Deep transcranial magnetic stimulation alters resting-state neurophysiological traits in major depressive disorder - BrainsWay

Deep transcranial magnetic stimulation alters resting-state neurophysiological traits in major depressive disorder

Journal: Journal of Affective Disorders (Sep 2023)

Authors: Nathaniel A. Shanok, Santiago Rodriguez, Sabrina Muzac, Carla Huertas Del Pino, Leah Brown, Raul Rodriguez

Objective:

Major depressive disorder (MDD) stands as one of the most prevalent and incapacitating health conditions globally, and regrettably, numerous patients do not exhibit positive responses to first-generation antidepressant medication or talk therapy approaches. Deep transcranial magnetic stimulation (Deep TMS) has emerged as an effective intervention for cases deemed “treatment-resistant”; however, the precise mechanisms through which Deep TMS alleviates depressive symptoms remain unclear.

Methods:

In this current study, resting-state quantitative electroencephalography (QEEG) measures were examined before and after treatment to elucidate the neurophysiological changes induced by Deep TMS.

Results:

The findings revealed a decrease in slow-frequency brain activity (delta and theta waves) in the prefrontal cortex following 36 treatment sessions. Moreover, baseline QEEG measures demonstrated a 93% accuracy in predicting treatment response.

Conclusions:

These results offer initial evidence suggesting that TMS ameliorates depressive symptoms by reducing slow-wave brain activity in the prefrontal cortex.

The combination of Deep TMS with QEEG should persist as a valuable approach for MDD treatment in clinical practice. Furthermore, future investigations should explore the potential of this approach for addressing other neuropsychiatric conditions.

Full Article:

https://www.sciencedirect.com/science/article/abs/pii/S0165032723007073