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Social Needs Analysis of a Transcranial Magnetic Stimulation Cohort

Description

Abstract:
Transcranial Magnetic Stimulation (TMS) is a non-invasive procedure to treat depression utilizing magnetic fields to stimulate an electrical current in the left frontal cerebral cortex. TMS is approved for those with treatment resistant depression who have not benefitted from one or more different medications trials. A better definition of this cohort’s social needs and assets could better inform holistic mental health care and identifying barriers to TMS access could lead to diminishing mental health disparities. Using a modified version of The Accountable Health Communities Health-Related Social Needs (AHC-HRSN) Screening Tool as a self-report measure, data was obtained from 50 patients who underwent an acute series of TMS therapy at Butler Hospital between 2019-2020s at intake and again after the last treatment session. Paired t-test analysis was preformed to examine changes in reporting pre versus post TMS treatment Independent t-tests were used to establish baseline differences between responders and non-responders. Pearson correlation testing was used to examine relationship between percent change in IDS-SR and change in pre-treatment and post-treatment subscale scores. Patients receiving a course of TMS therapy are overall characterized by minimal deficits with regard to basic needs and substance use, but symptoms may be disabling and promote isolation and disengagement with others and the community. Depressed patients show some areas of significant improvement in self-reported social needs after a series of TMS treatments, independent of clinical response. Baseline social needs do not differ between patients with whose illness responds to TMS therapy and those whose illness persists despite TMS. Next steps include qualitative interviewing with participants to further understand the barriers or challenges to TMS care access and how they are/are not managed and explore specific factors which lead to diminished social needs after a course of TMS treatment.
Notes:
Scholarly concentration: Non-Scholarly Concentrator

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Citation

Sullivan, Luke, Tirrell, Eric, Beck, Quincy, et al., "Social Needs Analysis of a Transcranial Magnetic Stimulation Cohort" (2020). Warren Alpert Medical School Academic Symposium. Brown Digital Repository. Brown University Library. https://doi.org/10.26300/0q78-p340

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  • Warren Alpert Medical School Academic Symposium

    The Warren Alpert Medical School Academic Symposium is an annual event at Warren Alpert Medical School of Brown University that provides Year II medical students a venue to present their summer research in a poster format. Participation in the Symposium …
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