 ]
Nelson, Brent G. [15 ]
Latoussakis, Vassilios [6 ]
George, Mark S. [16 ,17 ]
Lisanby, Sarah H. [2 ]
机构
[1] UT Southwestern Med Ctr, Dept Psychiat, 5323 Harry Hines Blvd, Dallas, TX 75390 USA
[2] Duke Univ, Sch Med, Dept Psychiat & Behav Sci, Div Brain Stimulat & Neurophysiol, Durham, NC USA
[3] Johns Hopkins Univ, Sch Med, Dept Psychiat & Behav Sci, Baltimore, MD 21205 USA
[4] Butler Hosp, Brown Dept Psychiat & Human Behav, Providence, RI 02906 USA
[5] Emory Univ, Sch Med, Dept Psychiat & Behav Sci, Atlanta, GA USA
[6] Weill Cornell Med Coll, Dept Psychiat, White Plains, NY USA
[7] Univ Michigan, Dept Psychiat, Ann Arbor, MI 48109 USA
[8] Univ Calif Los Angeles, Semel Inst Neurosci & Human Behav, Dept Psychiat & Behav Sci, Los Angeles, CA 90024 USA
[9] Univ Calif Los Angeles, Semel Inst Neurosci & Human Behav, Dept Bioengn, Los Angeles, CA 90024 USA
[10] Rowan Univ, Sch Med, Dept Psychiat & Behav Sci, Stratford, NJ USA
[11] PrarieCare, Rochester, MN USA
[12] Univ Calif San Francisco, Sch Med, Dept Psychiat, San Francisco, CA USA
[13] Mayo Clin, Dept Psychiat & Psychol, Rochester, MN USA
[14] Harvard Med Sch, McLean Hosp, Psychiat Neurotherapeut Program, Boston, MA USA
[15] Univ Minnesota, Dept Psychiat, St Louis Pk, MN USA
[16] Med Univ South Carolina, Dept Psychiat & Behav Sci, Charleston, SC 29425 USA
[17] Ralph H Johnson VA Med Ctr, Charleston, SC USA
关键词
TREATMENT-RESISTANT DEPRESSION; SHAM-CONTROLLED-TRIAL; DORSOLATERAL PREFRONTAL CORTEX; RANDOMIZED CONTROLLED-TRIAL; TREATING MAJOR DEPRESSION; DEEP BRAIN-STIMULATION; DOUBLE-BLIND; MOTOR THRESHOLD; ELECTROCONVULSIVE-THERAPY; ANTIDEPRESSANT EFFICACY;
D O I
10.4088/JCP.16cs10905
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Objective: To provide expert recommendations for the safe and effective application of repetitive transcranial magnetic stimulation (rTMS) in the treatment of major depressive disorder (MDD). Participants: Participants included a group of 17 expert clinicians and researchers with expertise in the clinical application of rTMS, representing both the National Network of Depression Centers (NNDC) rTMS Task Group and the American Psychiatric Association Council on Research (APA CoR) Task Force on Novel Biomarkers and Treatments. Evidence: The consensus statement is based on a review of extensive literature from 2 databases (OvidSP MEDLINE and PsycINFO) searched from 1990 through 2016. The search terms included variants of major depressive disorder and transcranial magnetic stimulation. The results were limited to articles written in English that focused on adult populations. Of the approximately 1,500 retrieved studies, a total of 118 publications were included in the consensus statement and were supplemented with expert opinion to achieve consensus recommendations on key issues surrounding the administration of rTMS for MDD in clinical practice settings. Consensus Process: In cases in which the research evidence was equivocal or unclear, a consensus decision on how rTMS should be administered was reached by the authors of this article and is denoted in the article as "expert opinion." Conclusions: Multiple randomized controlled trials and published literature have supported the safety and efficacy of rTMS antidepressant therapy. These consensus recommendations, developed by the NNDC rTMS Task Group and APA CoR Task Force on Novel Biomarkers and Treatments, provide comprehensive information for the safe and effective clinical application of rTMS in the treatment of MDD.
引用
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页码:35 / +
页数:15
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