Ontology highlight
ABSTRACT: Background
Although transcranial direct current stimulation (tDCS) is known to be a promising therapeutic modality for unipolar depression, the efficacy and safety of tDCS for bipolar depressive episodes (BD) are still unknown and clinical trials of home-based tDCS treatment are scarce. As a result, we set out to investigate the efficacy and safety of home-based tDCS for the treatment BD.Methods
Participants (n = 64), diagnosed as bipolar disorder as per the diagnostic and statistical manual of mental disorders (DSM-5), were randomly assigned to receive tDCS. Hamilton Depression Rating Scale (HDRS-17) scores were measured at the baseline, week 2, 4, and 6, and home-based tDCS (for 30 min with 2 mA) was self-administered daily.Results
Of the 64 patients (15.6% bipolar disorder I, 84.4% bipolar disorder II), 41 patients completed the entire assessment. In the intention-to-treat analysis, time-group interaction for the HDRS-17 [F (3, 146.36) = 2.060; p = 0.108] and adverse effect differences between two groups were not statistically significant, except the pain score, which was higher in the active group than the sham group (week 0-2: p < 0.01, week 2-4: p < 0.05, and week 4-6: p < 0.01).Conclusion
Even though we found no evidence for the efficacy of home-based tDCS for patients with BD, this tool was found to be a safe and tolerable treatment modality for BD.Clinical trial registration
[https://clinicaltrials.gov/show/NCT03974815], identifier [NCT03974815].
SUBMITTER: Lee J
PROVIDER: S-EPMC9530445 | biostudies-literature | 2022
REPOSITORIES: biostudies-literature
Lee Jangwon J Lee Chan Woo CW Jang Yoonjeong Y You Ji Seon JS Park Yun Seong YS Ji Eunjeong E Yu Hyeona H Oh Sunghee S Ryoo Hyun A HA Cho Nayoung N Park Ji Yoon JY Yoon Joohyun J Baek Ji Hyun JH Park Hye Youn HY Ha Tae Hyon TH Myung Woojae W
Frontiers in psychiatry 20220920
<h4>Background</h4>Although transcranial direct current stimulation (tDCS) is known to be a promising therapeutic modality for unipolar depression, the efficacy and safety of tDCS for bipolar depressive episodes (BD) are still unknown and clinical trials of home-based tDCS treatment are scarce. As a result, we set out to investigate the efficacy and safety of home-based tDCS for the treatment BD.<h4>Methods</h4>Participants (<i>n</i> = 64), diagnosed as bipolar disorder as per the diagnostic and ...[more]