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Published in: Journal of Neural Transmission 6/2009

01-06-2009 | Biological Psychiatry - Review Article

Anxiolytic effects of transcranial magnetic stimulation—an alternative treatment option in anxiety disorders?

Authors: Peter Zwanzger, A. J. Fallgatter, M. Zavorotnyy, F. Padberg

Published in: Journal of Neural Transmission | Issue 6/2009

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Abstract

In contrast to major depression, only few studies are available so far on the effects of repetitive transcranial magnetic stimulation (rTMS) in anxiety disorders. In order to summarise available data concerning the putative anxiolytic action of repetitive rTMS, a systematic literature review was carried out. Although interpretation of the results is difficult because of a large variety of used treatment protocols and the lack of a placebo-controlled design in the majority of studies, there is evidence for anxiolytic action of rTMS both from preclinical trials and studies in humans. Based on the idea of interhemispheric imbalance and/or deficits in cortico-limbic control as a model for human anxiety, inhibitory rTMS of the prefrontal cortex has been shown to exert beneficial effects in a number of studies in healthy subjects, patients with PTSD and panic disorder. However, to further elucidate the putative anxiolytic action of rTMS in patients with anxiety disorders future studies have to be conducted addressing in particular the limitations of the studies mentioned above.
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Metadata
Title
Anxiolytic effects of transcranial magnetic stimulation—an alternative treatment option in anxiety disorders?
Authors
Peter Zwanzger
A. J. Fallgatter
M. Zavorotnyy
F. Padberg
Publication date
01-06-2009
Publisher
Springer Vienna
Published in
Journal of Neural Transmission / Issue 6/2009
Print ISSN: 0300-9564
Electronic ISSN: 1435-1463
DOI
https://doi.org/10.1007/s00702-008-0162-0

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