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Record W4386047354 · doi:10.1016/j.brs.2023.07.005

Pilot study of accelerated intermittent theta burst stimulation for inpatients with treatment depression

2023· article· en· W4386047354 on OpenAlexaboutno aff
Xiao Wei Tan, Yuwei Lee, Christopher T. Chan

Bibliographic record

VenueBrain stimulation · 2023
Typearticle
Languageen
FieldNeuroscience
TopicTranscranial Magnetic Stimulation Studies
Canadian institutionsnot available
Fundersnot available
KeywordsTolerabilityDepression (economics)Rating scaleMontreal Cognitive AssessmentMedicineMontgomery–Åsberg Depression Rating ScaleTreatment-resistant depressionQuality of life (healthcare)PsychologyInternal medicineMajor depressive disorderPsychiatryAdverse effectCognitionCognitive impairment

Abstract

fetched live from OpenAlex

Background: To investigate the feasibility, tolerability, and effectiveness aiTBS (accelerated intermittent theta burst stimulation) treatment for inpatients with treatment resistant depression (TRD). Methods: Inpatients with Depression were recruited for the open label single arm interventional study. Subjects received aiTBS treatment (5 sessions a day for 5 consecutive days, resting motor threshold of 120%, triplet 50 Hz bursts, repeated at 5 Hz; 2s on and 8s off; 600 pulses per session; total duration of 3 min 9 s; with a 50-minute interval between sessions). Assessments included Montgomery-Asberg Depression Rating Scale (MADRS), Quick Inventory of Depressive Symptomatology (QIDS-16), Montreal Cognitive Assessment (MoCA) and EQ-5D-3L at baseline (T1), immediately after treatment (T2), and 1-month post treatment (T3). Results: 18 inpatient subjects were recruited over 1 year [age: 27.9 years (SD 7.1), 72.2% female] and 14 (77.6%) had failed 3 or more antidepressants for the current episode of depression. With intent-to-treat analysis, depression scores improved significantly and durably from T1 to T2 and T3 [MADRS: 34 (SD 8.27) to 16.7 (SD 9.3) to 17.8 (SD 10) / QIDS-16: 21.1 (SD 5.9) to 13.4 (SD 7.0) to 13.9 (SD 7.5)]. Response rates at T2/T3 were 41.2%/50% and remission rates at T2/T3 were 17.6%/25% respectively. Cognition scores were unchanged [MoCA: 29.0 (SD 1.4) to 28.5 (SD 1.6) to 29.2 (SD 0.8)] and quality of life scores improved at T2 and trended towards a worsening result at T3 [EQ-5D-3L Utility score: 0373 (SD 0.36) to 0.59 (SD 0.35) to 0.49 (SD 0.36)]. Conclusions: aITBS is effective and safe for inpatients with TRD. Conflicts of interest: None Funding: The study was funded by the Institute of Health (Singapore) internal research fund. Disclosures: None

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.656
Threshold uncertainty score0.777

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.161
GPT teacher head0.354
Teacher spread0.193 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2023
Admission routes1
Has abstractyes

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