Transcranial Magnetic Stimulation in the Treatment of Major Depressive Disorder: A Personalized Approach

Marko Mihailovic*, Mehmet E. Dokucu

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

A growing body of evidence suggests that magnetic and electrostimulation of certain parts of the brain can alleviate depressive symptoms. Repetitive transcranial magnetic stimulation (TMS) as a treatment for depression has shown statistically significant effects, but the clinical significance of these effects has been questioned. Major depression is often difficult to diagnose accurately. Even when the diagnosis is properly made, standard treatment approaches (e.g., psychotherapy, medications, or their combination) are often inadequate to control symptoms or maintain initial benefit. There is a need for more effective and better-tolerated treatments. TMS is a noninvasive and easily tolerated method of altering cortical physiology. It is effective in treating depression with minimal reported side effects. The existing literature supports a possible role for TMS in the treatment of depression and suggests concurrent biomarkers, which may help in determining which group of patients would have a positive response to TMS treatment for major depressive disorder (MDD). Temperament and Character Inventory (TCI) appeared to be a cost-effective, promising predictor to TMS treatment response. The authors evaluated current potential difficulties in diagnosing MDD accurately and reviewed a personalized approach as a model that may help with diagnosing MDD more accurately as well as improving the existing TMS treatment.

Original languageEnglish (US)
Title of host publicationContemporary Clinical Neuroscience
PublisherSpringer Nature
Pages161-181
Number of pages21
DOIs
StatePublished - 2019

Publication series

NameContemporary Clinical Neuroscience
ISSN (Print)2627-535X
ISSN (Electronic)2627-5341

Keywords

  • Biomarkers
  • Major depressive disorder
  • MDD
  • Personalized medicine
  • rTMS
  • TCI
  • TMS
  • Treatments for MDD

ASJC Scopus subject areas

  • Behavioral Neuroscience
  • Cognitive Neuroscience
  • Neurology
  • Sensory Systems
  • Clinical Neurology

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