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Repetitieve transcraniële magnetische stimulatie bij therapieresistente depressie; voorstel voor een behandelprotocol

van Belkum, S. M., de Boer, M. K., Taams, G-J., Schutter, D. J. L. G., Aleman, A., Schoevers, R. A. & Haarman, B. C. M., 2018, In : Tijdschrift voor Psychiatrie. 60, 11, p. 766-773 8 p.

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  • Repetitieve transcraniële magnetische stimulatie bij therapieresistente depressie; voorstel voor een behandelprotocol

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BACKGROUND: At present, the use of repetitive transcranial magnetic stimulation (rtms) for treatment-resistant depression is sufficiently substantiated to be applied in clinical practice. In the Netherlands, it will be reimbursed when offered in combination with cognitive behavior therapy.<br/> AIM: Proposal for a clinical treatment protocol for rtms in The Netherlands.<br/> METHOD: A study of the literature and a critical appraisal of available international guidelines for rtms.<br/> RESULTS: rtms is a safe treatment for patients suffering from a moderate to severe depressive disorder that is relatively treatment-resistant. The duration of the effect is still unknown. It is advised to stimulate the left dorsolateral prefrontal cortex using an intensity of 120% of the resting motor threshold, with a frequency of 10 Hz and using 3000 pulses per session during a total of 20-30 sessions.<br/> CONCLUSION: The proposed treatment protocol is favored based on the available evidence when rtms is used as a treatment aimed to acutely decrease the severity of depressive symptoms. It is further proposed to systematically collect technical and outcome data on treatment with rtms to further improve treatment with rtms in clinical practice.

Translated title of the contributionrTMS for treatment resistant depression - proposal for a treatment protocol
Original languageDutch
Pages (from-to)766-773
Number of pages8
JournalTijdschrift voor Psychiatrie
Volume60
Issue number11
Publication statusPublished - 2018

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