Transcranial Direct Current Stimulation (tDCS) for Depression during Pregnancy: Scientific Evidence and What Is Being Said in the Media-A Systematic Review.

Transcranial Direct Current Stimulation (tDCS) for Depression during Pregnancy: Scientific Evidence and What Is Being Said in the Media-A Systematic Review.
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DOI:
10.3390/brainsci8080155
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发表时间:
2018-08-14
期刊:
影响因子:
3.3
通讯作者:
Palm U
Palm U
中科院分区:
医学4区
文献类型:
--
作者:
Kurzeck AK;Kirsch B;Weidinger E;Padberg F;Palm U

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重度抑郁症是妊娠期最常见的疾病。一线治疗,精神药理学治疗和心理治疗,要么不足,或可能导致严重或致畸不良事件。由于其对患者大脑的局部限制,经颅直流电刺激(tDCS)可能是抑郁症孕妇的理想治疗方法。在医学数据库、全球出版的报纸、搜索引擎和临床试验注册中进行文献检索,以收集关于tDCS治疗妊娠期抑郁症的所有文章。本综述的目的是调查tDCS用于妊娠期抑郁症的科学证据,并将这些结果与媒体中的文本和情感感知进行比较,因为妊娠期间的干预措施受到特别监督。我们发现了13篇关于tDCS治疗妊娠期抑郁症的医学文章。总的来说,关于妊娠期tDCS的科学证据和媒体文章很少,但很有希望。需要对这一特别脆弱的孕妇群体进行进一步研究,以提供证据。在加拿大进行的一项试点研究的结果公布后,公众的兴趣可能会增加。
Major depression is the most frequent morbidity in pregnancy. The first-line therapies, psychopharmacologic treatment and psychotherapy, are either insufficient or may cause severe or teratogenic adverse events. As a result of its local limitation to the patient’s brain, transcranial direct current stimulation (tDCS) could potentially be an ideal treatment for pregnant women with depression. A literature search was conducted in medical databases, globally published newspapers, search engines, and clinical trial registers to collect all articles on tDCS for the treatment of depression during pregnancy. The aim of this review was to investigate the scientific evidence of tDCS use for depression during pregnancy and to compare these results with the textual and emotional perception in the media as interventions during pregnancy are under particular surveillance. We detected 13 medical articles dealing with tDCS for depression in pregnancy. Overall, the scientific evidence as well as articles in the media for tDCS in pregnancy are sparse, but promising. Further studies are required in this specifically vulnerable population of pregnant women to generate evidence. It is likely that public interest will increase when the results of a pilot study in Canada are published.
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