Effect of repetitive transcranial magnetic stimulation on serum brain derived neurotrophic factor in depressive patients
10.3760/cma.j.issn.1674-6554.2013.03.012
- VernacularTitle:重复经颅磁刺激对抑郁症患者血清脑源性神经营养因子水平影响的研究
- Author:
Jiao YUAN
;
Leping XU
;
Yuzhi LIU
;
Jian SUN
;
Aifang ZHONG
;
Zhi LIN
- Publication Type:Journal Article
- Keywords:
Repetitive transcranial magnetic stimulation;
Depression;
Brain derived neurotrophic factor
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2013;(3):228-230
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of repetitive transcranial magnetic stimulation(rTMS) treatment on the brain derived neurotrophic factor(BDNF) serum levels in depressive patients.Methods Sixty-eight unipolar depressions treated with venlafaxine were randomly assigned to the real rTMS group(n =34)and the sham rTMS group(n =34),which were accepted the real or the shame rTMS treatment on the left dorsolateral prefrontal lobes respectively.The Hamilton Rating Scale for Depression (HAMD) and BDNF serum was assayed before and after 4 weeks' treatment.Results 1) A significant increase of serum BDNF((12.2 ± 1.3) μg/L vs (5.6 ± 0.8) μg/L,t=-9.167,P=0.000;(11.4 ± 1.5)μg/L vs (6.0± 1.0)μg/L,t=-7.421,P=0.000)and a significant decline of HAMD((11.6 ± 1.7) score vs (32.6 ± 2.5) score,t =14.654,P =0.000 ; (4.2 ± 2.8) score vs (31.8 ± 3.2)score,t=12.089,P =0.000) were found after the treatment in the real and the shame group,and the real group changed more significantly than the shame group ((6.7 ± 0.8) μg/L vs (5.1 ± l.2) μg/L,t =2.690,P =0.009 ; (21.0 ± 2.1) score vs (17.6 ± 2.6) score,t =2.693,P =0.000).2) A negative correlation was found between the serum BDNF levels and the HAM D scores before the treatment(r =-0.530,P=0.003; r =-0.490,P =0.004),and a positive correlation between changes of BDNF levels and HAMD scores changes(r =0.439,P =0.006 ; r =0.454,P =0.005).Conclusion The rTMS treatment can increase serum BDNF levels in depressive patients.