Effectiveness of individualized rTMS under sMRI guidance in reducing depressive symptoms and suicidal ideation in adolescents with depressive disorders: an open-label study
2024

Effectiveness of rTMS in Reducing Depression and Suicidal Thoughts in Teens

Sample size: 123 publication 10 minutes Evidence: moderate

Author Information

Author(s): Sun Yuyong, Liu Xiaoyan, Li Yi, Zhi Qianna, Xia Yong

Primary Institution: Zhejiang University School of Medicine, Hangzhou Seventh People’s Hospital

Hypothesis

Does sMRI-guided rTMS combined with pharmacotherapy reduce depressive symptoms and suicidal ideation in adolescents with major depressive disorder more effectively than pharmacotherapy alone?

Conclusion

sMRI-guided rTMS treatment is effective in improving depressive symptoms and reducing suicidal ideation in adolescents with major depressive disorder.

Supporting Evidence

  • The sMRI navigation group showed significantly more improvement in depressive symptoms and suicidal ideation compared to the other groups.
  • All groups showed improvement, but the sMRI navigation group had the best outcomes.
  • Adolescents tolerated the rTMS treatment well with minimal side effects.

Takeaway

This study shows that a special brain treatment called rTMS can help teenagers feel less sad and think less about hurting themselves.

Methodology

The study compared three groups: one receiving sMRI-guided rTMS with medication, one receiving surface 5-cm rTMS with medication, and one receiving medication alone, over 10 sessions in two weeks.

Potential Biases

Potential bias due to the open-label design and the lack of randomization.

Limitations

The study had a relatively small sample size and lacked a sham control group.

Participant Demographics

Chinese adolescents aged 13-18 with major depressive disorder.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3389/fpsyt.2024.1485878

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