Post-stroke Depression Clinical Trial
Official title:
A Clinical Control Study of rTMS Personalized Precision Treatment of Post-stroke Depression Based on Mechanism of Emotional Circuit Imbalance
This is a multicenter, randomized trial aims to reveal the efficacy and safety of Repetitive transcranial magnetic stimulation (rTMS) individualized therapy based on the 'emotional loop destabilization' mechanism of PSD .One hundred and twenty participants will be recruited from three centers and randomized with a 1:1 ratio to receive "Personalized" rTMS treatment or traditional rTMS treatment in addition to routine antidepressant treatments.The data of neuropsychological tests and MRI will be collected at 0, 2,4 and 8 weeks after the commencement of the treatment.
This is a multicenter, randomized trial aims to reveal the efficacy and safety of rTMS
individualized therapy based on the 'emotional loop destabilization' mechanism of PSD .One
hundred and twenty participants will be recruited from three centers and randomized with a
1:1 ratio to receive "Personalized" rTMS treatment or traditional rTMS treatment in addition
to routine antidepressant treatments.
Based on inclusion and exclusion criteria, after stroke depression (post-stroke depression,
PSD) cases were collected and randomized into two groups: "individualized" rTMS+ drug
treatment group and traditional rTMS plus traditional drug treatment group. The main
indicators were the effective rate of treatment.Based on inclusion and exclusion criteria,
after stroke depression (post-stroke depression, PSD) cases were collected and randomized
into two groups: "individualized" rTMS+ drug treatment group and traditional rTMS plus
traditional drug treatment group. The main indicators were the effective rate of treatment.
The primary outcome is the measurement of 24-item Hamilton Depression Rating Scale (HAMD-24)
scores, the secondary outcomes include National Institutes of Health Stroke Scale (NIHSS),
Activities of Daily Living Scale (ADLs),self-rating anxiety scale(SAS). The record of the
adverse reactions and sequelae during treatment and follow-up, with a view to providing a
better clinical method for the treatment of PSD.
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