哈姆德
磁刺激
萧条(经济学)
评定量表
医学
自杀意念
汉密尔顿抑郁量表
汉密尔顿抑郁量表
内科学
物理疗法
心理学
麻醉
刺激
毒物控制
显著性差异
重性抑郁障碍
伤害预防
经济
扁桃形结构
宏观经济学
发展心理学
环境卫生
作者
Shaohong Zou,Lilei Dai,Peng Wang,Hui Du,Qingshan Guo,Fen Li,Xinfu He
出处
期刊:Cns & Neurological Disorders-drug Targets
[Bentham Science Publishers]
日期:2021-11-05
卷期号:21 (6): 500-510
被引量:11
标识
DOI:10.2174/1871527320666211104123343
摘要
Background: In recent years, more and more patients with depression demonstrate suicidal intention and suicidal behavior. Objective: To evaluate the effectiveness of repetitive transcranial magnetic stimulation (rTMS) in treating depression with suicidal ideation. Methods: Eighty-nine depression patients with suicide intention were administrated drugs combined with four weeks of Active rTMS (n=40) or sham (n=49) rTMS treatment. The 24-item Hamilton Depression Rating Scale for Depression (HAMD-24) and Self-rating Idea of Suicide Scale (SIOSS) were used to evaluate suicide risk and depression severity at baseline, weeks 2 and 4. A 25% reduction in HAMD-24 score from baseline was defined as treatment response. More than a 20% reduction in HAMD-24 score from baseline within the first 2 weeks of treatment was defined as an early improvement. Results: No statistical significance was found for baseline sociodemographic and illness characteristics between the two groups (P >0.05). There was a significant difference for HAMD-24 and SIOSS scores between the two groups at weeks 2 and 4. Active rTMS group demonstrated a more significant score reduction compared to the Sham rTMS group at weeks 2 and 4. There was a significantly greater number of patients with early improvement observed in the Active rTMS group compared to those in the Sham rTMS group at weeks 2 (P <0.05). There was a significant difference in responder rates between the two groups at weeks 4 for HAMD-24 scores (P <0.05). Conclusion: rTMS could accelerate the onset time of beneficial treating effects and improve clinical symptoms of depression. During the treatment course, cognitive disorder, sleep disorder, anxiety/ somatization, retardation, and hopelessness symptoms were improved dramatically, and suicidal ideation was reduced.
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