Health Condition 1: G- Mental Health
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Age between 18 to 60 years 2.Subjects who give consent for participation 3.Subjects meeting ICD 10 ( DCR) criteria for obsessive compulsive disorder and have more thn 16 score on YBOCS
Exclusion criteria
Exclusion criteria: 2. Current ICD 10 ( DCR) diagnosis of Severe depressive disorder, suicidal ideations , schizophrenia or any other psychotic disorder, or any other severe comorbid psychiatric illness, or substance use disorder. 2. Standard rTMS contraindications like history of epilepsy, metal implants near the head in any part of the body, history of neurosurgical operations , pacemaker implant, evaluated using TMS adult safety screen (TASS) questionnaire.3. Concurrent use of medications or drugs that are known to reduce the seizure threshold. 4.Acute or chronic debilitating physical illness.5. Pregnancy. 6.Subjects with intellectual disabilities.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| It is expected that participants in both the active right DLPFC cTBS and SMA cTBS groups will show a significant reduction in overall symptom severity, functional impairment, and improvement in quality of life in comparison to sham controls, but, there will be no significant difference between the active stimulation groups i.e. right DLPFC cTBS and SMA cTBS in terms of symptom reduction, functional improvement, and quality of life measures scored by Yale Brown obsessive compulsive scale (YBOCS) ) and Clinical global impression global improvement/change scale.Timepoint: Outcomes will be assessed at 0,7,14,28, and 60 days from the start of intervention, by another independent psychiatrist who will not be involved in administering cTBS and will unaware of the allocation of patients in different groups . | — |
Secondary
| Measure | Time frame |
|---|---|
| Depression and Anxiety will be assessed by Hamilton depression rating scale (HAMD17), Hamilton anxiety rating scale ( HAM A) ,Timepoint: Outcomes assessment on 0,7,14,28 and 60 days | — |
Countries
India
Contacts
Institute of Psychiatry, Kolkata