Changes in sleep with transcranial magnetic stimulation in adults with treatment resistant depression: Preliminary results from a naturalistic study
Introduction Sleep disturbance specifically insomnia, non-restorative sleep, and hypersomnia are common symptoms of major depressive disorder (MDD). As it alleviates major depressive disorder, transcranial magnetic stimulation (TMS) may improve associated sleep disturbances, and may also have inhe...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Cambridge University Press
2021-04-01
|
| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933821004156/type/journal_article |
| _version_ | 1797616360972353536 |
|---|---|
| author | A.I. Sonmez R. Kay S. Schmids C. Peterson A. Herman A. Widge Z. Nahas C.S. Albott |
| author_facet | A.I. Sonmez R. Kay S. Schmids C. Peterson A. Herman A. Widge Z. Nahas C.S. Albott |
| author_sort | A.I. Sonmez |
| collection | DOAJ |
| description |
Introduction
Sleep disturbance specifically insomnia, non-restorative sleep, and hypersomnia are common symptoms of major depressive disorder (MDD). As it alleviates major depressive disorder, transcranial magnetic stimulation (TMS) may improve associated sleep disturbances, and may also have inherent sedating or activating properties.
Objectives
To examine the impact of TMS on sleep disturbances in adults with treatment resistant depression in a clinical setting, we retrospectively reviewed de-identified data from naturalistically-treated MDD patients undergoing an initial acute course of TMS therapy at St.Louis Park MinCEP Clinic.
Methods
Adults with treatment-resistant depression received daily TMS treatments. 9-item Patient Health Questionnaire (PHQ-9) total scores were used to calculate % change at endpoint (relative to pretreatment baseline); response on both measures was defined as 50% reduction in scores, with remission defined as a final total score 4 on the PHQ-9. Insomnia was measured with a 3-item subscale of the Inventory of Depressive Symptomatology Self Report (IDS-SR). Hypersomnia was measured with a single IDS-SR item. Pairwise comparisons were performed using Student’s T-test. Categorical variables were compared using Fisher’s Exact test. Continuous outcome measures were tested with an analysis of covariance, using baseline PHQ-9 score as a fixed effect covariate.
Results
TMS appears to have differential modulatory effects on insomnia and hypersomnia in adults with treatment resistant depression.
Conclusions
These results may provide the basis for further investigation into therapeutic applications of TMS in addressing sleep disturbances in treatment-resistant depression. Measures that separate hypersomnia and insomnia should be implemented in future work addressing effects of TMS in treatment-resistant depression.
Disclosure
No significant relationships.
|
| first_indexed | 2024-03-11T07:39:53Z |
| format | Article |
| id | doaj.art-357b496d8db449dd87e86dcba17d45f6 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:39:53Z |
| publishDate | 2021-04-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-357b496d8db449dd87e86dcba17d45f62023-11-17T05:08:43ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S153S15310.1192/j.eurpsy.2021.415Changes in sleep with transcranial magnetic stimulation in adults with treatment resistant depression: Preliminary results from a naturalistic studyA.I. Sonmez0R. Kay1S. Schmids2C. Peterson3A. Herman4A. Widge5Z. Nahas6C.S. Albott7Psychiatry And Behavioral Sciences, University of Minnesota, Minneapolis, United States of AmericaPsychiatry And Behavioral Sciences, University of Minnesota, Minneapolis, United States of AmericaPsychiatry And Behavioral Sciences, University of Minnesota, Minneapolis, United States of AmericaPsychiatry And Behavioral Sciences, University of Minnesota, Minneapolis, United States of AmericaPsychiatry And Behavioral Sciences, University of Minnesota, Minneapolis, United States of AmericaPsychiatry And Behavioral Sciences, University of Minnesota, Minneapolis, United States of AmericaPsychiatry And Behavioral Sciences, University of Minnesota, Minneapolis, United States of AmericaPsychiatry And Behavioral Sciences, University of Minnesota, Minneapolis, United States of America Introduction Sleep disturbance specifically insomnia, non-restorative sleep, and hypersomnia are common symptoms of major depressive disorder (MDD). As it alleviates major depressive disorder, transcranial magnetic stimulation (TMS) may improve associated sleep disturbances, and may also have inherent sedating or activating properties. Objectives To examine the impact of TMS on sleep disturbances in adults with treatment resistant depression in a clinical setting, we retrospectively reviewed de-identified data from naturalistically-treated MDD patients undergoing an initial acute course of TMS therapy at St.Louis Park MinCEP Clinic. Methods Adults with treatment-resistant depression received daily TMS treatments. 9-item Patient Health Questionnaire (PHQ-9) total scores were used to calculate % change at endpoint (relative to pretreatment baseline); response on both measures was defined as 50% reduction in scores, with remission defined as a final total score 4 on the PHQ-9. Insomnia was measured with a 3-item subscale of the Inventory of Depressive Symptomatology Self Report (IDS-SR). Hypersomnia was measured with a single IDS-SR item. Pairwise comparisons were performed using Student’s T-test. Categorical variables were compared using Fisher’s Exact test. Continuous outcome measures were tested with an analysis of covariance, using baseline PHQ-9 score as a fixed effect covariate. Results TMS appears to have differential modulatory effects on insomnia and hypersomnia in adults with treatment resistant depression. Conclusions These results may provide the basis for further investigation into therapeutic applications of TMS in addressing sleep disturbances in treatment-resistant depression. Measures that separate hypersomnia and insomnia should be implemented in future work addressing effects of TMS in treatment-resistant depression. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933821004156/type/journal_articlerepetitive transcranial magnetic stimulationtreatment-resistant depressionhypersomniaInsomnia |
| spellingShingle | A.I. Sonmez R. Kay S. Schmids C. Peterson A. Herman A. Widge Z. Nahas C.S. Albott Changes in sleep with transcranial magnetic stimulation in adults with treatment resistant depression: Preliminary results from a naturalistic study European Psychiatry repetitive transcranial magnetic stimulation treatment-resistant depression hypersomnia Insomnia |
| title | Changes in sleep with transcranial magnetic stimulation in adults with treatment resistant depression: Preliminary results from a naturalistic study |
| title_full | Changes in sleep with transcranial magnetic stimulation in adults with treatment resistant depression: Preliminary results from a naturalistic study |
| title_fullStr | Changes in sleep with transcranial magnetic stimulation in adults with treatment resistant depression: Preliminary results from a naturalistic study |
| title_full_unstemmed | Changes in sleep with transcranial magnetic stimulation in adults with treatment resistant depression: Preliminary results from a naturalistic study |
| title_short | Changes in sleep with transcranial magnetic stimulation in adults with treatment resistant depression: Preliminary results from a naturalistic study |
| title_sort | changes in sleep with transcranial magnetic stimulation in adults with treatment resistant depression preliminary results from a naturalistic study |
| topic | repetitive transcranial magnetic stimulation treatment-resistant depression hypersomnia Insomnia |
| url | https://www.cambridge.org/core/product/identifier/S0924933821004156/type/journal_article |
| work_keys_str_mv | AT aisonmez changesinsleepwithtranscranialmagneticstimulationinadultswithtreatmentresistantdepressionpreliminaryresultsfromanaturalisticstudy AT rkay changesinsleepwithtranscranialmagneticstimulationinadultswithtreatmentresistantdepressionpreliminaryresultsfromanaturalisticstudy AT sschmids changesinsleepwithtranscranialmagneticstimulationinadultswithtreatmentresistantdepressionpreliminaryresultsfromanaturalisticstudy AT cpeterson changesinsleepwithtranscranialmagneticstimulationinadultswithtreatmentresistantdepressionpreliminaryresultsfromanaturalisticstudy AT aherman changesinsleepwithtranscranialmagneticstimulationinadultswithtreatmentresistantdepressionpreliminaryresultsfromanaturalisticstudy AT awidge changesinsleepwithtranscranialmagneticstimulationinadultswithtreatmentresistantdepressionpreliminaryresultsfromanaturalisticstudy AT znahas changesinsleepwithtranscranialmagneticstimulationinadultswithtreatmentresistantdepressionpreliminaryresultsfromanaturalisticstudy AT csalbott changesinsleepwithtranscranialmagneticstimulationinadultswithtreatmentresistantdepressionpreliminaryresultsfromanaturalisticstudy |