Evidence map›Paper›PMID 28388464›Full record

ArticleJournal of affective disorders2017

Transcranial magnetic stimulation for treatment-resistant depression: Naturalistic treatment outcomes for younger versus older patients.

Christine A Conelea, Noah S Philip, Agustin G Yip, Jennifer L Barnes, Matthew J Niedzwiecki, Benjamin D Greenberg, Audrey R Tyrka, Linda L Carpenter

Open access · greenAbstract readComparative Study
In one paragraph

Article in Journal of affective disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 4 pooled it
3.7field-weighted citation impact, top 6% 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

29 citing papers in PubMed, 4 syntheses or guidelines pooled it, 60 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Intravenous Ketamine for Late-Life Treatment-Resistant Depression: A Pilot Study of Tolerability, Safety, Clinical Benefits, and Effect on Cognition.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2023
    Trial
  6. Trial
  7. Trial
  8. Review
  9. Review
  10. Article
  11. Article
  12. Effectiveness of Prefrontal Transcranial Magnetic Stimulation for Depression in Older US Military Veterans.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2024
    Article
  13. Article
  14. Targeting Slow Wave Sleep Deficiency in Late-Life Depression: A Case Series With Propofol.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2023
    Article
  15. Pre-frontal stimulation does not reliably increase reward responsiveness.Cortex; a journal devoted to the study of the nervous system and behavior · 2023
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Christine A ConeleaBradley Hospital/Alpert Medical School of Brown University, Providence, RI, USA. Electronic address: cconelea@umn.edu.
Noah S PhilipButler Hospital/Alpert Medical School of Brown University, Providence, RI, USA; Center for Neurorestoration and Neurotechnology, Providence VA Medical Center, Providence, RI, USA.
Agustin G YipButler Hospital/Alpert Medical School of Brown University, Providence, RI, USA.
Jennifer L BarnesButler Hospital/Alpert Medical School of Brown University, Providence, RI, USA.
Matthew J NiedzwieckiButler Hospital/Alpert Medical School of Brown University, Providence, RI, USA.
Benjamin D GreenbergButler Hospital/Alpert Medical School of Brown University, Providence, RI, USA; Center for Neurorestoration and Neurotechnology, Providence VA Medical Center, Providence, RI, USA.
Audrey R TyrkaButler Hospital/Alpert Medical School of Brown University, Providence, RI, USA.
Linda L CarpenterButler Hospital/Alpert Medical School of Brown University, Providence, RI, USA.
Brown University · USButler Hospital · USProvidence VA Medical Center · US

Funding

Integrative Examination of Neurobehavioral Mechanisms in Tic SuppressionK23MH103617 · NIMH · UNIVERSITY OF MINNESOTA · PI CONELEA, CHRISTINE A · 2014 to 2017
$674k
PTSD and the Default Network: Developing Imaging PhenotypesIK2CX000724 · VA · PROVIDENCE VA MEDICAL CENTER · PI PHILIP, NOAH STEPHEN · 2013 to 2017
–
CSRD VA IK2 CX000724NIMH NIH HHS K23 MH103617
6 · The paper itself

Abstract

backgroundRepetitive transcranial magnetic stimulation (TMS) has been shown to be safe and effective for treatment-resistant depression (TRD) in the general adult population. Efficacy among older (≥60 years) patients, who have a greater burden of cognitive, physical, and functional impairment compared to their younger counterparts, remains unclear. The current study aimed to characterize antidepressant response to an acute course of TMS therapy among patients aged ≥60 years compared to those <60 years in naturalistic clinical practice settings.

methodsData were retrospectively collected and pooled for adults with TRD (N =231; n =75 aged ≥60 years and n = 156 <60 years) who underwent an acute course of outpatient TMS therapy at two outpatient clinics. Self-report depression scales were administered at baseline and end of acute treatment. Change on continuous measures and categorical outcomes were compared across older vs. younger patients.

resultsBoth age groups showed significant improvements in depression symptoms. Response and remission rates did not differ between groups. Age group was not a significant predictor of change in depression severity, nor of clinical response or remission, in a model controlling for other predictors (all p>.05). LIMITATIONS: Limitations include reliance on self-report clinical measures and variability in comorbidity and concurrent pharmacotherapy due to the naturalistic nature of the study.

conclusionsResults suggest that effectiveness of TMS for TRD is not differentially modified by age. Based on these naturalistic data, age alone should not be considered a contraindication or poor prognostic indicator of the antidepressant efficacy of TMS.

Indexed as

Transcranial Magnetic StimulationAdolescentAdultAgedAged, 80 and overAgingDepressive Disorder, Treatment-ResistantFemaleHumansMaleMiddle AgedPsychiatric Status Rating ScalesRetrospective StudiesSelf ReportTreatment OutcomeYoung AdultDepressionGeriatricTMSTranscranial magnetic stimulation

Identifiers

PMID28388464
PMCPMC5460629
OpenAlexW2600443937

What OpenQuestion holds

Textmetadata
LicenceTDM
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.