Avaliação de fatores associados à duração do tratamento com a estimulação magnética transcraniana repetitiva na depressão Roni Broder Cohen1, Felipe Fregni2, Paulo Sergio Boggio3 Study carried out at the Centro Brasileiro de Estimulação Magnética Transcraniana ? CBREMT, São Paulo (SP), Brazil. 1 Director of the Centro Brasileiro de Estimulação Magnética Transcraniana ?CBREMT, São Paulo (SP), Brazil. 2 Post-doctorate in Neurology; Professor at the Harvard Medical School, Center for Noninvasive Brain Stimulation, Boston (MA), USA. 3 PhD in Psychology; Lecturer and researcher at the Centro de Ciências Biológicas e da Saúde ? CCBS, Universidade Presbiteriana Mackenzie ? UPM, São Paulo (SP), Brazil.
ABSTRACT Objective: To investigate the effects of repetitive transcranial magnetic stimulation in patients with major depression who were submitted to this treatment during the period from 2000 to 2006. Methods: A retrospective study with 204 patients who underwent treatment with repetitive transcranial magnetic stimulation, collecting data from those who experienced remission (defined as a HDRS score equal to or lower than 7). The patients were followed for up to 6 months after treatment. Mean duration of remission for this cohort of patients was 70.2 (± 58.4) days. Results: The only variable associated with the duration of remission in the linear regression model was number of repetitive transcranial magnetic stimulation sessions. Conclusion: Our findings suggest that the greater the number of sessions, the longer the duration of repetitive transcranial magnetic stimulation effects. Consequently, future research investigating the effects of repetitive transcranial magnetic stimulation should explore this variable in order to maximize the therapeutic effects of this new brain stimulation technique.
Keywords: Depression/therapy; Deep brain stimulation; Transcranial magnetic stimulation; Risk factors |