Bipolar Depression Clinical Trial
Official title:
Low Field Magnetic Stimulation in Mood Disorders: Three Daily Visits
Objectives:
To demonstrate the duration of the antidepressant effect of Low Field Magnetic Stimulation
(LFMS)in subjects with bipolar depression.
Hypotheses:
Investigators expect subjects who receive LFMS to show significant mood improvement one week
after the start of a three day course of daily stimulation as compared to subjects who
receive sham LFMS.
Investigators expect subjects who receive LFMS to show immediate mood improvement over the
first treatment as measured by the difference in pre and post-treatment PANAS+ ratings.
Investigators expect to show that LFMS will be well tolerated in a three-treatment protocol.
Low Field Magnetic Stimulation is an electromagnetic intervention being investigated at
McLean Hospital because of its effect on symptoms of depression. It consists of pulsed
electric fields that are induced remotely in the head by a portable coil. It has been
observed to have mood elevating effects in depressed patients with Bipolar Disorder (BPD).
These effects are immediate, occurring upon completion of a 20 minute treatment.
LFMS is unique because of its low electric field strength, and because of its high frequency
operation, compared to other electromagnetic treatments. While other treatments such as
Electroconvulsive Therapy (ECT) use electric fields equivalent to > 100-200 Volts/meter to
affect the brain, LFMS uses <1 V/m. Such a low electric field strength indicates that another
mechanism is activated by LFMS, and this provides a possibility for a new treatment. It may
also give insight into causes of depression.
LFMS is also unique because it has an immediate effect. This immediate effect may have
implications for emergency treatment.
The purpose of this study is to observe the response to LFMS in depressed BPD subjects with
the aim of assessing the effects of multiple treatments, and of observing the duration of the
mood improvement.To do so, the investigators propose to study 72 subjects in a protocol of
three treatments in three days. Subjects will be rated before and after each treatment, and
will return for mood ratings at one week after treatment. Investigators hope that this
characterization of LFMS will allow clinical research groups to perform large trials and to
evaluate its clinical effectiveness in patient populations.
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