scholarly journals Adjunctive Low-frequency Repetitive Transcranial Magnetic Stimulation over the Right Dorsolateral Prefrontal Cortex in Patients with Treatment-resistant Obsessive-compulsive Disorder: A Randomized Controlled Trial

2016 ◽  
Vol 14 (2) ◽  
pp. 153-160 ◽  
Author(s):  
Ho-Jun Seo ◽  
Young-Eun Jung ◽  
Hyun Kook Lim ◽  
Yoo-Hyun Um ◽  
Chang Uk Lee ◽  
...  
2016 ◽  
Vol 29 (3) ◽  
pp. 164-169 ◽  
Author(s):  
Shin-Eui Park ◽  
Nam-Gil Choi ◽  
Gwang-Woo Jeong

ObjectiveProton magnetic resonance spectroscopy (1H-MRS) was used to evaluate metabolic changes in the dorsolateral prefrontal cortex (DLPFC) in patients with obsessive–compulsive disorder (OCD).MethodsIn total, 14 OCD patients (mean age 28.9±7.2 years) and 14 healthy controls (mean age 32.6±7.1 years) with no history of neurological and psychiatric illness participated in this study. Brain metabolite concentrations were measured from a localised voxel on the right DLPFC using a 3-Tesla 1H-MRS.ResultsThe metabolic concentration of myo-inositol in patients with OCD increased significantly by 52% compared with the healthy controls, whereas glutamine/glutamate was decreased by 11%. However, there were no significant differences in N-acetylaspartate, choline, lactate and lipid between the two groups.ConclusionThese findings would be helpful to understand the pathophysiology of OCD associated with the brain metabolic abnormalities in the right DLPFC.


Author(s):  
Sina Shafiezadeh ◽  
◽  
Atiyeh Mohammadshirazi ◽  
Mansoureh Eshghi ◽  
Zahra Dokhaei ◽  
...  

Obsessive-Compulsive Disorder (OCD) is one of the most prevalent debilitating mental disorders that has a general rate of 2 to 3 percent prevalence. Previous studies indicated that there are abnormalities in the dorsolateral prefrontal cortex (DLPFC) of OCD patients, so we decided to use transcranial direct current stimulation (tDCS) to decline the symptoms of these patients. A total number of 24 OCD patients participated in this study with the hope of improvement after the application of tDCS. The subjects were randomly assigned into three groups as Sham, Right DLPFC, and Left DLPFC tDCS, and tDCS were applied for 5 consecutive days as in each session. The protocol was 2 mA current flow for two 15 minutes lasting period following by a 10 minutes rest in between (every session lasts for 40 minutes). Subsequently, the changes in obsessive-compulsive level and depression, anxiety, and stress followed that were evaluated via Yale-Brown and Depression Anxiety Stress Scale 21 (DASS-21) tests by comparing the results of pre-experiment and post-experiment. Ultimately, the results of the Yale-Brown test which evaluates OCD symptoms in Right DLPFC shows significant changes that have occurred after intervention with tDCS (average difference of the Right DLPFC with sham group -6.18 and P-value ≤ 0.01, and for the Left DLPFC with sham group 3.155 and P-value ≥ 0.05). The average DASS scores of pre and post-experiment in the Left DLPFC were -4.63, in the Right DLPFC was -6.62, and in the sham group was -5.13 subsequently. Hereupon, this study demonstrates that tDCS may cause improvements in OCD symptoms.


Sign in / Sign up

Export Citation Format

Share Document