How much can patients expect to improve with six weeks of deep TMS for OCD? - 16/06/19
Résumé |
Introduction |
Deep TMS with the H7 coil over the dmPFC/ACC was recently approved for the treatment of obsessive compulsive disorder (OCD) by the FDA based on a twenty-nine-treatment-six-week sham-controlled study.
Objective |
Quantify the improvement patients and clinicians can expect from their initial six-weeks of treatment.
Methods |
The current analysis (n=68) combined data from two groups of patients:
– patients from the multi-center study who received active dTMS (n=42)
– an open label sample (n=26).
All patients were assessed on a weekly basis with Yale Brown Obsessive Compulsive Scale (YBOCS).
Results |
The YBOCS score decreased significantly by 8.6±0.8 which represents a 30.1% reduction from baseline through week 6 of treatment (P<0.001). Moreover, 60.3% of patients had at least partial response (≥20% decrease in YBOCS), and 47.1% of patients responded (≥30% decrease in YBOCS) to the treatment.
Conclusions |
Six weeks of dTMS treatment for OCD resulted in both statistically and clinically significant improvement. Notably, in eight out of nine patients who were treated for more than twenty-nine treatments, their scores improved. Patients with higher baseline severity are less likely to achieve response within 6 weeks and may benefit from longer treatment. Similarly, responders may reach remission with extended treatment courses.
Le texte complet de cet article est disponible en PDF.Plan
Vol 45 - N° S2
P. S83 - juin 2019 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?