High-Definition Transcranial Direct Current Stimulation-Primed Intermittent Theta Burst Stimulation in Treatment-Resistant Depression : A Controlled Study

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OBJECTIVES: The aim of this study was to evaluate whether high-definition transcranial direct current stimulation (HDtDCS) priming improves the efficacy of intermittent theta burst stimulation (iTBS) in improving TRD.

METHODOLOGY: A prospective hospital-based, randomized control study where the participants were divided into active or sham HDtDCS-primed iTBS stimulation groups for a total of 10 sessions and were assessed on clinical parameters at baseline, end of week 1, and end of week 2 was done. Primary outcome of the study was the difference in Hamilton Depression Rating Scale (HDRS) scores over 2 weeks of HDtDCS-primed iTBS.

RESULT: A significant effect of time was seen over HDRS scores in both active and sham groups with a large effect size. Significant effect of time was also found over the Clinical Global Impressions-Severity Scale scores of patients with a large effect size. The difference in the improvement in depressive severity as measured using HDRS and Clinical Global Impressions-Severity Scale scores between active and sham groups was also found to be significant with large effect sizes.

CONCLUSION: High-definition tDCS-primed iTBS is superior to normal iTBS in patients with depression who have failed a trial of 2 antidepressants, whereas both mechanisms are of benefit to the patients.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:40

Enthalten in:

The journal of ECT - 40(2024), 1 vom: 01. Feb., Seite 41-46

Sprache:

Englisch

Beteiligte Personen:

Jaiswal, Alankrit [VerfasserIn]
Goyal, Nishant [VerfasserIn]
Shreekantiah, Umesh [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Randomized Controlled Trial

Anmerkungen:

Date Completed 28.02.2024

Date Revised 28.02.2024

published: Print

Citation Status MEDLINE

doi:

10.1097/YCT.0000000000000952

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM36901538X