Deep Transcranial Magnetic Stimulation Effects on the Electrophysiological Parameters in Obsessive-Compulsive Disorder

被引:4
|
作者
Arikan, Mehmet K. [1 ]
Ilhan, Reyhan [1 ]
Esmeray, Taha [1 ]
Cetin, Hamide Lacin [1 ]
Aytar, Ece Karabagir [1 ]
Aktas, Hazal [1 ,2 ]
Gunver, Mehmet Guven [2 ]
Tendler, Aron [3 ]
机构
[1] Kemal Arikan Psychiat Clin, Halaskargazi St 103,Flat 4B, TR-34371 Istanbul, Turkey
[2] Istanbul Univ, Dept Biostat, Istanbul, Turkey
[3] Ben Gurion Univ Negev, Dept Life Sci, Beer Sheva, Israel
关键词
deep TMS; H7; coil; quantitative EEG; OCD; beta oscillations; Y-BOCS; SAFETY; EFFICACY; ANXIETY; SCALE; TMS;
D O I
10.1177/15500594221095385
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Backgrounds. Deep Transcranial Magnetic Stimulation (dTMS) is a non-invasive treatment cleared by FDA as a safe and efficient intervention for the treatment of depression and obsessive-compulsive disorder (OCD). Objectives. In this retrospective single-center study, the effects of dTMS on the electrophysiological parameters and the clinical outcomes of patients with OCD were tested. Methods. Thirty sessions of dTMS were administered to 29 OCD patients (15 female and 14 male). Quantitative electroencephalography (QEEG) recordings and Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) were measured at baseline and endpoint. Paired sample t-test was used to measure the change in Y-BOCS scores and QEEG activity after dTMS practice. Results. All 29 patients responded to the dTMS intervention by indicating at least 35% reduction in Y-BOCS scores. QEEG recordings revealed a significant decrease in theta, alpha and the beta rhythms. The decrease in the severity of OCD symptoms correlated with the decrease in beta activity at left central region. Conclusions. Historically, excess fast oscillations in OCD are correlated with the unresponsiveness to selective serotonin reuptake inhibitor (SSRI) treatment. We hypothesize that the decrease in the power of beta bands by deep TMS is related to the mechanism of the therapeutic response.
引用
收藏
页码:484 / 490
页数:7
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