Psychiatry Division, Sheba Medical Center, Tel Hashomer, Israel.
Visual analog scales (VAS) administered on a daily basis provide a fast and
reliable method for assessing clinical change during transcranial magnetic
stimulation (TMS). We treated 40 patients with major depression with TMS and
assessed their clinical condition with VAS. Response to TMS was defined with the
Hamilton rating scale for depression and the Global assessment of function
scale. Nineteen patients of 40 were responders to TMS (when the whole sample was
considered) whereas 17 of 29 responded when only the non-psychotic patients were
considered. Patients who eventually responded to TMS demonstrated early changes
in the VAS scores. We conclude that monitoring with VAS scores can detect early
response to TMS. Copyright 2002 John Wiley & Sons, Ltd.