Evidence map›Paper›PMID 41029456›Full record

ArticleAnnals of general psychiatry2025

Treatment-resistant depression with poor response to deep brain stimulation improves with psychotherapy: case series.

Shuping Fang, Yingyi Kang, Jun Zhang

Abstract read
In one paragraph

Article in Annals of general psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

3 authors.

Shuping FangMental Health Center of West China Hospital, Sichuan University, No. 37, Guo Xue Alley, Chengdu, Sichuan Province, 610041, China.
Yingyi KangThe Fourth People's Hospital of Ya'an, Ya'an, China.
Jun ZhangMental Health Center of West China Hospital, Sichuan University, No. 37, Guo Xue Alley, Chengdu, Sichuan Province, 610041, China. zh2000jun2000@163.com.

Funding

The National Natural Science Foundation of China No.82371542
6 · The paper itself

Abstract

backgroundDeep brain stimulation (DBS) is regarded as an efficacious treatment for treatment-resistant depression (TRD), exhibiting a response rate of approximately 60%. However, certain patients exhibit limited responsiveness to DBS, necessitating further exploration of alternative interventions. In this paper, we present two cases of TRD patients who exhibited poor response to DBS surgery but showed significant improvement after receiving psychotherapy. CASE PRESENTATION: In case 1, a 20-year-old female patient exhibited a slight initial positive response after DBS surgery; however, her symptoms continued to deteriorate progressively. Following systematic cognitive behavioral therapy (CBT), she demonstrated remarkable improvement in depressive symptoms. In case 2, a 36-year-old male patient experienced short-term symptomatic improvement post-DBS surgery but relapsed due to treatment interruption caused by financial constraints. After CBT intervention, the symptoms of his depression exhibited significant improvement.

conclusionsNo previous studies have reported on the effects of CBT in postoperative depressive symptoms following DBS. The combination of DBS surgery and postoperative psychological therapy may enhance the therapeutic outcomes of DBS. This study emphasizes the significance of incorporating psychotherapy into the management after DBS surgery and calls for future research to further investigate the potential and mechanisms underlying this comprehensive treatment strategy.

Indexed as

Cognitive behavioral therapyDeep brain stimulationPsychotherapyTreatment-resistant depression

Identifiers

PMID41029456
PMCPMC12482072

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