Tag Archives: prefrontal cortex

Magnetic pulse therapy treats depression

Depression affects one in four of us at some point of our lives, but controversy still reigns over how to best treat the debilitating condition.

Now scientists have found that a type of ‘magnetic therapy’ – which involves no brain-altering drugs or invasive procedures – could be a potent new treatment.

A team from the University of California Los Angeles were testing NeuroStar TMS Therapy, which works by beaming magnetic pulses through the skull. These trigger small electrical charges that spark brain cells to fire.

Results from tests on more than 300 patients with severe depression found 58 per cent achieved a positive response while more than a third (37 per cent) went into remission.

The study was released at the annual meeting of the American Psychiatric Association.

Research leader Dr Ian Cook, said: ‘The improvements we observed show that non-drug therapy with NeuroStar TMS not only reduces the symptomatic suffering of patients, but lessens the disability of depression with important implications for these individuals’ ability to return to functioning effectively at home, in the workplace, and in the community.’

All the patients filled in a health questionnaire before and after the treatment.

depression

Depression

During each half-hour session the patient was placed under a treatment coil which is the size of a cupped hand. It sent a pulsed magnetic field an inch under the scalp to the prefrontal cortex, the ante cingulate cortex and the limbic system, which are the three areas of the brain thought to regulate mood.

The magnetic field is similar in strength to that created by an MRI machine and sparks off very small electrical currents within the brain. This stimulates neuron activity thought to provide relief from depression.


Anti-depressants are released into the blood, which can cause widespread physical side-effects such as hot flushes and nausea. However, supporters of Neurostar say because it’s a targeted therapy it only causes mild scalp pain.

After an average of five weeks of NeuroStar treatment, the percentage of patients reporting extreme problems with anxiety and depression decreased by 42.2 per cent.

A previous study had found that the therapy was twice as effective as a placebo in reducing depressive symptoms.

Dr H. Brent Sovason from Stanford University, said: ‘These data reinforce the clinical efficacy of TMS Therapy as a viable option for patients living with major depression who have not achieved or maintained symptom improvement with oral antidepressants.

‘The most meaningful takeaway for patients is that TMS Therapy has the potential to make them feel better, in addition to potentially allowing them to experience a level of physical and social functionality they haven’t had with their depression.’

In the UK depression for depression involves either medication or talking treatments such as cognitive behavioural therapy, or usually a combination of the two.

Dreams

Scientists have used scans to shed more light on how the brain deals with the memory of unpleasant or traumatic events during sleep.

The University of California, Berkeley team showed emotional images to volunteers, then scanned them several hours later as they saw them again.

Those allowed to sleep in between showed less activity in the areas of the brain linked to emotion.

Instead, the part of the brain linked to rational thought was more active.

The study, published in the journal Current Biology, said it showed the links between dreams and memory.

Most people have to deal with traumatic events at some point in their lives, and, for some, these can produce post-traumatic stress disorder (PTSD), leaving them emotionally disturbed long after the event itself.

There is significant evidence that the 20% of sleep in which we dream, also called REM sleep, plays a role in the processing of recent memories, and researchers believe that better understanding of this could eventually help PTSD patients.

The researchers recruited 35 volunteers, splitting them into two groups.

After showing them 150 images designed to provoke an emotional reaction, half were allowed a good night’s sleep.

While inside an MRI scanner to map blood flow in the brain – a good way to work out which regions are most active – the volunteers were shown the images a second time.

Those who had slept properly had less activity in the amygdala, a part of the brain associated with heightened emotions, and more activity in the prefrontal cortex, a brain region linked to more rational thinking.

Sleep

Sleep

The non-sleepers reported a far more emotional response to seeing the pictures again.

The scientists believe that chemical changes in the brain during REM sleep may help explain how the body makes this change.


Dr Matthew Walker, who led the study, said: “We know that during REM sleep there is a sharp decrease in norepinephrine, a brain chemical associated with stress.

“By reprocessing previous emotional experiences in this neurochemically safe environment of low norepinephrine during REM sleep, we wake up the next day, and those experiences have been softened in their emotional strength.

“We feel better about them, we feel we can cope.”

Consultant clinical psychologist Dr Roderick Orner said that although sleep was believed by many to play a crucial role in the processing of traumatic memories, there were likely to be many other factors at work in PTSD patients.

He said: “In cases of more severe trauma, it may be just too difficult for the patient to process it during sleep, especially if the event has had a significant impact on that person’s day to day life.”