Efficacy and Safety of Intensive Transcranial Magnetic
Stimulation

J 2018

Efficacy and Safety of Intensive Transcranial Magnetic Stimulation

SVĚRÁK, Tomáš and Libor USTOHAL

Basic information

Original name

Efficacy and Safety of Intensive Transcranial Magnetic Stimulation

Authors

SVĚRÁK, Tomáš (203 Czech Republic, guarantor, belonging to the institution) and Libor USTOHAL (203 Czech Republic, belonging to the institution)

Edition

Harvard Review of Psychiatry, PHILADELPHIA, LIPPINCOTT WILLIAMS & WILKINS, 2018, 1067-3229

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30215 Psychiatry

Country of publisher

Czech Republic

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 2.507

RIV identification code

RIV/00216224:14110/18:00102192

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1097/HRP.0000000000000151

UT WoS

000422646900003

Keywords in English

efficacy; intensive treatment; nomenclature; repetitive transcranial magnetic stimulation; safety

Abstract

V originále

Repetitive transcranial magnetic stimulation (rTMS) is customarily applied on a daily basis for prolonged periods of time for the treatment of psychiatric diseases. The process is demanding in terms of staff and patient time, and the onset of the effect is slow. Recently, intensive rTMS protocols have been introduced in which stimulation is applied to the same area more than once a day with a higher than standard number of pulses. This article reviews 16 articles to determine the safety and efficacy of such protocols. Intensive rTMS seems to be effective in various mental disorders. It appears to have, in general, the same adverse events as classic, long-term, daily rTMS, and it is largely well tolerated by the patients. One episode of depersonalization, one of increased suicidal thoughts, and two of induced mania were observed in the 16 studies reviewed. The advantages of intensive rTMS are in the possible acute effect of the stimulation and in the possible reduction in the time required to achieve remission in depression (and potentially other disorders). It remains uncertain whether intensive rTMS is more effective than sham stimulation or once-daily, long-term rTMS.

Citovat

SVĚRÁK, Tomáš and Libor USTOHAL. Efficacy and Safety of Intensive Transcranial Magnetic Stimulation. Harvard Review of Psychiatry. PHILADELPHIA: LIPPINCOTT WILLIAMS & WILKINS, 2018, vol. 26, No 1, p. 19-26. ISSN 1067-3229. Available from: https://dx.doi.org/10.1097/HRP.0000000000000151.

@article{1403226,
   author = {Svěrák, Tomáš and Ustohal, Libor},
   article_location = {PHILADELPHIA},
   article_number = {1},
   doi = {http://dx.doi.org/10.1097/HRP.0000000000000151},
   keywords = {efficacy; intensive treatment; nomenclature; repetitive transcranial magnetic stimulation; safety},
   language = {eng},
   issn = {1067-3229},
   journal = {Harvard Review of Psychiatry},
   title = {Efficacy and Safety of Intensive Transcranial Magnetic Stimulation},
   url = {https://journals.lww.com/hrpjournal/Abstract/2018/01000/Efficacy_and_Safety_of_Intensive_Transcranial.3.aspx},
   volume = {26},
   year = {2018}
}

TY  - JOUR
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JF  - Harvard Review of Psychiatry
VL  - 26
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PB  - LIPPINCOTT WILLIAMS & WILKINS
SN  - 10673229
KW  - efficacy
KW  - intensive treatment
KW  - nomenclature
KW  - repetitive transcranial magnetic stimulation
KW  - safety
UR  - https://journals.lww.com/hrpjournal/Abstract/2018/01000/Efficacy_and_Safety_of_Intensive_Transcranial.3.aspx
L2  - https://journals.lww.com/hrpjournal/Abstract/2018/01000/Efficacy_and_Safety_of_Intensive_Transcranial.3.aspx
N2  - Repetitive transcranial magnetic stimulation (rTMS) is customarily applied on a daily basis for prolonged periods of time for the treatment of psychiatric diseases. The process is demanding in terms of staff and patient time, and the onset of the effect is slow. Recently, intensive rTMS protocols have been introduced in which stimulation is applied to the same area more than once a day with a higher than standard number of pulses. This article reviews 16 articles to determine the safety and efficacy of such protocols. Intensive rTMS seems to be effective in various mental disorders. It appears to have, in general, the same adverse events as classic, long-term, daily rTMS, and it is largely well tolerated by the patients. One episode of depersonalization, one of increased suicidal thoughts, and two of induced mania were observed in the 16 studies reviewed. The advantages of intensive rTMS are in the possible acute effect of the stimulation and in the possible reduction in the time required to achieve remission in depression (and potentially other disorders). It remains uncertain whether intensive rTMS is more effective than sham stimulation or once-daily, long-term rTMS.
ER  -

SVĚRÁK, Tomáš and Libor USTOHAL. Efficacy and Safety of Intensive Transcranial Magnetic Stimulation. \textit{Harvard Review of Psychiatry}. PHILADELPHIA: LIPPINCOTT WILLIAMS \&{}amp; WILKINS, 2018, vol.~26, No~1, p.~19-26. ISSN~1067-3229. Available from: https://dx.doi.org/10.1097/HRP.0000000000000151.

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