Novel intervention of high-frequency repetitive transcranial magnetic stimulation in patients with somatic symptom disorder and its safety and outcome
Somatic Symptom disorders (SSDs) are characterised by the presence of persistent somatic symptoms associated with excessive thoughts, feelings and behaviours related to the symptoms. However, current treatment modalities are non-specific with modest effects. We aim to explore the safety and outcome...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-08-01
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| Series: | Indian Journal of Psychiatry |
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| Online Access: | https://journals.lww.com/10.4103/indianjpsychiatry.indianjpsychiatry_65_23 |
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| author | Nand Kumar Prakamya Singal Abhishek Chakladar |
| author_facet | Nand Kumar Prakamya Singal Abhishek Chakladar |
| author_sort | Nand Kumar |
| collection | DOAJ |
| description | Somatic Symptom disorders (SSDs) are characterised by the presence of persistent somatic symptoms associated with excessive thoughts, feelings and behaviours related to the symptoms. However, current treatment modalities are non-specific with modest effects. We aim to explore the safety and outcome of high-frequency transcranial magnetic stimulation at medial Prefrontal Cortex in ten such patients. Patient Health Questionnaire-15, Hamilton Rating Scale for Depression and Hamilton Anxiety Rating Scale were applied to ten patients with Somatic Symptom Disorder. 15 sessions of 15Hz TMS using a double cone coil with 2500 pulses/session were administered. All patients completed their sessions except one. Eight of the nine patients reported significant improvement with a reduction of 33%-80% from their baseline PHQ-15 scores. One patient reported significant adverse effects. Double cone coil TMS at medial Prefrontal Cortex appears to be a safe therapeutic intervention with potentially good outcomes in SSDs. |
| format | Article |
| id | doaj-art-cc029a975e0c49118586ec85a912b01b |
| institution | Kabale University |
| issn | 0019-5545 1998-3794 |
| language | English |
| publishDate | 2023-08-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Psychiatry |
| spelling | doaj-art-cc029a975e0c49118586ec85a912b01b2025-02-07T11:25:54ZengWolters Kluwer Medknow PublicationsIndian Journal of Psychiatry0019-55451998-37942023-08-0165888789110.4103/indianjpsychiatry.indianjpsychiatry_65_23Novel intervention of high-frequency repetitive transcranial magnetic stimulation in patients with somatic symptom disorder and its safety and outcomeNand KumarPrakamya SingalAbhishek ChakladarSomatic Symptom disorders (SSDs) are characterised by the presence of persistent somatic symptoms associated with excessive thoughts, feelings and behaviours related to the symptoms. However, current treatment modalities are non-specific with modest effects. We aim to explore the safety and outcome of high-frequency transcranial magnetic stimulation at medial Prefrontal Cortex in ten such patients. Patient Health Questionnaire-15, Hamilton Rating Scale for Depression and Hamilton Anxiety Rating Scale were applied to ten patients with Somatic Symptom Disorder. 15 sessions of 15Hz TMS using a double cone coil with 2500 pulses/session were administered. All patients completed their sessions except one. Eight of the nine patients reported significant improvement with a reduction of 33%-80% from their baseline PHQ-15 scores. One patient reported significant adverse effects. Double cone coil TMS at medial Prefrontal Cortex appears to be a safe therapeutic intervention with potentially good outcomes in SSDs.https://journals.lww.com/10.4103/indianjpsychiatry.indianjpsychiatry_65_23chronicneuromodulationpain: psychogenicsomatic symptom disordersomatoform disordersomatization disordertranscranial magnetic stimulation: repetitive |
| spellingShingle | Nand Kumar Prakamya Singal Abhishek Chakladar Novel intervention of high-frequency repetitive transcranial magnetic stimulation in patients with somatic symptom disorder and its safety and outcome Indian Journal of Psychiatry chronic neuromodulation pain: psychogenic somatic symptom disorder somatoform disorder somatization disorder transcranial magnetic stimulation: repetitive |
| title | Novel intervention of high-frequency repetitive transcranial magnetic stimulation in patients with somatic symptom disorder and its safety and outcome |
| title_full | Novel intervention of high-frequency repetitive transcranial magnetic stimulation in patients with somatic symptom disorder and its safety and outcome |
| title_fullStr | Novel intervention of high-frequency repetitive transcranial magnetic stimulation in patients with somatic symptom disorder and its safety and outcome |
| title_full_unstemmed | Novel intervention of high-frequency repetitive transcranial magnetic stimulation in patients with somatic symptom disorder and its safety and outcome |
| title_short | Novel intervention of high-frequency repetitive transcranial magnetic stimulation in patients with somatic symptom disorder and its safety and outcome |
| title_sort | novel intervention of high frequency repetitive transcranial magnetic stimulation in patients with somatic symptom disorder and its safety and outcome |
| topic | chronic neuromodulation pain: psychogenic somatic symptom disorder somatoform disorder somatization disorder transcranial magnetic stimulation: repetitive |
| url | https://journals.lww.com/10.4103/indianjpsychiatry.indianjpsychiatry_65_23 |
| work_keys_str_mv | AT nandkumar novelinterventionofhighfrequencyrepetitivetranscranialmagneticstimulationinpatientswithsomaticsymptomdisorderanditssafetyandoutcome AT prakamyasingal novelinterventionofhighfrequencyrepetitivetranscranialmagneticstimulationinpatientswithsomaticsymptomdisorderanditssafetyandoutcome AT abhishekchakladar novelinterventionofhighfrequencyrepetitivetranscranialmagneticstimulationinpatientswithsomaticsymptomdisorderanditssafetyandoutcome |