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Repetitive Transcranial Magnetic Stimulation in Depressed Adolescents: Experience, Knowledge, and Attitudes of Recipients and Their Parents

Mayer, Gad MD*; Faivel, Nurit MA*; Aviram, Shai BA*; Walter, Garry MB BS, BMedSc, PhD; Bloch, Yuval MD*

Journal of ECT:
doi: 10.1097/YCT.0b013e318250058c
Original Studies

Background: Comprehensive assessment of new treatments in psychiatry should include evaluation of their acceptability to patients, and in the case of children and adolescents, this must extend to acceptability for parents. The views of young patients and their parents in relation to repetitive transcranial magnetic stimulation (rTMS) for adolescent depression have not been previously studied.

Objective: We sought to (1) describe the experience, knowledge, and attitudes regarding rTMS among young people who had been treated with rTMS for depression as adolescents; (2) report the views of their parents; and (3) compare these to opinions about pharmacotherapy among a group who had been treated with fluoxetine for adolescent depression.

Methods: Eight of 9 subjects who had participated in an open-label rTMS study, 13 of their parents, and an age-matched group of 8 subjects who had been treated with fluoxetine for depression as adolescents were assessed using detailed questionnaires.

Results: Repetitive TMS recipients and their parents found rTMS largely acceptable in terms of adverse effects and treatment experience, but most considered it ineffective. In contrast, most patients who had been treated with fluoxetine viewed their treatment as effective.

Conclusions: Transcranial magnetic stimulation is relatively well tolerated by depressed adolescents, but it is also perceived as mostly unhelpful by them and their parents. This is at odds with emerging studies suggesting that rTMS can be an effective and safe treatment in this age group, indicating that further research is required to confirm our findings and understand reasons for any disparity.

Author Information

From the *Shalvata Mental Health Center, Hod Hasharon, Israel and †University of Sydney, Sydney, New South Wales, Australia.

Received for publication May 26, 2011; accepted August 23, 2011.

Reprints: Gad Mayer, MD, Shalvata Mental Health Center, PO Box 94 Hod Hashron, Israel (e-mail:

This project was partially supported by young investigator NARSAD grant 2007.

The authors have no conflicts of interest or financial disclosures to report.

© 2012 by Lippincott Williams & Wilkins