Evidence map›Paper›PMID 27104926›Full record

ArticlePsychiatry research2016

Ventrolateral prefrontal cortex repetitive transcranial magnetic stimulation in the treatment of depersonalization disorder: A consecutive case series.

Emma-Louise Jay, Steffen Nestler, Mauricio Sierra, Jessica McClelland, Maria Kekic, Anthony S David

Open access · hybridAbstract readCase Reports
In one paragraph

Article in Psychiatry research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Dissociative Symptoms and Interoceptive Integration.Current topics in behavioral neurosciences · 2025
    Review
  4. Article
  5. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Emma-Louise JayInstitute of Psychiatry, Psychology and Neuroscience, King's College London, Denmark Hill, London, UK.
Steffen NestlerInstitute of Psychiatry, Psychology and Neuroscience, King's College London, Denmark Hill, London, UK.
Mauricio SierraInstitute of Psychiatry, Psychology and Neuroscience, King's College London, Denmark Hill, London, UK.
Jessica McClellandInstitute of Psychiatry, Psychology and Neuroscience, King's College London, Denmark Hill, London, UK.
Maria KekicInstitute of Psychiatry, Psychology and Neuroscience, King's College London, Denmark Hill, London, UK.
Anthony S DavidInstitute of Psychiatry, Psychology and Neuroscience, King's College London, Denmark Hill, London, UK. Electronic address: anthony.david@kcl.ac.uk.
King's College London · GB

Funding

Medical Research Council MR/J004162/1
6 · The paper itself

Abstract

Case reports and an open trial have reported promising responses to repetitive transcranial magnetic stimulation (rTMS) to prefrontal and temporo-parietal sites in patients with depersonalization disorder (DPD). We recently showed that a single session of rTMS to the ventrolateral prefrontal cortex (VLPFC) was associated with a reduction in symptoms and increase in physiological arousal. Seven patients with medication-resistant DSM-IV DPD received up to 20 sessions of right-sided rTMS to the VLPFC for 10 weeks. Stimulation was guided using neuronavigation software based on participants' individual structural MRIs, and delivered at 110% of resting motor threshold. A session consisted of 1Hz repetitive TMS for 15min. The primary outcome measure was reduction in depersonalization symptoms on the Cambridge Depersonalization Scale (CDS). Secondary outcomes included scores on the Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI). 20 sessions of rTMS treatment to right VLPFC significantly reduced scores on the CDS by on average 44% (range 2-83.5%). Two patients could be classified as "full responders", four as "partial" and one a non-responder. Response usually occurred within the first 6 sessions. There were no significant adverse events. A randomized controlled clinical trial of VLPFC rTMS for DPD is warranted.

Indexed as

AdultDepersonalizationFemaleHumansLondonMagnetic Resonance ImagingMaleMiddle AgedPrefrontal CortexPsychiatric Status Rating ScalesResearch DesignTranscranial Magnetic StimulationTreatment OutcomeCase seriesDepersonalization disorderPrefrontal cortexRepetitive transcranial magnetic stimulation

Identifiers

PMID27104926
PMCPMC4906152
OpenAlexW2339947679

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.