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加速间歇性 theta 爆发刺激治疗重性抑郁障碍或双相抑郁障碍:系统评价和荟萃分析。

Accelerated intermittent theta burst stimulation for major depressive disorder or bipolar depression: A systematic review and meta-analysis.

机构信息

Shenzhen Traditional Chinese Medicine Hospital, Shenzhen, China; The Fourth Clinical College, Guangzhou University of Chinese Medicine, Shenzhen, China.

The Brain Hospital of Guangxi Zhuang Autonomous Region, Liuzhou, China.

出版信息

Asian J Psychiatr. 2023 Jul;85:103618. doi: 10.1016/j.ajp.2023.103618. Epub 2023 May 6.

DOI:10.1016/j.ajp.2023.103618
PMID:37201381
Abstract

We aimed to systematically evaluate the clinical efficacy and safety of accelerated intermittent theta burst stimulation (aiTBS) for patients with major depressive disorder (MDD) or bipolar depression (BD). A random-effects model was adopted to analyze the primary and secondary outcomes using the Review Manager, Version 5.3 software. This meta-analysis (MA) identified five double-blind randomized controlled trials (RCTs) comprising 239 MDD or BD patients with a major depressive episode. Active aiTBS overperformed sham stimulation in the study-defined response. This MA found preliminary evidence that active aiTBS resulted in a greater response in treating major depressive episodes in MDD or BD patients than sham stimulation.

摘要

我们旨在系统评估加速间歇 theta 爆发刺激(aiTBS)治疗重度抑郁症(MDD)或双相情感障碍(BD)患者的临床疗效和安全性。使用 Review Manager,Version 5.3 软件,采用随机效应模型分析主要和次要结局。这项荟萃分析(MA)确定了五项包括 239 例有重度抑郁发作的 MDD 或 BD 患者的双盲随机对照试验(RCT)。在研究定义的反应中,主动 aiTBS 优于假刺激。这项 MA 发现初步证据表明,与假刺激相比,主动 aiTBS 治疗 MDD 或 BD 患者重度抑郁发作的反应更大。

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