The effectiveness of repetitive transcranial magnetic stimulation (rTMS) in patients with catatonia associated with another mental disorder: A systematic review

<h3>Background </h3><p dir="ltr">Catatonia is a rare but life-threatening condition characterized by a constellation of psychomotor disturbances. The most widely used treatments of catatonia include benzodiazepines and electroconvulsive therapy. Despite the widespread use...

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Main Author: Sarvenaz Esmaeelzadeh (21976673) (author)
Other Authors: Razi Mahmood (21225092) (author), Altaf Masood (21976676) (author)
Published: 2024
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author Sarvenaz Esmaeelzadeh (21976673)
author2 Razi Mahmood (21225092)
Altaf Masood (21976676)
author2_role author
author
author_facet Sarvenaz Esmaeelzadeh (21976673)
Razi Mahmood (21225092)
Altaf Masood (21976676)
author_role author
dc.creator.none.fl_str_mv Sarvenaz Esmaeelzadeh (21976673)
Razi Mahmood (21225092)
Altaf Masood (21976676)
dc.date.none.fl_str_mv 2024-11-21T15:00:00Z
dc.identifier.none.fl_str_mv 10.1016/j.ajp.2024.104311
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/The_effectiveness_of_repetitive_transcranial_magnetic_stimulation_rTMS_in_patients_with_catatonia_associated_with_another_mental_disorder_A_systematic_review/29816528
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Neurosciences
Health sciences
Health services and systems
Psychology
Clinical and health psychology
Catatonia
Noninvasive brain stimulation
Neuromodulation
Repetitive transcranial magnetic stimulation
Psychiatry
dc.title.none.fl_str_mv The effectiveness of repetitive transcranial magnetic stimulation (rTMS) in patients with catatonia associated with another mental disorder: A systematic review
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Background </h3><p dir="ltr">Catatonia is a rare but life-threatening condition characterized by a constellation of psychomotor disturbances. The most widely used treatments of catatonia include benzodiazepines and electroconvulsive therapy. Despite the widespread use of benzodiazepines and the high response rate of catatonia to ECT, there are instances where catatonia does not respond to first-line treatments. This study aimed to evaluate the efficacy of repetitive transcranial magnetic stimulation (rTMS) in managing catatonia. </p><h3>Methods </h3><p dir="ltr">A systematic literature search was conducted on the following databases: Medline, PubMed, Cochrane Library, Embase, PsycINFO and ClinicalTrials.gov for registered but not yet published studies. </p><h3>Results </h3><p dir="ltr">Out of 244 initially identified articles, there remained eight case reports and 1 case series eligible after screening. Of the twelve total cases, nine showed clinical improvement. However, there was significant heterogeneity in the complexity of the clinical situation, the severity of clinical features of catatonia, underlying causes, and rTMS treatment protocols between studies. </p><h3>Conclusion </h3><p dir="ltr">The results of this study are inconclusive. However, rTMS might be trialed for the management of catatonia when first-line treatment options fail, are unavailable, or need to be used with caution. Our review incorporating the most up to date evidence highlights the need for more extensive, standardized, randomized clinical trials to investigate the efficacy of rTMS for treating catatonia.</p><h2>Other Information</h2><p dir="ltr">Published in: Asian Journal of Psychiatry<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.ajp.2024.104311" target="_blank">https://dx.doi.org/10.1016/j.ajp.2024.104311</a></p>
eu_rights_str_mv openAccess
id Manara2_9a912fb6c5d09984e136e475518d253f
identifier_str_mv 10.1016/j.ajp.2024.104311
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/29816528
publishDate 2024
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rights_invalid_str_mv CC BY 4.0
spelling The effectiveness of repetitive transcranial magnetic stimulation (rTMS) in patients with catatonia associated with another mental disorder: A systematic reviewSarvenaz Esmaeelzadeh (21976673)Razi Mahmood (21225092)Altaf Masood (21976676)Biomedical and clinical sciencesNeurosciencesHealth sciencesHealth services and systemsPsychologyClinical and health psychologyCatatoniaNoninvasive brain stimulationNeuromodulationRepetitive transcranial magnetic stimulationPsychiatry<h3>Background </h3><p dir="ltr">Catatonia is a rare but life-threatening condition characterized by a constellation of psychomotor disturbances. The most widely used treatments of catatonia include benzodiazepines and electroconvulsive therapy. Despite the widespread use of benzodiazepines and the high response rate of catatonia to ECT, there are instances where catatonia does not respond to first-line treatments. This study aimed to evaluate the efficacy of repetitive transcranial magnetic stimulation (rTMS) in managing catatonia. </p><h3>Methods </h3><p dir="ltr">A systematic literature search was conducted on the following databases: Medline, PubMed, Cochrane Library, Embase, PsycINFO and ClinicalTrials.gov for registered but not yet published studies. </p><h3>Results </h3><p dir="ltr">Out of 244 initially identified articles, there remained eight case reports and 1 case series eligible after screening. Of the twelve total cases, nine showed clinical improvement. However, there was significant heterogeneity in the complexity of the clinical situation, the severity of clinical features of catatonia, underlying causes, and rTMS treatment protocols between studies. </p><h3>Conclusion </h3><p dir="ltr">The results of this study are inconclusive. However, rTMS might be trialed for the management of catatonia when first-line treatment options fail, are unavailable, or need to be used with caution. Our review incorporating the most up to date evidence highlights the need for more extensive, standardized, randomized clinical trials to investigate the efficacy of rTMS for treating catatonia.</p><h2>Other Information</h2><p dir="ltr">Published in: Asian Journal of Psychiatry<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.ajp.2024.104311" target="_blank">https://dx.doi.org/10.1016/j.ajp.2024.104311</a></p>2024-11-21T15:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1016/j.ajp.2024.104311https://figshare.com/articles/journal_contribution/The_effectiveness_of_repetitive_transcranial_magnetic_stimulation_rTMS_in_patients_with_catatonia_associated_with_another_mental_disorder_A_systematic_review/29816528CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/298165282024-11-21T15:00:00Z
spellingShingle The effectiveness of repetitive transcranial magnetic stimulation (rTMS) in patients with catatonia associated with another mental disorder: A systematic review
Sarvenaz Esmaeelzadeh (21976673)
Biomedical and clinical sciences
Neurosciences
Health sciences
Health services and systems
Psychology
Clinical and health psychology
Catatonia
Noninvasive brain stimulation
Neuromodulation
Repetitive transcranial magnetic stimulation
Psychiatry
status_str publishedVersion
title The effectiveness of repetitive transcranial magnetic stimulation (rTMS) in patients with catatonia associated with another mental disorder: A systematic review
title_full The effectiveness of repetitive transcranial magnetic stimulation (rTMS) in patients with catatonia associated with another mental disorder: A systematic review
title_fullStr The effectiveness of repetitive transcranial magnetic stimulation (rTMS) in patients with catatonia associated with another mental disorder: A systematic review
title_full_unstemmed The effectiveness of repetitive transcranial magnetic stimulation (rTMS) in patients with catatonia associated with another mental disorder: A systematic review
title_short The effectiveness of repetitive transcranial magnetic stimulation (rTMS) in patients with catatonia associated with another mental disorder: A systematic review
title_sort The effectiveness of repetitive transcranial magnetic stimulation (rTMS) in patients with catatonia associated with another mental disorder: A systematic review
topic Biomedical and clinical sciences
Neurosciences
Health sciences
Health services and systems
Psychology
Clinical and health psychology
Catatonia
Noninvasive brain stimulation
Neuromodulation
Repetitive transcranial magnetic stimulation
Psychiatry