Kozel F Andrew
Mental Health and Behavioral Sciences & HSR&D Center of Innovation on Disability and Rehabilitation Research (CINDRR), James A. Haley Veterans' Administration Hospital and Clinics, 116A, 13000 Bruce B. Downs Boulevard, Tampa, FL 33612, USA; Department of Psychiatry and Behavioral Neurosciences, University of South Florida, 3515 E Fletcher Avenue, Tampa, FL 33613, USA.
Psychiatr Clin North Am. 2018 Sep;41(3):433-446. doi: 10.1016/j.psc.2018.04.007.
Repetitive transcranial magnetic stimulation (rTMS) is being investigated for psychiatric disorders such as posttraumatic stress disorder (PTSD), generalized anxiety disorder (GAD), and both phases of bipolar disorder. Case series, open trials, and randomized controlled studies have demonstrated preliminary support for treating PTSD with rTMS alone as well as with rTMS combined with psychotherapy. Similarly, there is some evidence that GAD can be treated with rTMS. The results for treating either phase of bipolar disorder are mixed with most of the current studies showing lack of benefit over sham. Further study is required before rTMS can be recommended for these disorders.
重复经颅磁刺激（rTMS）正在针对创伤后应激障碍（PTSD）、广泛性焦虑症（GAD）以及双相情感障碍的两个阶段等精神疾病进行研究。病例系列、开放试验和随机对照研究已初步证明，单独使用rTMS以及将rTMS与心理治疗相结合治疗PTSD是有依据的。同样，有一些证据表明rTMS可用于治疗GAD。治疗双相情感障碍任一阶段的结果喜忧参半，目前大多数研究表明与假刺激相比并无益处。在推荐将rTMS用于这些疾病之前，还需要进一步研究。
