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Low recruitment.
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| Name | Class |
|---|---|
| University of Sydney | OTHER |
| Monash University | OTHER |
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This is a study to assess the effectiveness and safety of repetitive transcranial magnetic stimulation (rTMS) as a treatment for depressed 13-18 year olds.
In rTMS high-intensity, fluctuating magnetic fields non-invasively stimulate the cortex of the brain depolarizing neurons. No anesthetic is required and the treatment in subconvulsive. Recent studies suggest that rTMS can be an effective treatment for depressive illness in adults (Loo and Mitchell, 2005) and appears to be quite safe.
Minimal data of TMS use in adolescents psychiatric disorders. Data only existed in seven patients of the four that were depressed two showed improvement in their depression (Quintana, 2005). No sham-controlled studies have been conducted.
The investigators wish to assess this in a sham-controlled study of 30 adolescents. The investigators hypothesize that rTMS will have an antidepressant effect and produce no neuropsychological impairment.
The study has two phases: the sham-controlled phase and an open phase.
Sham-controlled Phase
Participants are randomly assigned to an active or sham TMS condition.
Open Phase
Following the sham controlled period participants participants in the sham rTMS condition will be offered active rTMS. Participants will have the opportunity to receive up to 6 weeks of active rTMS.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Transcranial Magnetic Stimulation | Device |
| Measure | Description | Time Frame |
|---|---|---|
| All measures at baseline and at the end of each week of treatment in the blind phase and after every 2 weeks of treatment in the open phase. | ||
| Montgomery-Asberg Depression Rating Scale (MADRS) | ||
| Clinical Global Impressions Scale (CGI) |
| Measure | Description | Time Frame |
|---|---|---|
| All measures at baseline, at the end of the 4 week blind phase and at end of treatment in the open phase. | ||
| Rey Auditory Verbal Learning Test (RAVLT) | ||
| Digit span forwards and backwards and Digit symbols (WAIS) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Colleen Loo, FRANZCP; MD | University of New South Wales | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Northside Clinic | Greenwich | New South Wales | 2065 | Australia | ||
| Black Institute Building, School of Psychiatry, University of New South Wales |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 16630205 | Result | Loo C, McFarquhar T, Walter G. Transcranial magnetic stimulation in adolescent depression. Australas Psychiatry. 2006 Mar;14(1):81-5. doi: 10.1080/j.1440-1665.2006.02251.x. |
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| ID | Term |
|---|---|
| D003863 | Depression |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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| ID | Term |
|---|---|
| D050781 | Transcranial Magnetic Stimulation |
| ID | Term |
|---|---|
| D055909 | Magnetic Field Therapy |
| D013812 | Therapeutics |
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| Tower of London |
| Verbal Fluency |
| Trail A, B |
| Beck Depression Inventory |
| Centre for Epidemiological Studies - Depression - Child (CES-DC) scale |
| Sydney |
| New South Wales |
| 2031 |
| Australia |
| Alfred Psychiatry Research Centre, The Alfred and Monash University Department of Psychological Medicine, The Alfred Hospital | Melbourne | Victoria | 3004 | Australia |