Transcranial Magnetic Stimulation in Pregnancy: Efficacy, Safety, and Future Implications for Perinatal Mental Health Care

IF 2.7 3区心理学 Q2 BEHAVIORAL SCIENCES

Brain and Behavior Pub Date : 2025-02-09 DOI:10.1002/brb3.70304

Serena Angeline, Babangida Tiyatiye, Wole Akosile

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Abstract

Introduction

Repetitive transcranial magnetic stimulation (TMS) has gained interest as a treatment for major depressive disorder (MDD). However, the literature on its efficacy and safety for pregnant patients with MDD is limited. This article reviews and appraises available studies on TMS in pregnant women with MDD.

Methods

We reviewed randomized controlled trials and open-label studies on TMS in pregnant women with MDD.

Results

Studies indicate that TMS is a safe and effective treatment for MDD during pregnancy, showing significant reductions in depression scores and increased response and remission rates compared to sham TMS. TMS was well tolerated with minimal side effects.

Conclusion

Larger, multicenter trials are needed to develop evidence-based protocols for TMS use in pregnancy.

Abstract Image

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经颅磁刺激在妊娠期：有效性、安全性和对围产期心理健康护理的未来影响

重复经颅磁刺激（TMS）作为一种治疗重度抑郁症（MDD）的方法已经引起了人们的兴趣。然而，关于其对妊娠重度抑郁症患者的疗效和安全性的文献有限。本文对经颅磁刺激治疗重度抑郁症孕妇的现有研究进行综述和评价。方法回顾了经颅磁刺激治疗重度抑郁症孕妇的随机对照试验和开放标签研究。结果研究表明，经颅磁刺激是一种安全有效的治疗妊娠期MDD的方法，与假经颅磁刺激相比，经颅磁刺激可显著降低抑郁评分，提高反应和缓解率。经颅磁刺激耐受性良好，副作用最小。结论：需要更大规模的多中心试验来制定经颅磁刺激在妊娠期应用的循证方案。

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来源期刊

Brain and Behavior BEHAVIORAL SCIENCES-NEUROSCIENCES

CiteScore

5.30

自引率

0.00%

发文量

352

审稿时长

14 weeks

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