A critical review of trials of transcranial direct current stimulation and trigeminal nerve stimulation for depression: the issue of treatment-emergent mania

Detalhes bibliográficos
Autor(a) principal: Shiozawa,Pedro
Data de Publicação: 2017
Outros Autores: Cordeiro,Quirino, Cho,Hyong Jin, Trevizol,Alisson Paulino, Brietzke,Elisa
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Trends in Psychiatry and Psychotherapy
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892017000100048
Resumo: Abstract Objective: This study is a critical review analyzing occurrence of treatment-emergent mania (TEM) related to transcranial direct current stimulation (tDCS) and trigeminal nerve stimulation (TNS). Method: We present a systematic review of the literature on TEM related to tDCS and TNS treatment for major depressive disorder (MDD), conducted in accordance with the recommendations from Cochrane Group and the PRISMA guidelines. Results: Our search identified few reported episodes of TEM in the literature. In fact, we found 11 trials focused on treatment of MDD (seven controlled trials of tDCS and four trials of TNS, three open label and one controlled). We highlight the need for safety assessment in clinical research settings to establish with precision and in larger samples the risks inherent to the technique under investigation. Conclusion: Safety assessment is of fundamental importance in clinical research. TEM is a very important safety issue in MDD trials. Further and larger controlled trials will help to clarify both the safety and the clinical effects of combinations of pharmacotherapy and tDCS or TNS in daily clinical practice.
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spelling A critical review of trials of transcranial direct current stimulation and trigeminal nerve stimulation for depression: the issue of treatment-emergent maniaNeuromodulationmajor depressive disordermaniatranscranial direct current stimulationtrigeminal nerve stimulationAbstract Objective: This study is a critical review analyzing occurrence of treatment-emergent mania (TEM) related to transcranial direct current stimulation (tDCS) and trigeminal nerve stimulation (TNS). Method: We present a systematic review of the literature on TEM related to tDCS and TNS treatment for major depressive disorder (MDD), conducted in accordance with the recommendations from Cochrane Group and the PRISMA guidelines. Results: Our search identified few reported episodes of TEM in the literature. In fact, we found 11 trials focused on treatment of MDD (seven controlled trials of tDCS and four trials of TNS, three open label and one controlled). We highlight the need for safety assessment in clinical research settings to establish with precision and in larger samples the risks inherent to the technique under investigation. Conclusion: Safety assessment is of fundamental importance in clinical research. TEM is a very important safety issue in MDD trials. Further and larger controlled trials will help to clarify both the safety and the clinical effects of combinations of pharmacotherapy and tDCS or TNS in daily clinical practice.Associação de Psiquiatria do Rio Grande do Sul2017-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892017000100048Trends in Psychiatry and Psychotherapy v.39 n.1 2017reponame:Trends in Psychiatry and Psychotherapyinstname:Sociedade de Psiquiatria do Rio Grande do Sulinstacron:APRGS10.1590/2237-6089-2016-0027info:eu-repo/semantics/openAccessShiozawa,PedroCordeiro,QuirinoCho,Hyong JinTrevizol,Alisson PaulinoBrietzke,Elisaeng2017-04-06T00:00:00Zoai:scielo:S2237-60892017000100048Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=2237-6089&lng=en&nrm=isohttps://old.scielo.br/oai/scielo-oai.phprevista@aprs.org.br|| rodrigo_grassi@terra.com.br2238-00192237-6089opendoar:2017-04-06T00:00Trends in Psychiatry and Psychotherapy - Sociedade de Psiquiatria do Rio Grande do Sulfalse
dc.title.none.fl_str_mv A critical review of trials of transcranial direct current stimulation and trigeminal nerve stimulation for depression: the issue of treatment-emergent mania
title A critical review of trials of transcranial direct current stimulation and trigeminal nerve stimulation for depression: the issue of treatment-emergent mania
spellingShingle A critical review of trials of transcranial direct current stimulation and trigeminal nerve stimulation for depression: the issue of treatment-emergent mania
Shiozawa,Pedro
Neuromodulation
major depressive disorder
mania
transcranial direct current stimulation
trigeminal nerve stimulation
title_short A critical review of trials of transcranial direct current stimulation and trigeminal nerve stimulation for depression: the issue of treatment-emergent mania
title_full A critical review of trials of transcranial direct current stimulation and trigeminal nerve stimulation for depression: the issue of treatment-emergent mania
title_fullStr A critical review of trials of transcranial direct current stimulation and trigeminal nerve stimulation for depression: the issue of treatment-emergent mania
title_full_unstemmed A critical review of trials of transcranial direct current stimulation and trigeminal nerve stimulation for depression: the issue of treatment-emergent mania
title_sort A critical review of trials of transcranial direct current stimulation and trigeminal nerve stimulation for depression: the issue of treatment-emergent mania
author Shiozawa,Pedro
author_facet Shiozawa,Pedro
Cordeiro,Quirino
Cho,Hyong Jin
Trevizol,Alisson Paulino
Brietzke,Elisa
author_role author
author2 Cordeiro,Quirino
Cho,Hyong Jin
Trevizol,Alisson Paulino
Brietzke,Elisa
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Shiozawa,Pedro
Cordeiro,Quirino
Cho,Hyong Jin
Trevizol,Alisson Paulino
Brietzke,Elisa
dc.subject.por.fl_str_mv Neuromodulation
major depressive disorder
mania
transcranial direct current stimulation
trigeminal nerve stimulation
topic Neuromodulation
major depressive disorder
mania
transcranial direct current stimulation
trigeminal nerve stimulation
description Abstract Objective: This study is a critical review analyzing occurrence of treatment-emergent mania (TEM) related to transcranial direct current stimulation (tDCS) and trigeminal nerve stimulation (TNS). Method: We present a systematic review of the literature on TEM related to tDCS and TNS treatment for major depressive disorder (MDD), conducted in accordance with the recommendations from Cochrane Group and the PRISMA guidelines. Results: Our search identified few reported episodes of TEM in the literature. In fact, we found 11 trials focused on treatment of MDD (seven controlled trials of tDCS and four trials of TNS, three open label and one controlled). We highlight the need for safety assessment in clinical research settings to establish with precision and in larger samples the risks inherent to the technique under investigation. Conclusion: Safety assessment is of fundamental importance in clinical research. TEM is a very important safety issue in MDD trials. Further and larger controlled trials will help to clarify both the safety and the clinical effects of combinations of pharmacotherapy and tDCS or TNS in daily clinical practice.
publishDate 2017
dc.date.none.fl_str_mv 2017-03-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892017000100048
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892017000100048
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/2237-6089-2016-0027
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Associação de Psiquiatria do Rio Grande do Sul
publisher.none.fl_str_mv Associação de Psiquiatria do Rio Grande do Sul
dc.source.none.fl_str_mv Trends in Psychiatry and Psychotherapy v.39 n.1 2017
reponame:Trends in Psychiatry and Psychotherapy
instname:Sociedade de Psiquiatria do Rio Grande do Sul
instacron:APRGS
instname_str Sociedade de Psiquiatria do Rio Grande do Sul
instacron_str APRGS
institution APRGS
reponame_str Trends in Psychiatry and Psychotherapy
collection Trends in Psychiatry and Psychotherapy
repository.name.fl_str_mv Trends in Psychiatry and Psychotherapy - Sociedade de Psiquiatria do Rio Grande do Sul
repository.mail.fl_str_mv revista@aprs.org.br|| rodrigo_grassi@terra.com.br
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