Sleep predicts the response to rTMS and CBT in patients with OCD: an open label effectiveness study.

Autor:	Gajadien PT; Universiteit van Amsterdam, the Netherlands.; Research Institute Brainclinics, Brainclinics Foundation, Nijmegen, the Netherlands., Postma TS; Department of Psychiatry and Department of Anatomy & Neuroscience, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Neuroscience (Compulsivity, Impulsivity and Attention), Amsterdam, The Netherlands., van Oostrom I; neurocare clinics, Nijmegen, the Netherlands., Scheepstra KWF; Amsterdam UMC, University of Amsterdam, Adult Psychiatry, Amsterdam Neuroscience, Meibergdreef 9, Amsterdam, Netherlands.; Neuroimmunology research group, Netherlands Institute for Neuroscience, Meibergdreef 47, 1105 BA, Amsterdam, the Netherlands., van Dijk H; Research Institute Brainclinics, Brainclinics Foundation, Nijmegen, the Netherlands.; Faculty of Psychology and Neuroscience, Maastricht University, the Netherlands., Sack AT; Faculty of Psychology and Neuroscience, Maastricht University, the Netherlands., van den Heuvel OA; Department of Psychiatry and Department of Anatomy & Neuroscience, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Neuroscience (Compulsivity, Impulsivity and Attention), Amsterdam, The Netherlands., Arns M; Research Institute Brainclinics, Brainclinics Foundation, Nijmegen, the Netherlands.; Faculty of Psychology and Neuroscience, Maastricht University, the Netherlands.
Jazyk:	angličtina
Zdroj:	International journal of clinical and health psychology : IJCHP [Int J Clin Health Psychol] 2023 Apr-Jun; Vol. 23 (2), pp. 100353. Date of Electronic Publication: 2022 Nov 15.
DOI:	10.1016/j.ijchp.2022.100353
Abstrakt:	Background: Although many OCD patients benefit from repetitive transcranial magnetic stimulation (rTMS) as treatment, there is still a large group failing to achieve satisfactory response. Sleep problems have been considered transdiagnostic risk factors for psychiatric disorders, and prior work has shown comorbid sleep problems in OCD to be associated with non-response to rTMS in OCD. We therefore set out to investigate the utility of sleep problems in predicting response to rTMS in treatment resistant OCD. Method: A sample of 61 patients (treated with 1-Hz SMA or sequential 1-Hz SMA+DLPFC rTMS, combined with cognitive behavioral therapy) were included. Sleep disturbances were measured using the PSQI, HSDQ and actigraphy. Treatment response was defined as a decrease of at least 35% in symptom severity as measured with the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS). Results: 32 of 61 patients (52.5%) responded to rTMS, and trajectories of response were similar for both rTMS protocols. Three PSQI items (Subjective Sleep Quality; Sleep Latency and Daytime Dysfunction) and the HSDQ-insomnia scale were found to predict TMS response. A discriminant model yielded a significant model, with an area under the curve of 0.813. Conclusion: Future replication of these predictors could aid in a more personalized treatment for OCD. (© 2022 The Author(s).)
Databáze:	MEDLINE
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