Safety and Efficacy of Transcranial Magnetic Stimulation (TMS) and Repetitive Transcranial Magnetic Stimulation (rTMS) in Treatment of Major Depressive Disorder: Systematic Reviews and Meta-Analysis

Background: Prevalence of major depressive disorder allocated significant contribution of disease burden in developed and developing countries because of involving active and productive age groups and communities in recent decades. Different methods are used to manage and treat this disorder that on...

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Main Authors: Mohammad Moradi-Joo, Hesam Ghiasvand, Seyed Mansoor Raygani, Sahar Mohabbat-Bahar, Bita Sadat Zegordi, Hamid Ravaghi
Format: Article
Language:fas
Published: Isfahan University of Medical Sciences 2015-08-01
Series:مجله دانشکده پزشکی اصفهان
Subjects:
Online Access:http://jims.mui.ac.ir/index.php/jims/article/view/4551
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author Mohammad Moradi-Joo
Hesam Ghiasvand
Seyed Mansoor Raygani
Sahar Mohabbat-Bahar
Bita Sadat Zegordi
Hamid Ravaghi
author_facet Mohammad Moradi-Joo
Hesam Ghiasvand
Seyed Mansoor Raygani
Sahar Mohabbat-Bahar
Bita Sadat Zegordi
Hamid Ravaghi
author_sort Mohammad Moradi-Joo
collection DOAJ
description Background: Prevalence of major depressive disorder allocated significant contribution of disease burden in developed and developing countries because of involving active and productive age groups and communities in recent decades. Different methods are used to manage and treat this disorder that one of them is Transcranial Magnetic Stimulation (TMS). The purpose of this study was assessment of safety, effectiveness and cost-effectiveness of Transcranial Magnetic Stimulation and Repetitive Transcranial Magnetic Stimulation (rTMS) technology in treatment of major depressive disorder. Methods: In order to gather evidence, main databases [Cochrane Library, Centre for Reviews and Dissemination (CRD), PubMed, Scopus, Trip, Embase, Inahta, PsycINFO, Google Scholar] were searched with appropriate keywords and strategies. After quality assessment of studies, consequences of safety and efficacy of the technology were extracted and Stata 12 software was used, if needed, for meta-analysis. Findings: From a total of 273 studies, 43 studies were entered firstly and 8 studies were selected after final review. The amount of standardised mean difference (SMD) was equal to -0.3 with a %95 confidence interval of -0.82 to 0.23 for rTMS-treated group versus sham group with a substantial rate and significant heterogeneity (P < 0.001, I-Squared = 81.9%). Conclusion: Repetitive Transcranial Magnetic Stimulation is a method with significant and high safety. On other side, its efficacy, compared to sham group, is not very significant.
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spelling doaj.art-36b1b731db314402b911edda460c10af2023-09-02T14:54:40ZfasIsfahan University of Medical Sciencesمجله دانشکده پزشکی اصفهان1027-75951735-854X2015-08-01333368138251886Safety and Efficacy of Transcranial Magnetic Stimulation (TMS) and Repetitive Transcranial Magnetic Stimulation (rTMS) in Treatment of Major Depressive Disorder: Systematic Reviews and Meta-AnalysisMohammad Moradi-Joo0Hesam Ghiasvand1Seyed Mansoor Raygani2Sahar Mohabbat-Bahar3Bita Sadat Zegordi4Hamid Ravaghi5Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, IranResearch Center for Health Services Management, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, IranPhysical Medicine and Rehabilitation Research Center, Shahid Beheshti University of Medical Sciences, Tehran, IranSchool of Psychology and Educational Sciences, Allame Tabatabai University, Tehran, IranFasa Universit of Medical Sciences, Fasa, IranAssociate Professor, Department of Health Service Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, IranBackground: Prevalence of major depressive disorder allocated significant contribution of disease burden in developed and developing countries because of involving active and productive age groups and communities in recent decades. Different methods are used to manage and treat this disorder that one of them is Transcranial Magnetic Stimulation (TMS). The purpose of this study was assessment of safety, effectiveness and cost-effectiveness of Transcranial Magnetic Stimulation and Repetitive Transcranial Magnetic Stimulation (rTMS) technology in treatment of major depressive disorder. Methods: In order to gather evidence, main databases [Cochrane Library, Centre for Reviews and Dissemination (CRD), PubMed, Scopus, Trip, Embase, Inahta, PsycINFO, Google Scholar] were searched with appropriate keywords and strategies. After quality assessment of studies, consequences of safety and efficacy of the technology were extracted and Stata 12 software was used, if needed, for meta-analysis. Findings: From a total of 273 studies, 43 studies were entered firstly and 8 studies were selected after final review. The amount of standardised mean difference (SMD) was equal to -0.3 with a %95 confidence interval of -0.82 to 0.23 for rTMS-treated group versus sham group with a substantial rate and significant heterogeneity (P < 0.001, I-Squared = 81.9%). Conclusion: Repetitive Transcranial Magnetic Stimulation is a method with significant and high safety. On other side, its efficacy, compared to sham group, is not very significant.http://jims.mui.ac.ir/index.php/jims/article/view/4551Major DepressionRepetitive Transcranial Magnetic Stimulation (rTMS)SafetyEfficacy
spellingShingle Mohammad Moradi-Joo
Hesam Ghiasvand
Seyed Mansoor Raygani
Sahar Mohabbat-Bahar
Bita Sadat Zegordi
Hamid Ravaghi
Safety and Efficacy of Transcranial Magnetic Stimulation (TMS) and Repetitive Transcranial Magnetic Stimulation (rTMS) in Treatment of Major Depressive Disorder: Systematic Reviews and Meta-Analysis
مجله دانشکده پزشکی اصفهان
Major Depression
Repetitive Transcranial Magnetic Stimulation (rTMS)
Safety
Efficacy
title Safety and Efficacy of Transcranial Magnetic Stimulation (TMS) and Repetitive Transcranial Magnetic Stimulation (rTMS) in Treatment of Major Depressive Disorder: Systematic Reviews and Meta-Analysis
title_full Safety and Efficacy of Transcranial Magnetic Stimulation (TMS) and Repetitive Transcranial Magnetic Stimulation (rTMS) in Treatment of Major Depressive Disorder: Systematic Reviews and Meta-Analysis
title_fullStr Safety and Efficacy of Transcranial Magnetic Stimulation (TMS) and Repetitive Transcranial Magnetic Stimulation (rTMS) in Treatment of Major Depressive Disorder: Systematic Reviews and Meta-Analysis
title_full_unstemmed Safety and Efficacy of Transcranial Magnetic Stimulation (TMS) and Repetitive Transcranial Magnetic Stimulation (rTMS) in Treatment of Major Depressive Disorder: Systematic Reviews and Meta-Analysis
title_short Safety and Efficacy of Transcranial Magnetic Stimulation (TMS) and Repetitive Transcranial Magnetic Stimulation (rTMS) in Treatment of Major Depressive Disorder: Systematic Reviews and Meta-Analysis
title_sort safety and efficacy of transcranial magnetic stimulation tms and repetitive transcranial magnetic stimulation rtms in treatment of major depressive disorder systematic reviews and meta analysis
topic Major Depression
Repetitive Transcranial Magnetic Stimulation (rTMS)
Safety
Efficacy
url http://jims.mui.ac.ir/index.php/jims/article/view/4551
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