Magnetic Seizure Therapy for Unipolar and Bipolar Depression: A Systematic Review

Objective. Magnetic seizure therapy (MST) is a novel, experimental therapeutic intervention, which combines therapeutic aspects of electroconvulsive therapy (ECT) and transcranial magnetic stimulation, in order to achieve the efficacy of the former with the safe...

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Main Authors: Eric Cretaz, André R. Brunoni, Beny Lafer
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Neural Plasticity
Online Access:http://dx.doi.org/10.1155/2015/521398
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author Eric Cretaz
André R. Brunoni
Beny Lafer
author_facet Eric Cretaz
André R. Brunoni
Beny Lafer
author_sort Eric Cretaz
collection DOAJ
description Objective. Magnetic seizure therapy (MST) is a novel, experimental therapeutic intervention, which combines therapeutic aspects of electroconvulsive therapy (ECT) and transcranial magnetic stimulation, in order to achieve the efficacy of the former with the safety of the latter. MST might prove to be a valuable tool in the treatment of mood disorders, such as major depressive disorder (MDD) and bipolar disorder. Our aim is to review current literature on MST. Methods. OVID and MEDLINE databases were used to systematically search for clinical studies on MST. The terms “magnetic seizure therapy,” “depression,” and “bipolar” were employed. Results. Out of 74 studies, 8 met eligibility criteria. There was considerable variability in the methods employed and samples sizes were small, limiting the generalization of the results. All studies focused on depressive episodes, but few included patients with bipolar disorder. The studies found reported significant antidepressant effects, with remission rates ranging from 30% to 40%. No significant cognitive side effects related to MST were found, with a better cognitive profile when compared to ECT. Conclusion. MST was effective in reducing depressive symptoms in mood disorders, with generally less side effects than ECT. No study focused on comparing MST to ECT on bipolar depression specifically.
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spelling doaj-art-aad18d2aaa21412c8507e86e6b35f7072025-02-03T06:08:16ZengWileyNeural Plasticity2090-59041687-54432015-01-01201510.1155/2015/521398521398Magnetic Seizure Therapy for Unipolar and Bipolar Depression: A Systematic ReviewEric Cretaz0André R. Brunoni1Beny Lafer2Service of Electroconvulsive Therapy, Department and Institute of Psychiatry, University of São Paulo, Dr. Ovídio Pires de Campos Street 785, 05403-903 São Paulo, SP, BrazilService of Interdisciplinary Neuromodulation (SIN), Laboratory of Neurosciences (LIM-27), Department and Institute of Psychiatry, University of São Paulo, Dr. Ovídio Pires de Campos Street 785, 05403-903 São Paulo, SP, BrazilBipolar Disorder Research Program, Department and Institute of Psychiatry, University of São Paulo, Dr. Ovídio Pires de Campos Street 785, 05403-903 São Paulo, SP, BrazilObjective. Magnetic seizure therapy (MST) is a novel, experimental therapeutic intervention, which combines therapeutic aspects of electroconvulsive therapy (ECT) and transcranial magnetic stimulation, in order to achieve the efficacy of the former with the safety of the latter. MST might prove to be a valuable tool in the treatment of mood disorders, such as major depressive disorder (MDD) and bipolar disorder. Our aim is to review current literature on MST. Methods. OVID and MEDLINE databases were used to systematically search for clinical studies on MST. The terms “magnetic seizure therapy,” “depression,” and “bipolar” were employed. Results. Out of 74 studies, 8 met eligibility criteria. There was considerable variability in the methods employed and samples sizes were small, limiting the generalization of the results. All studies focused on depressive episodes, but few included patients with bipolar disorder. The studies found reported significant antidepressant effects, with remission rates ranging from 30% to 40%. No significant cognitive side effects related to MST were found, with a better cognitive profile when compared to ECT. Conclusion. MST was effective in reducing depressive symptoms in mood disorders, with generally less side effects than ECT. No study focused on comparing MST to ECT on bipolar depression specifically.http://dx.doi.org/10.1155/2015/521398
spellingShingle Eric Cretaz
André R. Brunoni
Beny Lafer
Magnetic Seizure Therapy for Unipolar and Bipolar Depression: A Systematic Review
Neural Plasticity
title Magnetic Seizure Therapy for Unipolar and Bipolar Depression: A Systematic Review
title_full Magnetic Seizure Therapy for Unipolar and Bipolar Depression: A Systematic Review
title_fullStr Magnetic Seizure Therapy for Unipolar and Bipolar Depression: A Systematic Review
title_full_unstemmed Magnetic Seizure Therapy for Unipolar and Bipolar Depression: A Systematic Review
title_short Magnetic Seizure Therapy for Unipolar and Bipolar Depression: A Systematic Review
title_sort magnetic seizure therapy for unipolar and bipolar depression a systematic review
url http://dx.doi.org/10.1155/2015/521398
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