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Research and Reviews : Journal of Surgery

Effect of Repetitive Transcranial Magnetic Stimulation (rTMS) on Depression and Perception of Burden of a Couple with a Cerebral Palsy Child

  1. Gangotri Borah
  2. Monalisa Pattnaik

Abstract

Aim: To determine effect of rTMS on depression on a couple with Cerebral Palsy Child. Purpose: Parenting children with neurodevelopmental disorder is related to a higher rate of depression and anxiety, increased stress, and reduced quality of life for parents and adversely affects functioning of the parents and also hampers the quality of care being provided to the CP child. Studies have shown positive effect of rTMS on depression but fewer studies till date to see long term effect of rTMS. Methodology: A parent couple to a CP child (spastic diplegic) was selected for the study using Non- Probabilistic (Purposive) sampling. They were assessed for burden using Caregiver Burden Scale (CBS) and depression using Beck's Depression Inventory II (BDI II) and Patient Health Questionnaire (PHQ-9) at different time periods: consecutive 5 days prior to treatment, after 28 days of treatment for 5 consecutive days to see immediate effect and post 1 month after cessation of treatment for 5 consecutive days to see the carry over effect. Two Standard Deviation band method (Shewhart chart) was used for data analysis. Results: The results showed that for Subject 1 BDI II and PHQ-9 and for Subject 2 BDI II, PHQ-9 and CBS scores had all the post intervention points fall outside the 2-SD band which was statistically significant (p<0.05) and scores after cessation of treatment for 1 month were significantly less in comparison to pre scores whereas it is not significantly different from post intervention scores suggesting that there is immediate and carry over effect of rTMS on depression (Subject 1 and 2) and burden (Subject 2). Conclusion: Repetitive transcranial magnetic stimulation (rTMS) has significant effect in reducing depression and has a significant carryover effect and also reduces perception of burden to certain extent.
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