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Transcranial direct current stimulation and repetitive transcranial magnetic stimulation in consultation-liaison psychiatry

Overview of attention for article published in Brazilian Journal of Medical and Biological Research, October 2013
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Title
Transcranial direct current stimulation and repetitive transcranial magnetic stimulation in consultation-liaison psychiatry
Published in
Brazilian Journal of Medical and Biological Research, October 2013
DOI 10.1590/1414-431x20133115
Pubmed ID
Authors

L.C.L. Valiengo, I.M. Benseñor, P.A. Lotufo, R. Fraguas, A.R. Brunoni

Abstract

Patients with clinical diseases often present psychiatric conditions whose pharmacological treatment is hampered due to hazardous interactions with the clinical treatment and/or disease. This is particularly relevant for major depressive disorder, the most common psychiatric disorder in the general hospital. In this context, nonpharmacological interventions could be useful therapies; and, among those, noninvasive brain stimulation (NIBS) might be an interesting option. The main methods of NIBS are repetitive transcranial magnetic stimulation (rTMS), which was recently approved as a nonresearch treatment for some psychiatric conditions, and transcranial direct current stimulation (tDCS), a technique that is currently limited to research scenarios but has shown promising results. Therefore, our aim was to review the main medical conditions associated with high depression rates, the main obstacles for depression treatment, and whether these therapies could be a useful intervention for such conditions. We found that depression is an important and prevalent comorbidity in a variety of diseases such as epilepsy, stroke, Parkinson's disease, myocardial infarction, cancer, and in other conditions such as pregnancy and in patients without enteral access. We found that treatment of depression is often suboptimal within the above contexts and that rTMS and tDCS therapies have been insufficiently appraised. We discuss whether rTMS and tDCS could have a significant impact in treating depression that develops within a clinical context, considering its unique characteristics such as the absence of pharmacological interactions, the use of a nonenteral route, and as an augmentation therapy for antidepressants.

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Mendeley readers

The data shown below were compiled from readership statistics for 166 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 <1%
Netherlands 1 <1%
United States 1 <1%
Brazil 1 <1%
Unknown 162 98%

Demographic breakdown

Readers by professional status Count As %
Researcher 26 16%
Student > Bachelor 25 15%
Student > Master 20 12%
Student > Ph. D. Student 18 11%
Student > Doctoral Student 13 8%
Other 32 19%
Unknown 32 19%
Readers by discipline Count As %
Medicine and Dentistry 48 29%
Neuroscience 24 14%
Psychology 24 14%
Nursing and Health Professions 5 3%
Agricultural and Biological Sciences 4 2%
Other 18 11%
Unknown 43 26%