Neuromodulation of Attentional Control in Major Depression: A Pilot DeepTMS Study

While Major Depressive Disorder (MDD) is primarily characterized by mood disturbances, impaired attentional control is increasingly identified as a critical feature of depression. Deep transcranial magnetic stimulation (deepTMS), a noninvasive neuromodulatory technique, can modulate neural activity...

Full description

Saved in:
Bibliographic Details
Main Authors: Jodie Naim-Feil, John L. Bradshaw, Dianne M. Sheppard, Oded Rosenberg, Yechiel Levkovitz, Pinhas Dannon, Paul B. Fitzgerald, Moshe Isserles, Abraham Zangen
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Neural Plasticity
Online Access:http://dx.doi.org/10.1155/2016/5760141
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832556734838734848
author Jodie Naim-Feil
John L. Bradshaw
Dianne M. Sheppard
Oded Rosenberg
Yechiel Levkovitz
Pinhas Dannon
Paul B. Fitzgerald
Moshe Isserles
Abraham Zangen
author_facet Jodie Naim-Feil
John L. Bradshaw
Dianne M. Sheppard
Oded Rosenberg
Yechiel Levkovitz
Pinhas Dannon
Paul B. Fitzgerald
Moshe Isserles
Abraham Zangen
author_sort Jodie Naim-Feil
collection DOAJ
description While Major Depressive Disorder (MDD) is primarily characterized by mood disturbances, impaired attentional control is increasingly identified as a critical feature of depression. Deep transcranial magnetic stimulation (deepTMS), a noninvasive neuromodulatory technique, can modulate neural activity and induce neuroplasticity changes in brain regions recruited by attentional processes. This study examined whether acute and long-term high-frequency repetitive deepTMS to the dorsolateral prefrontal cortex (DLPFC) can attenuate attentional deficits associated with MDD. Twenty-one MDD patients and 26 matched control subjects (CS) were administered the Beck Depression Inventory and the Sustained Attention to Response Task (SART) at baseline. MDD patients were readministered the SART and depressive assessments following a single session (n=21) and after 4 weeks (n=13) of high-frequency (20 Hz) repetitive deepTMS applied to the DLPFC. To control for the practice effect, CS (n=26) were readministered the SART a further two times. The MDD group exhibited deficits in sustained attention and cognitive inhibition. Both acute and long-term high-frequency repetitive frontal deepTMS ameliorated sustained attention deficits in the MDD group. Improvement after acute deepTMS was related to attentional recovery after long-term deepTMS. Longer-term improvement in sustained attention was not related to antidepressant effects of deepTMS treatment.
format Article
id doaj-art-36f4c27f4dcb48e38324e3edd0ca1ea4
institution Kabale University
issn 2090-5904
1687-5443
language English
publishDate 2016-01-01
publisher Wiley
record_format Article
series Neural Plasticity
spelling doaj-art-36f4c27f4dcb48e38324e3edd0ca1ea42025-02-03T05:44:29ZengWileyNeural Plasticity2090-59041687-54432016-01-01201610.1155/2016/57601415760141Neuromodulation of Attentional Control in Major Depression: A Pilot DeepTMS StudyJodie Naim-Feil0John L. Bradshaw1Dianne M. Sheppard2Oded Rosenberg3Yechiel Levkovitz4Pinhas Dannon5Paul B. Fitzgerald6Moshe Isserles7Abraham Zangen8Monash Alfred Psychiatry Research Centre, Central Clinical School, The Alfred and Monash University, Prahran, VIC, AustraliaSchool of Psychological Sciences and Monash Institute of Cognitive and Clinical Neurosciences, Monash University, Clayton, VIC 3800, AustraliaMonash Injury Research Institute, Monash University, Clayton, VIC 3800, AustraliaBeer Yaakov Mental Health Center Affiliated to Sackler School of Medicine, University of Tel Aviv, IsraelThe Emotion-Cognition Research Center, Shalvata Mental Health Care Center, Hod HaSharon, IsraelBeer Yaakov Mental Health Center Affiliated to Sackler School of Medicine, University of Tel Aviv, IsraelMonash Alfred Psychiatry Research Centre, Central Clinical School, The Alfred and Monash University, Prahran, VIC, AustraliaHadassah-Hebrew University Medical Center, Jerusalem, IsraelDepartment of Life Sciences, Ben Gurion University, Beer Sheva 84105, IsraelWhile Major Depressive Disorder (MDD) is primarily characterized by mood disturbances, impaired attentional control is increasingly identified as a critical feature of depression. Deep transcranial magnetic stimulation (deepTMS), a noninvasive neuromodulatory technique, can modulate neural activity and induce neuroplasticity changes in brain regions recruited by attentional processes. This study examined whether acute and long-term high-frequency repetitive deepTMS to the dorsolateral prefrontal cortex (DLPFC) can attenuate attentional deficits associated with MDD. Twenty-one MDD patients and 26 matched control subjects (CS) were administered the Beck Depression Inventory and the Sustained Attention to Response Task (SART) at baseline. MDD patients were readministered the SART and depressive assessments following a single session (n=21) and after 4 weeks (n=13) of high-frequency (20 Hz) repetitive deepTMS applied to the DLPFC. To control for the practice effect, CS (n=26) were readministered the SART a further two times. The MDD group exhibited deficits in sustained attention and cognitive inhibition. Both acute and long-term high-frequency repetitive frontal deepTMS ameliorated sustained attention deficits in the MDD group. Improvement after acute deepTMS was related to attentional recovery after long-term deepTMS. Longer-term improvement in sustained attention was not related to antidepressant effects of deepTMS treatment.http://dx.doi.org/10.1155/2016/5760141
spellingShingle Jodie Naim-Feil
John L. Bradshaw
Dianne M. Sheppard
Oded Rosenberg
Yechiel Levkovitz
Pinhas Dannon
Paul B. Fitzgerald
Moshe Isserles
Abraham Zangen
Neuromodulation of Attentional Control in Major Depression: A Pilot DeepTMS Study
Neural Plasticity
title Neuromodulation of Attentional Control in Major Depression: A Pilot DeepTMS Study
title_full Neuromodulation of Attentional Control in Major Depression: A Pilot DeepTMS Study
title_fullStr Neuromodulation of Attentional Control in Major Depression: A Pilot DeepTMS Study
title_full_unstemmed Neuromodulation of Attentional Control in Major Depression: A Pilot DeepTMS Study
title_short Neuromodulation of Attentional Control in Major Depression: A Pilot DeepTMS Study
title_sort neuromodulation of attentional control in major depression a pilot deeptms study
url http://dx.doi.org/10.1155/2016/5760141
work_keys_str_mv AT jodienaimfeil neuromodulationofattentionalcontrolinmajordepressionapilotdeeptmsstudy
AT johnlbradshaw neuromodulationofattentionalcontrolinmajordepressionapilotdeeptmsstudy
AT diannemsheppard neuromodulationofattentionalcontrolinmajordepressionapilotdeeptmsstudy
AT odedrosenberg neuromodulationofattentionalcontrolinmajordepressionapilotdeeptmsstudy
AT yechiellevkovitz neuromodulationofattentionalcontrolinmajordepressionapilotdeeptmsstudy
AT pinhasdannon neuromodulationofattentionalcontrolinmajordepressionapilotdeeptmsstudy
AT paulbfitzgerald neuromodulationofattentionalcontrolinmajordepressionapilotdeeptmsstudy
AT mosheisserles neuromodulationofattentionalcontrolinmajordepressionapilotdeeptmsstudy
AT abrahamzangen neuromodulationofattentionalcontrolinmajordepressionapilotdeeptmsstudy