Does comorbid anxiety or depression affect clinical outcomes in patients with post-traumatic stress disorder and alcohol use disorders?

2004 ◽  
Vol 45 (4) ◽  
pp. 304-310 ◽  
Author(s):  
Lawrence A. Labbate ◽  
Susan C. Sonne ◽  
Carrie L. Randal ◽  
Raymond F. Anton ◽  
Kathleen T. Brady
2019 ◽  
Vol 45 (6) ◽  
pp. 940-946 ◽  
Author(s):  
Nicholas J. Petrosino ◽  
Mascha van ’t Wout-Frank ◽  
Emily Aiken ◽  
Hannah R. Swearingen ◽  
Jennifer Barredo ◽  
...  

AbstractTheta burst transcranial magnetic stimulation (TBS) is a potential new treatment for post-traumatic stress disorder (PTSD). We previously reported active intermittent TBS (iTBS) was associated with superior clinical outcomes for up to 1-month, in a sample of fifty veterans with PTSD, using a crossover design. In that study, participants randomized to the active group received a total of 4-weeks of active iTBS, or 2-weeks if randomized to sham. Results were superior with greater exposure to active iTBS, which raised the question of whether observed effects persisted over the longer-term. This study reviewed naturalistic outcomes up to 1-year from study endpoint, to test the hypothesis that greater exposure to active iTBS would be associated with superior outcomes. The primary outcome measure was clinical relapse, defined as any serious adverse event (e.g., suicide, psychiatric hospitalization, etc.,) or need for retreatment with repetitive transcranial magnetic stimulation (rTMS). Forty-six (92%) of the initial study’s intent-to-treat participants were included. Mean age was 51.0 ± 12.3 years and seven (15.2%) were female. The group originally randomized to active iTBS (4-weeks active iTBS) demonstrated superior outcomes at one year compared to those originally randomized to sham (2-weeks active iTBS); log-rank ChiSq = 5.871, df = 1, p = 0.015; OR = 3.50, 95% CI = 1.04–11.79. Mean days to relapse were 296.0 ± 22.1 in the 4-week group, and 182.0 ± 31.9 in the 2-week group. When used, rTMS retreatment was generally effective. Exploratory neuroimaging revealed default mode network connectivity was predictive of 1-year outcomes (corrected p < 0.05). In summary, greater accumulated exposure to active iTBS demonstrated clinically meaningful improvements in the year following stimulation, and default mode connectivity could be used to predict longer-term outcomes.


2012 ◽  
Vol 177 (10) ◽  
pp. 1184-1190 ◽  
Author(s):  
Janice M. Brown ◽  
Jason Williams ◽  
Robert M. Bray ◽  
Laurel Hourani

2002 ◽  
Vol 8 (2) ◽  
pp. 55-61 ◽  
Author(s):  
I. Roncevic-Grzeta ◽  
Lj. Moro ◽  
T. Franciskovic ◽  
T. Ruzic ◽  
B. Smokvina ◽  
...  

Addiction ◽  
2013 ◽  
Vol 108 (8) ◽  
pp. 1397-1410 ◽  
Author(s):  
Claudia Sannibale ◽  
Maree Teesson ◽  
Mark Creamer ◽  
Thiagarajan Sitharthan ◽  
Richard A. Bryant ◽  
...  

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