Safety and acceptability of transcranial direct current stimulation for the acute treatment of major depressive episodes: Analysis of individual patient data.
Identifieur interne : 004997 ( Ncbi/Merge ); précédent : 004996; suivant : 004998Safety and acceptability of transcranial direct current stimulation for the acute treatment of major depressive episodes: Analysis of individual patient data.
Auteurs : Adriano H. Moffa [Brésil] ; André R. Brunoni [Brésil] ; Felipe Fregni [États-Unis] ; Ulrich Palm [Allemagne] ; Frank Padberg [Allemagne] ; Daniel M. Blumberger [Canada] ; Zafiris J. Daskalakis [Canada] ; Djamila Bennabi [France] ; Emmanuel Haffen [France] ; Angelo Alonzo [Australie] ; Colleen K. Loo [Australie]Source :
- Journal of affective disorders [ 1573-2517 ] ; 2017.
Abstract
Transcranial direct current stimulation (tDCS) is a non-invasive brain stimulation modality that has been increasingly used for major depressive disorder (MDD) treatment. Although studies in healthy volunteers showed that the technique is well-tolerated, tDCS safety and acceptability have not been sufficiently explored in patients with MDD.
DOI: 10.1016/j.jad.2017.06.021
PubMed: 28623732
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Moffa</name><affiliation wicri:level="3"><nlm:affiliation>Interdisciplinary Center for Applied Neuromodulation, University Hospital & Service of Interdisciplinary Neuromodulation, Department and Institute of Psychiatry, Laboratory of Neurosciences (LIM-27), University of São Paulo, São Paulo, Brazil.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Interdisciplinary Center for Applied Neuromodulation, University Hospital & Service of Interdisciplinary Neuromodulation, Department and Institute of Psychiatry, Laboratory of Neurosciences (LIM-27), University of São Paulo, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Brunoni, Andre R" sort="Brunoni, Andre R" uniqKey="Brunoni A" first="André R" last="Brunoni">André R. Brunoni</name><affiliation wicri:level="3"><nlm:affiliation>Interdisciplinary Center for Applied Neuromodulation, University Hospital & Service of Interdisciplinary Neuromodulation, Department and Institute of Psychiatry, Laboratory of Neurosciences (LIM-27), University of São Paulo, São Paulo, Brazil.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Interdisciplinary Center for Applied Neuromodulation, University Hospital & Service of Interdisciplinary Neuromodulation, Department and Institute of Psychiatry, Laboratory of Neurosciences (LIM-27), University of São Paulo, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Fregni, Felipe" sort="Fregni, Felipe" uniqKey="Fregni F" first="Felipe" last="Fregni">Felipe Fregni</name><affiliation wicri:level="2"><nlm:affiliation>Spaulding Neuromodulation Center, Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, MA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Spaulding Neuromodulation Center, Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, MA</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Palm, Ulrich" sort="Palm, Ulrich" uniqKey="Palm U" first="Ulrich" last="Palm">Ulrich Palm</name><affiliation wicri:level="3"><nlm:affiliation>Department of Psychiatry and Psychotherapy, Ludwig Maximilian University Munich, Munich, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Psychiatry and Psychotherapy, Ludwig Maximilian University Munich, Munich</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName></affiliation></author><author><name sortKey="Padberg, Frank" sort="Padberg, Frank" uniqKey="Padberg F" first="Frank" last="Padberg">Frank Padberg</name><affiliation wicri:level="3"><nlm:affiliation>Department of Psychiatry and Psychotherapy, Ludwig Maximilian University Munich, Munich, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Psychiatry and Psychotherapy, Ludwig Maximilian University Munich, Munich</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName></affiliation></author><author><name sortKey="Blumberger, Daniel M" sort="Blumberger, Daniel M" uniqKey="Blumberger D" first="Daniel M" last="Blumberger">Daniel M. Blumberger</name><affiliation wicri:level="4"><nlm:affiliation>Temerty Centre for Therapeutic Brain Intervention and Campbell Family Research Institute, Centre for Addiction and Mental Health and Department of Psychiatry, University of Toronto, ON, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Temerty Centre for Therapeutic Brain Intervention and Campbell Family Research Institute, Centre for Addiction and Mental Health and Department of Psychiatry, University of Toronto, ON</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Daskalakis, Zafiris J" sort="Daskalakis, Zafiris J" uniqKey="Daskalakis Z" first="Zafiris J" last="Daskalakis">Zafiris J. Daskalakis</name><affiliation wicri:level="4"><nlm:affiliation>Temerty Centre for Therapeutic Brain Intervention and Campbell Family Research Institute, Centre for Addiction and Mental Health and Department of Psychiatry, University of Toronto, ON, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Temerty Centre for Therapeutic Brain Intervention and Campbell Family Research Institute, Centre for Addiction and Mental Health and Department of Psychiatry, University of Toronto, ON</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Bennabi, Djamila" sort="Bennabi, Djamila" uniqKey="Bennabi D" first="Djamila" last="Bennabi">Djamila Bennabi</name><affiliation wicri:level="3"><nlm:affiliation>Department of Clinical Psychiatry, Clinical Investigation Center 1431 Inserm, EA 481 Neurosciences, University Hospital of Besancon and FondaMental Foundation, Créteil, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Clinical Psychiatry, Clinical Investigation Center 1431 Inserm, EA 481 Neurosciences, University Hospital of Besancon and FondaMental Foundation, Créteil</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Créteil</settlement></placeName></affiliation></author><author><name sortKey="Haffen, Emmanuel" sort="Haffen, Emmanuel" uniqKey="Haffen E" first="Emmanuel" last="Haffen">Emmanuel Haffen</name><affiliation wicri:level="3"><nlm:affiliation>Department of Clinical Psychiatry, Clinical Investigation Center 1431 Inserm, EA 481 Neurosciences, University Hospital of Besancon and FondaMental Foundation, Créteil, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Clinical Psychiatry, Clinical Investigation Center 1431 Inserm, EA 481 Neurosciences, University Hospital of Besancon and FondaMental Foundation, Créteil</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Créteil</settlement></placeName></affiliation></author><author><name sortKey="Alonzo, Angelo" sort="Alonzo, Angelo" uniqKey="Alonzo A" first="Angelo" last="Alonzo">Angelo Alonzo</name><affiliation wicri:level="3"><nlm:affiliation>Black Dog Institute & School of Psychiatry, University of New South Wales, Sydney, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Black Dog Institute & School of Psychiatry, University of New South Wales, Sydney</wicri:regionArea><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation></author><author><name sortKey="Loo, Colleen K" sort="Loo, Colleen K" uniqKey="Loo C" first="Colleen K" last="Loo">Colleen K. Loo</name><affiliation wicri:level="3"><nlm:affiliation>Black Dog Institute & School of Psychiatry, University of New South Wales, Sydney, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Black Dog Institute & School of Psychiatry, University of New South Wales, Sydney</wicri:regionArea><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation></author></analytic><series><title level="j">Journal of affective disorders</title><idno type="eISSN">1573-2517</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Transcranial direct current stimulation (tDCS) is a non-invasive brain stimulation modality that has been increasingly used for major depressive disorder (MDD) treatment. Although studies in healthy volunteers showed that the technique is well-tolerated, tDCS safety and acceptability have not been sufficiently explored in patients with MDD.</div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">28623732</PMID><DateCreated><Year>2017</Year><Month>06</Month><Day>17</Day></DateCreated><DateRevised><Year>2017</Year><Month>07</Month><Day>16</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1573-2517</ISSN><JournalIssue CitedMedium="Internet"><Volume>221</Volume><PubDate><Year>2017</Year><Month>Oct</Month><Day>15</Day></PubDate></JournalIssue><Title>Journal of affective disorders</Title><ISOAbbreviation>J Affect Disord</ISOAbbreviation></Journal><ArticleTitle>Safety and acceptability of transcranial direct current stimulation for the acute treatment of major depressive episodes: Analysis of individual patient data.</ArticleTitle><Pagination><MedlinePgn>1-5</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0165-0327(17)30493-7</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jad.2017.06.021</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Transcranial direct current stimulation (tDCS) is a non-invasive brain stimulation modality that has been increasingly used for major depressive disorder (MDD) treatment. Although studies in healthy volunteers showed that the technique is well-tolerated, tDCS safety and acceptability have not been sufficiently explored in patients with MDD.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">We collected individual patient data from 6 randomized clinical trials that had been previously identified in a systematic review and meta-analysis. Primary outcomes were safety (rate of adverse events) and acceptability (rate of dropouts). Secondary outcomes were clinical, demographic and treatment predictors of the primary outcomes.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Dropout rates between active (8.8%) and sham (12%) groups were not significantly different (OR= 0.7, p=0.38). Adverse event rates between active (73.5%) and sham (68.3%) groups were not significantly different (OR= 1.4, p= 0.23). Higher current densities were associated with lower adverse event rates.</AbstractText><AbstractText Label="LIMITATIONS" NlmCategory="CONCLUSIONS">Dropout reasons were not systematically reported and adverse events were not collected using questionnaires standardized across studies.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Active tDCS is as acceptable and safe as sham tDCS, as found in randomized clinical trials of MDD.</AbstractText><CopyrightInformation>Copyright © 2017. Published by Elsevier B.V.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Moffa</LastName><ForeName>Adriano H</ForeName><Initials>AH</Initials><AffiliationInfo><Affiliation>Interdisciplinary Center for Applied Neuromodulation, University Hospital & Service of Interdisciplinary Neuromodulation, Department and Institute of Psychiatry, Laboratory of Neurosciences (LIM-27), University of São Paulo, São Paulo, Brazil.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Brunoni</LastName><ForeName>André R</ForeName><Initials>AR</Initials><AffiliationInfo><Affiliation>Interdisciplinary Center for Applied Neuromodulation, University Hospital & Service of Interdisciplinary Neuromodulation, Department and Institute of Psychiatry, Laboratory of Neurosciences (LIM-27), University of São Paulo, São Paulo, Brazil.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fregni</LastName><ForeName>Felipe</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Spaulding Neuromodulation Center, Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, MA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Palm</LastName><ForeName>Ulrich</ForeName><Initials>U</Initials><AffiliationInfo><Affiliation>Department of Psychiatry and Psychotherapy, Ludwig Maximilian University Munich, Munich, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Padberg</LastName><ForeName>Frank</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Psychiatry and Psychotherapy, Ludwig Maximilian University Munich, Munich, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Blumberger</LastName><ForeName>Daniel M</ForeName><Initials>DM</Initials><AffiliationInfo><Affiliation>Temerty Centre for Therapeutic Brain Intervention and Campbell Family Research Institute, Centre for Addiction and Mental Health and Department of Psychiatry, University of Toronto, ON, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Daskalakis</LastName><ForeName>Zafiris J</ForeName><Initials>ZJ</Initials><AffiliationInfo><Affiliation>Temerty Centre for Therapeutic Brain Intervention and Campbell Family Research Institute, Centre for Addiction and Mental Health and Department of Psychiatry, University of Toronto, ON, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bennabi</LastName><ForeName>Djamila</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Department of Clinical Psychiatry, Clinical Investigation Center 1431 Inserm, EA 481 Neurosciences, University Hospital of Besancon and FondaMental Foundation, Créteil, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Haffen</LastName><ForeName>Emmanuel</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Department of Clinical Psychiatry, Clinical Investigation Center 1431 Inserm, EA 481 Neurosciences, University Hospital of Besancon and FondaMental Foundation, Créteil, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Alonzo</LastName><ForeName>Angelo</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Black Dog Institute & School of Psychiatry, University of New South Wales, Sydney, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Loo</LastName><ForeName>Colleen K</ForeName><Initials>CK</Initials><AffiliationInfo><Affiliation>Black Dog Institute & School of Psychiatry, University of New South Wales, Sydney, Australia.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>06</Month><Day>13</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>J Affect Disord</MedlineTA><NlmUniqueID>7906073</NlmUniqueID><ISSNLinking>0165-0327</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Acceptability</Keyword><Keyword MajorTopicYN="N">Adverse effects</Keyword><Keyword MajorTopicYN="N">Clinical trial</Keyword><Keyword MajorTopicYN="N">Major depressive disorder</Keyword><Keyword MajorTopicYN="N">Safety</Keyword><Keyword MajorTopicYN="N">Tolerability</Keyword><Keyword MajorTopicYN="N">Transcranial direct current stimulation</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="revised"><Year>2017</Year><Month>05</Month><Day>16</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>06</Month><Day>12</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>6</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>6</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>6</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28623732</ArticleId><ArticleId IdType="pii">S0165-0327(17)30493-7</ArticleId><ArticleId IdType="doi">10.1016/j.jad.2017.06.021</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Allemagne</li><li>Australie</li><li>Brésil</li><li>Canada</li><li>France</li><li>États-Unis</li></country><region><li>Bavière</li><li>District de Haute-Bavière</li><li>Massachusetts</li><li>Nouvelle-Galles du Sud</li><li>Ontario</li><li>État de São Paulo</li><li>Île-de-France</li></region><settlement><li>Créteil</li><li>Munich</li><li>Sydney</li><li>São Paulo</li><li>Toronto</li></settlement><orgName><li>Université de Toronto</li></orgName></list><tree><country name="Brésil"><region name="État de São Paulo"><name sortKey="Moffa, Adriano H" sort="Moffa, Adriano H" uniqKey="Moffa A" first="Adriano H" last="Moffa">Adriano H. Moffa</name></region><name sortKey="Brunoni, Andre R" sort="Brunoni, Andre R" uniqKey="Brunoni A" first="André R" last="Brunoni">André R. Brunoni</name></country><country name="États-Unis"><region name="Massachusetts"><name sortKey="Fregni, Felipe" sort="Fregni, Felipe" uniqKey="Fregni F" first="Felipe" last="Fregni">Felipe Fregni</name></region></country><country name="Allemagne"><region name="Bavière"><name sortKey="Palm, Ulrich" sort="Palm, Ulrich" uniqKey="Palm U" first="Ulrich" last="Palm">Ulrich Palm</name></region><name sortKey="Padberg, Frank" sort="Padberg, Frank" uniqKey="Padberg F" first="Frank" last="Padberg">Frank Padberg</name></country><country name="Canada"><region name="Ontario"><name sortKey="Blumberger, Daniel M" sort="Blumberger, Daniel M" uniqKey="Blumberger D" first="Daniel M" last="Blumberger">Daniel M. Blumberger</name></region><name sortKey="Daskalakis, Zafiris J" sort="Daskalakis, Zafiris J" uniqKey="Daskalakis Z" first="Zafiris J" last="Daskalakis">Zafiris J. Daskalakis</name></country><country name="France"><region name="Île-de-France"><name sortKey="Bennabi, Djamila" sort="Bennabi, Djamila" uniqKey="Bennabi D" first="Djamila" last="Bennabi">Djamila Bennabi</name></region><name sortKey="Haffen, Emmanuel" sort="Haffen, Emmanuel" uniqKey="Haffen E" first="Emmanuel" last="Haffen">Emmanuel Haffen</name></country><country name="Australie"><region name="Nouvelle-Galles du Sud"><name sortKey="Alonzo, Angelo" sort="Alonzo, Angelo" uniqKey="Alonzo A" first="Angelo" last="Alonzo">Angelo Alonzo</name></region><name sortKey="Loo, Colleen K" sort="Loo, Colleen K" uniqKey="Loo C" first="Colleen K" last="Loo">Colleen K. Loo</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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