Deep brain stimulation for treatment-resistant depression: efficacy, safety and mechanisms of action.

Abstract:

:Deep brain stimulation (DBS), a neuromodulation therapy that has been used successfully in the treatment of symptoms associated with movement disorders, has recently undergone clinical trials for individuals suffering from treatment-resistant depression (TRD). Although the small patient numbers and open label study design limit our ability to identify optimum targets and make definitive conclusions about treatment efficacy, a review of the published research demonstrates significant reductions in depressive symptomatology and high rates of remission in a severely treatment-resistant patient group. Despite these encouraging results, an incomplete understanding of the mechanisms of action underlying the therapeutic effects of DBS for TRD is highlighted, paralleling the incomplete understanding of the neuroanatomy of mood regulation and treatment resistance. Proposed mechanisms of action include short and long-term local effects of stimulation at the neuronal level, to modulation of neural network activity.

journal_name

Neurosci Biobehav Rev

authors

Anderson RJ,Frye MA,Abulseoud OA,Lee KH,McGillivray JA,Berk M,Tye SJ

doi

10.1016/j.neubiorev.2012.06.001

subject

Has Abstract

pub_date

2012-09-01 00:00:00

pages

1920-33

issue

8

eissn

0149-7634

issn

1873-7528

pii

S0149-7634(12)00091-7

journal_volume

36

pub_type

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