Racial and Ethnic Disparities in Administration of Transcranial Magnetic Stimulation at an Academic Center.

IF 1 4区医学 Q3 PSYCHIATRY

Journal of Psychiatric Practice Pub Date : 2025-03-01 DOI:10.1097/PRA.0000000000000843

Alyssa C Smith, Mohannad Abu-Sultanah, Emily G Holmes, Susan K Conroy

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引用次数: 0

Abstract

Objective: The authors sought to examine the racial and ethnic makeup of patients treated with transcranial magnetic stimulation (TMS) for treatment-resistant depression at an urban, Midwestern academic center.

Methods: This retrospective chart review study examined patients treated with TMS at the academic center from July 2018 to February 2024. Symptom scores were recorded before TMS initiation and following the course of treatment. Associations of gender, insurance status, and race with response or remission were compared using chi-squared tests. Association of age with response or remission was compared using paired t-tests.

Results: Of the 71 patients treated, roughly half responded, and a third of the total sample remitted. Only 6 patients (9%) identified as a racial minority, all of whom responded. There was no statistically significant association of age or insurance status with response or remission.

Conclusions: Racial and ethnic minorities were underrepresented in this treatment population. Our work suggests efforts are needed to address this disparity.

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一个学术中心经颅磁刺激管理的种族和民族差异。

目的：作者试图检查在中西部城市学术中心接受经颅磁刺激（TMS）治疗难治性抑郁症患者的种族和民族构成。方法：本回顾性图表回顾研究调查了2018年7月至2024年2月在学术中心接受经颅磁刺激治疗的患者。在TMS开始前和治疗过程后分别记录症状评分。使用卡方检验比较性别、保险状况和种族与反应或缓解的关系。使用配对t检验比较年龄与反应或缓解的关系。结果：在接受治疗的71名患者中，大约一半的患者有反应，三分之一的患者得到缓解。只有6名患者（9%）被确定为少数种族，他们都有反应。年龄或保险状况与反应或缓解没有统计学上的显著关联。结论：种族和少数民族在该治疗人群中的代表性不足。我们的工作表明，需要努力解决这一差距。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Psychiatric Practice PSYCHIATRY-

CiteScore

2.30

自引率

10.50%

发文量

159

审稿时长

>12 weeks

期刊介绍： Journal of Psychiatric Practice® seizes the day with its emphasis on the three Rs — readability, reliability, and relevance. Featuring an eye-catching style, the journal combines clinically applicable reviews, case studies, and articles on treatment advances with practical and informative tips for treating patients. Mental health professionals will want access to this review journal — for sharpening their clinical skills, discovering the best in treatment, and navigating this rapidly changing field. Journal of Psychiatric Practice combines clinically applicable reviews, case studies, and articles on treatment advances with informative "how to" tips for surviving in a managed care environment.