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 Revjournal_title
Neuroscience and biobehavioral reviewsauthors
Anderson RJ,Frye MA,Abulseoud OA,Lee KH,McGillivray JA,Berk M,Tye SJdoi
10.1016/j.neubiorev.2012.06.001subject
Has Abstractpub_date
2012-09-01 00:00:00pages
1920-33issue
8eissn
0149-7634issn
1873-7528pii
S0149-7634(12)00091-7journal_volume
36pub_type
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