Evidence map›Paper›PMID 40321033›Full record

ReviewBrain and behavior2025

The Targets of Deep Brain Stimulation in the Treatment of Treatment-Resistant Depression: A Review.

Jianyang Dong, Mengying Dai, Zinan Guo, Ting Xu, Fangming Li, Jianjun Li

Abstract readReview
In one paragraph

Review in Brain and behavior, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Review
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.

Jianyang DongDepartment of Rehabilitation, Shenzhen University, Shenzhen University General Hospital, Shenzhen, China.ORCID https://orcid.org/0000-0001-6815-4362
Mengying DaiDepartment of Rehabilitation, Shenzhen Children's Hospital, Shenzhen, China.
Zinan GuoDepartment of Rehabilitation, Shenzhen University, Shenzhen University General Hospital, Shenzhen, China.
Ting XuDepartment of Neurology, Guangzhou First People's Hospital, South China University of Technology, Guangzhou, China.
Fangming LiDepartment of Neurology, Shenzhen University, Shenzhen University General Hospital, Shenzhen, China.
Jianjun LiDepartment of Rehabilitation, Shenzhen University, Shenzhen University General Hospital, Shenzhen, China.

Funding

HaiYa Young Scientist Foundation ofShenzhen University General HospitalNational Natural Science Foundation of Shenzhen
6 · The paper itself

Abstract

purposeThe purpose of this review is to evaluate the current state and potential future directions of deep brain stimulation (DBS) therapy for treatment-resistant depression (TRD), a condition that significantly impacts patients' quality of life and for which conventional treatments are often ineffective.

methodThis review synthesizes evidence from clinical trials and preclinical studies published in five years, identified through PubMed searches using keywords ("Deep Brain Stimulation" OR DBS) AND ("Treatment-Resistant Depression" OR TRD). Included studies encompassed clinical research (randomized/non-randomized trials, cohort studies) and mechanistic preclinical studies, excluding non-English publications and nonhuman experiments. Screening prioritized neuroanatomical targets (e.g., SCG, NAcc) and stimulation parameter optimization data. Examining the therapeutic mechanisms of DBS, the neuroanatomical targets utilized, and the clinical outcomes observed. It also discusses the challenges faced in DBS application and proposes potential technological advancements, such as closed-loop therapy and fiber tracking technology. FINDING: Preliminary evidence exists regarding the efficacy and safety of DBS in the treatment of TRD in the subcortical cingulate gyrus (SCG), nucleus accumbens (NAcc), ventral capsule/ventral striatum (VC/VS), anterior limb of the internal capsule (ALIC), and so forth. Nevertheless, the optimal stimulation target remains undetermined. The review highlights the complexity of TRD and the need for personalized treatment strategies, noting that genetic, epigenetic, and neurophysiological changes are implicated in DBS's therapeutic effects.

conclusionIn conclusion, while DBS for TRD remains an experimental therapy, it offers a unique and potentially effective treatment option for patients unresponsive to traditional treatments. The review emphasizes the need for further research to refine DBS targets and parameters, improve patient selection, and develop personalized treatment plans to enhance efficacy and safety in TRD management.

Indexed as

Deep Brain StimulationDepressive Disorder, Treatment-ResistantAnimalsBrainHumansAMPARdeep brain stimulationneuromodulationreward pathwaytreatment‐resistant depression

Identifiers

PMID40321033
PMCPMC12050660

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Registered trials

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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.