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Effects of smoking status and MADRS retardation factor on response to low frequency repetitive transcranial magnetic stimulation for depression

Published online by Cambridge University Press:  23 March 2020

E. Poulet ,
F. Galvao ,
E. Haffen ,
D. Szekely ,
C. Brault ,
F. Haesebaert  and
J. Brunelin
E. Poulet*
Affiliation:
Inserm, U1028, CNRS, UMR5292, Lyon neuroscience research center, ΨR2 Team, université de LyonLyon69000, France University Lyon 1Villeurbanne69000, France Centre hospitalier Le VinatierBron69678, France Service de psychiatrie des urgences, hôpital Édouard-Herriot, CHU de LyonLyon69000, France
F. Galvao
Affiliation:
Inserm, U1028, CNRS, UMR5292, Lyon neuroscience research center, ΨR2 Team, université de LyonLyon69000, France University Lyon 1Villeurbanne69000, France Centre hospitalier Le VinatierBron69678, France
E. Haffen
Affiliation:
Department of clinical psychiatry, CIC-1431 Inserm, university hospital of Besançon, Besançon, France EA-481, université Bourgogne Franche-Comté, université Franche-Comté, Besançon, France FondaMental foundation, Créteil, France
D. Szekely
Affiliation:
Princess Grace hospital, department of psychiatry, Monaco, France
C. Brault
Affiliation:
Pôle « information médicale évaluation recherche » (IMER), CHU de Lyon 62, avenue Lacassagne, bâtiment A Lyon cedex 0369424, France
F. Haesebaert
Affiliation:
Inserm, U1028, CNRS, UMR5292, Lyon neuroscience research center, ΨR2 Team, université de LyonLyon69000, France University Lyon 1Villeurbanne69000, France Centre hospitalier Le VinatierBron69678, France
J. Brunelin
Affiliation:
Inserm, U1028, CNRS, UMR5292, Lyon neuroscience research center, ΨR2 Team, université de LyonLyon69000, France University Lyon 1Villeurbanne69000, France Centre hospitalier Le VinatierBron69678, France
*
*Corresponding author. Service de psychiatrie des urgences, hôpital E’douard-Herriot, Pavillon N, 5, place d’Arsonval, 69437 Lyon cedex 03, France.E-mail address:emmanuel.poulet@chu-lyon.fr(E. Poulet).
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Abstract

Background

Despite growing evidence supporting the clinical interest of repetitive transcranial magnetic stimulation (rTMS) in treatment-resistant depression (TRD), little is known regarding the effects of clinical and sociodemographic factors on the clinical outcome in patients.

Methods

We retrospectively investigated the effects of clinical (using the 3-factor model of the Montgomery-Åsberg depression rating scale [MADRS] encompassing dysphoria, retardation and vegetative symptoms) and sociodemographic characteristics of participants on clinical outcome in a sample of 54 TRD patients receiving low frequency rTMS (1 Hz, 360 pulses) applied over the right dorsolateral prefrontal cortex combined with sham venlafaxine.

Results

Responders (n = 29) displayed lower retardation baseline scores (13.6 ± 2.9) than non-responders (15.6 ± 2.9; n = 25; P = 0.02). We also observed a significant difference between the numbers of ex-smokers in responders and non-responders groups; all ex-smokers (n = 8) were responders to rTMS (P = 0.005).

Conclusion

Low MADRS retardation factor and ex-smoker status is highly prevalent in responders to low frequency rTMS. Further studies are needed to investigate the predictive value of these factors.

Keywords

rTMSRetardationDepressionMADRSNicotineSmoking
Type
Original article
Information
European Psychiatry , Volume 38 , October 2016 , pp. 40 - 44
Copyright
Copyright © Elsevier Masson SAS 2016

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