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Symptom provocation for treatment of obsessive-compulsive disorder using transcranial magnetic stimulation

2022-08-03Artigo científico Acesso aberto
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dc.contributor.authorMaia, Ana
dc.contributor.authorMaia, Ana
dc.contributor.authorAlmeida, Sílvia
dc.contributor.authorCotovio, Gonçalo
dc.contributor.authorCotovio, Gonçalo
dc.contributor.authorRodrigues da Silva, Daniel
dc.contributor.authorViana, Francisco Faro
dc.contributor.authorGrácio, Jaime
dc.contributor.authorGrácio, Jaime
dc.contributor.authorOliveira-Maia, Albino J.
dc.contributor.authorOliveira-Maia, AJ
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.pblFrontiers Media
dc.date.accessioned2022-09-08T22:49:50Z
dc.date.available2022-09-08T22:49:50Z
dc.date.issued2022-08-03
dc.descriptionFunding Information: AM and GC were supported by doctoral fellowships from Fundação para a Ciência e Tecnologia (FCT, references SFRH/BD/144508/2019 and SFRH/BD/130210/2017, respectively). GC and AO-M were supported by grant PTDC/MED-NEU/31331/2017 from FCT and AO-M was supported by grant FCT-PTDC/MEC-PSQ/30302/2017-IC&DT-LISBOA-01-0145-FEDER, funded by national funds from FCT/Ministério da Ciência, Tecnologia e do Ensino Superior (MCTES) and cofounded by Fundo Europeu de Desenvolvimento Regional (FEDER), under the Partnership Agreement Lisboa 2020—Programa Operacional Regional de Lisboa. This work was supported by the Brain and Behavior Research Foundation (BBRF) through grant BBRF-27595-2018 NARSAD to AM and AO-M. FCT/MCTES, FEDER, and the BBRF did not have a role in the design and conduct of this work, in the preparation, review, or approval of the manuscript, nor in the decision to submit the manuscript for publication. Funding Information: Author AO-M was national coordinator for Portugal of a non-interventional study (EDMS-ERI-143085581, 4.0) to characterize a Treatment-Resistant Depression Cohort in Europe, sponsored by Janssen-Cilag, Ltd. (2019-2020), is recipient of a grant from Schuhfried GmBH for norming and validation of cognitive tests, and is national coordinator for Portugal of trials of psilocybin therapy for treatment-resistant depression, sponsored by Compass Pathways, Ltd. (EudraCT numbers: 2017-003288-36 and 2020-001348-25), and of esketamine for treatment-resistant depression, sponsored by Janssen-Cilag, Ltd. (EudraCT number: 2019-002992-33). The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
dc.description.abstractTranscranial Magnetic Stimulation (TMS) is a non-invasive brain stimulation technique that was cleared by the Food and Drug Administration (FDA) for the treatment of Obsessive-Compulsive Disorder (OCD) in 2018. The approved protocol includes individualized symptom provocation before each stimulation session, to elicit a moderate level of obsessional distress. Although symptom provocation can be a delicate, demanding, and uncomfortable procedure, structured training methods for those who are going to apply it are not available. Here, we describe a model for training in symptom provocation for TMS technicians, developed at the Champalimaud Clinical Centre in Lisbon, Portugal. Our programme includes two-sessions dedicated to clinical communication and symptom provocation techniques from a theoretical and practical perspective. Additionally, supervision meetings are conducted during treatment of patients, allowing regular case discussion and redefinition of symptom provocation hierarchy, as needed. In addition to having a strong practical component, our training program is short and pragmatic, allowing for easy implementation and fluid transition to clinical practice. By sharing our experience, we hope to contribute to systematize training procedures required for symptom provocation in the context of TMS, and to qualitatively describe a methodology that can be used for implementation of TMS programmes for the treatment of OCD.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent624817
dc.identifier.doi10.3389/fpsyt.2022.924370
dc.identifier.issn1664-0640
dc.identifier.otherPURE: 46238207
dc.identifier.otherPURE UUID: 87e11229-3bc9-4ff6-b2be-fbf8cdfdef9e
dc.identifier.otherScopus: 85136207203
dc.identifier.otherPubMed: 35990054
dc.identifier.urihttp://hdl.handle.net/10362/143611
dc.identifier.urlhttps://www.scopus.com/pages/publications/85136207203
dc.language.isoeng
dc.peerreviewedyes
dc.subjectguide
dc.subjectobsessive-compulsive disorder
dc.subjectstructured training
dc.subjectsymptom provocation
dc.subjecttranscranial magnetic stimulation
dc.subjectPsychiatry and Mental health
dc.subjectSDG 3 - Good Health and Well-being
dc.titleSymptom provocation for treatment of obsessive-compulsive disorder using transcranial magnetic stimulationen
dc.title.subtitleA step-by-step guide for professional trainingen
dc.typejournal article
degois.publication.titleFrontiers in Psychiatry
degois.publication.volume13
dspace.entity.typePublication
person.familyNameMaia
person.familyNameCotovio
person.familyNameGrácio
person.familyNameOliveira-Maia
person.givenNameAna
person.givenNameGonçalo
person.givenNameJaime
person.givenNameAlbino Jorge
person.identifier1919089
person.identifier1404342
person.identifier.ciencia-idFC1F-06E5-1539
person.identifier.ciencia-idB81D-3DEC-19D3
person.identifier.ciencia-idED15-6691-FEC7
person.identifier.orcid0000-0003-2205-3368
person.identifier.orcid0000-0002-1267-645X
person.identifier.orcid0000-0002-1326-6989
person.identifier.orcid0000-0001-5071-3007
person.identifier.ridB-7976-2009
person.identifier.scopus-author-id57191291373
person.identifier.scopus-author-id14060820700
rcaap.rightsopenAccess
relation.isAuthorOfPublication9fdf6c41-0308-4009-a266-ef03621e1935
relation.isAuthorOfPublication412cdc6b-0525-407f-88ca-40fa7ca0ef61
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relation.isAuthorOfPublication.latestForDiscovery402bb6ca-e5db-422a-9d43-a807d4076d38

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