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A clinical repetitive transcranial magnetic stimulation service in Australia: 6 years on

Overview of attention for article published in Australian & New Zealand Journal of Psychiatry, October 2015
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Title
A clinical repetitive transcranial magnetic stimulation service in Australia: 6 years on
Published in
Australian & New Zealand Journal of Psychiatry, October 2015
DOI 10.1177/0004867415607985
Pubmed ID
Authors

Cherrie A Galletly, Patrick Clarke, Benjamin L Carnell, Shane Gill

Abstract

There is considerable research evidence for the effectiveness of repetitive transcranial magnetic stimulation in the treatment of depression. However, there is little information about its acceptability and outcomes in clinical settings. This naturalistic study reports on a clinical repetitive transcranial magnetic stimulation service that has been running in Adelaide, South Australia (SA), for 6 years. During this time, 214 complete acute courses were provided to patients with treatment-resistant Major Depressive Disorder. Patients received either sequential bilateral or right unilateral repetitive transcranial magnetic stimulation treatment involving either 18 or 20 sessions given over 6 or 4 weeks respectively. Data included patient demographic details, duration of depression, and medication at the beginning of their repetitive transcranial magnetic stimulation course. The Hamilton Depression Rating Scale was used to assess response to repetitive transcranial magnetic stimulation. Of those undergoing a first-time acute treatment course of repetitive transcranial magnetic stimulation (N = 167), 28% achieved remission, while a further 12% met the criteria for a response to treatment. Most patients (N = 123, 77%) had previously been treated with five or more antidepressant medications, and 77 (47%) had previously received electroconvulsive therapy. Referral rates remained high over the 6 years, indicating acceptance of the treatment by referring psychiatrists. There were no significant adverse events, and the treatment was generally well tolerated. In all, 41 patients (25%) had a second course of repetitive transcranial magnetic stimulation and 6 (4%) patients had a third course; 21 patients subsequently received maintenance repetitive transcranial magnetic stimulation. This naturalistic study showed that repetitive transcranial magnetic stimulation was well accepted by both psychiatrists and patients, and has good efficacy and safety. Furthermore, repetitive transcranial magnetic stimulation can provide a useful treatment alternative as part of outpatient mental health services for people with depression.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 64 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Canada 1 2%
Unknown 63 98%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 11 17%
Researcher 8 13%
Student > Master 6 9%
Student > Postgraduate 5 8%
Student > Doctoral Student 2 3%
Other 8 13%
Unknown 24 38%
Readers by discipline Count As %
Medicine and Dentistry 16 25%
Psychology 10 16%
Neuroscience 5 8%
Social Sciences 4 6%
Biochemistry, Genetics and Molecular Biology 1 2%
Other 3 5%
Unknown 25 39%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 29 October 2015.
All research outputs
#14,827,682
of 22,831,537 outputs
Outputs from Australian & New Zealand Journal of Psychiatry
#1,635
of 2,291 outputs
Outputs of similar age
#157,339
of 284,370 outputs
Outputs of similar age from Australian & New Zealand Journal of Psychiatry
#21
of 40 outputs
Altmetric has tracked 22,831,537 research outputs across all sources so far. This one is in the 32nd percentile – i.e., 32% of other outputs scored the same or lower than it.
So far Altmetric has tracked 2,291 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 10.2. This one is in the 27th percentile – i.e., 27% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 284,370 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 41st percentile – i.e., 41% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 40 others from the same source and published within six weeks on either side of this one. This one is in the 45th percentile – i.e., 45% of its contemporaries scored the same or lower than it.