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10.1016/j.jagp.2020.07.007

http://scihub22266oqcxt.onion/10.1016/j.jagp.2020.07.007
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32753340!7362844!32753340
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suck abstract from ncbi


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pmid32753340      Am+J+Geriatr+Psychiatry 2020 ; 28 (10): 1025-1029
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  • Accelerated Intermittent Theta Burst Stimulation in Late-Life Depression: A Possible Option for Older Depressed Adults in Need of ECT During the COVID-19 Pandemic #MMPMID32753340
  • Konstantinou GN; Downar J; Daskalakis ZJ; Blumberger DM
  • Am J Geriatr Psychiatry 2020[Oct]; 28 (10): 1025-1029 PMID32753340show ga
  • OBJECTIVE: Electroconvulsive therapy (ECT) is an essential psychiatric service with an important role in treating older adults with severe or treatment-resistant depression. During the COVID-19 pandemic, ECT services have be constrained by infection control measures. We report a case of a 66-year-old female patient with a severe major depressive episode who had previously responded to right unilateral ECT and was treated with two modified accelerated intermittent theta-burst stimulation (aiTBS) protocols. METHODS: The two aiTBS courses consisted of eight daily sessions over five consecutive days, followed by gradual tapering, using 1,800 pulses per session pre-COVID-19 (first course), and 600 pulses per session during the pandemic (second course). RESULTS: Moderate to severe baseline depressive symptoms reached remission levels after both courses. CONCLUSION: The 600-pulses aiTBS treatment protocol reported here warrants further study and evaluation, but may be a potential option in cases where older adults with severe depressive symptoms cannot access ECT during the COVID-19 pandemic.
  • |Aged[MESH]
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/epidemiology[MESH]
  • |Depressive Disorder, Major/psychology/*therapy[MESH]
  • |Depressive Disorder, Treatment-Resistant/psychology/*therapy[MESH]
  • |Electroconvulsive Therapy[MESH]
  • |Female[MESH]
  • |Health Services Accessibility[MESH]
  • |Humans[MESH]
  • |Pandemics[MESH]
  • |Patient Health Questionnaire[MESH]
  • |Pneumonia, Viral/epidemiology[MESH]
  • |SARS-CoV-2[MESH]
  • |Transcranial Magnetic Stimulation/*methods[MESH]


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