AUTHOR=Zheng Wei , Zhang Xin-Yang , Xu Rui , Huang Xiong , Zheng Ying-Jun , Huang Xing-Bing , Li Ze-Zhi , Chen Huo-Di TITLE=Adjunctive accelerated repetitive transcranial magnetic stimulation for older patients with depression: A systematic review JOURNAL=Frontiers in Aging Neuroscience VOLUME=14 YEAR=2022 URL=https://www.frontiersin.org/journals/aging-neuroscience/articles/10.3389/fnagi.2022.1036676 DOI=10.3389/fnagi.2022.1036676 ISSN=1663-4365 ABSTRACT=Objective

We performed this systemic review to investigate the therapeutic potential and safety of adjunctive accelerated repetitive transcranial magnetic stimulation (aTMS) for older patients with depression.

Methods

We included published randomized clinical trials (RCTs) and observational studies targeting adjunctive aTMS for older patients with depression.

Results

Two open-label self-controlled studies (n = 29) fulfilled the criteria for inclusion. The included studies reported significant improvements in depressive symptoms from baseline to post-aTMS (all Ps < 0.05). One study reported a dropout rate of 10.5% (2/19). Mild headache was the most common adverse reaction.

Conclusion

The currently available evidence from two open-label self-controlled studies indicates that adjunctive aTMS is a safe and effective therapy for older patients with depression.