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Repetitive Transcranial Magnetic Stimulation Changes Cerebral Oxygenation on the Left Dorsolateral Prefrontal Cortex in Bulimia Nervosa: A Near‐Infrared Spectroscopy Pilot Study
Author(s) -
Sutoh Chihiro,
Koga Yasuko,
Kimura Hiroshi,
Kanahara Nobuhisa,
Numata Noriko,
Hirano Yoshiyuki,
Matsuzawa Daisuke,
Iyo Masaomi,
Nakazato Michiko,
Shimizu Eiji
Publication year - 2016
Publication title -
european eating disorders review
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.511
H-Index - 67
eISSN - 1099-0968
pISSN - 1072-4133
DOI - 10.1002/erv.2413
Subject(s) - transcranial magnetic stimulation , dorsolateral prefrontal cortex , bulimia nervosa , audiology , craving , psychology , functional near infrared spectroscopy , prefrontal cortex , food craving , eating disorders , neuroscience , cognition , physical medicine and rehabilitation , stimulation , medicine , psychiatry , addiction
Previous studies showed that food craving in eating disorders can be weakened with high‐frequency repetitive transcranial magnetic stimulation (rTMS) on the left dorsolateral prefrontal cortex (DLPFC). The aims of this study were to assess cerebral oxygenation change induced with rTMS and to assess the short‐term impact of rTMS on food craving and other bulimic symptoms in patients with bulimia nervosa (BN). Eight women diagnosed with BN according to Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision criteria participated in this study. We measured haemoglobin concentration changes in the DLPFC with near‐infrared spectroscopy during cognitive tasks measuring self‐regulatory control in response to food photo stimuli, both at baseline and after a single session of rTMS. Subjective ratings for food cravings demonstrated significant reduction. A significant decrease in cerebral oxygenation of the left DLPFC was also observed after a single session of rTMS. Measurement with NIRS after rTMS intervention may be applicable for discussing the mechanisms underlying rTMS modulation in patients with BN. Copyright © 2015 John Wiley & Sons, Ltd and Eating Disorders Association.

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