Comparison of repetitive transcranial magnetic stimulation and electroconvulsive therapy in unipolar

Por: Eletroconvulsoterapia - IPAN (Instituto de Pesquisas Avançadas em Neuroestimulação)  21/08/2009
Palavras-chave: Depressão, Antidepressivo, Estimulação Magnética Transcraniana

Repetitive transcranial magnetic stimulation (rTMS) can induce significant antidepressant effects and, for some patients, might be an alternative to electroconvulsive therapy (ECT). The results of studies comparing the efficacy of rTMS and ECT are mixed and, therefore, comparison of these two therapies needs to be further explored. Forty-two patients aged between 18 and 65 yr, referred to ECT due to unipolar non-psychotic depression refractoriness entered the trial. They were randomly assigned to receive either rTMS or ECT. Depressive symptom changes were blindly measured by Hamilton Depression Rating Scale, Visual Analogue Scale and Clinical Global Impression at baseline, after 2 wk and after 4 wk of treatment. There was no difference in the antidepressant efficacy of ECT and rTMS. Response rates were relatively low in both groups (40% and 50% respectively), with no significant difference between them (p=0.55). Remission rates were also low for both groups (20% and 10% respectively), also with no significant difference (p=0.631).

Palavras-chave: Antidepressivo, Depressão, Eletroconvulsoterapia - Ect, EMTr, Estimulação Magnética Transcraniana

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