Neuromodulation of Attentional Control in Major Depression: A Pilot DeepTMS Study
Open accessAbstract
While Major Depressive Disorder (MDD) is primarily characterized by mood disturbances, impaired attentional control is increasingly identified as a critical feature of depression. Deep transcranial magnetic stimulation (deepTMS), a noninvasive neuromodulatory technique, can modulate neural activity and induce neuroplasticity changes in brain regions recruited by attentional processes. This study examined whether acute and long-term high-frequency repetitive deepTMS to the dorsolateral prefrontal cortex (DLPFC) can attenuate attentional deficits associated with MDD. Twenty-one MDD patients and 26 matched control subjects (CS) were administered the Beck Depression Inventory and the Sustained Attention to Response Task (SART) at baseline. MDD patients were readministered the SART and depressive assessments following a single session (n=21) and after 4 weeks (n=13) of high-frequency (20 Hz) repetitive deepTMS applied to the DLPFC. To control for the practice effect, CS (n=26) were readministered the SART a further two times. The MDD group exhibited deficits in sustained attention and cognitive inhibition. Both acute and long-term high-frequency repetitive frontal deepTMS ameliorated sustained attention deficits in the MDD group. Improvement after acute deepTMS was related to attentional recovery after long-term deepTMS. Longer-term improvement in sustained attention was not related to antidepressant effects of deepTMS treatment.
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Multiple studies have shown successful sustained attentional enhancements in depressed samples via TMS, rTMS, and tDCS.
“Multiple studies have shown successful sustained attentional enhancements in depressed samples via TMS133, rTMS134, and tDCS135.”
From Paying attention to attention in depression (2019) · cites this paper as [133]
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Naim-Feil, J., Fitzgerald, P., Rubinson, M., Lubman, D., Sheppard, D., Bradshaw, J., Levit-Binnun, N., & Moses, E. (2022) · Addiction Biology · doi:10.1111/adb.13146 · Cited by 12 · see citing works
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Deep transcranial magnetic stimulation for schizophrenia: a systematic review
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Meta-Analysis of Brain Volumetric Abnormalities in Patients with Remitted Major Depressive Disorder
Xu, X., Zhou, Q., Wen, F., & Yang, M. X. (2024) · Depression and Anxiety · doi:10.1155/2024/6633510 · Cited by 6 · see citing works
Sustained Attention Deficits in Adults With Juvenile-Onset Type 1 Diabetes Mellitus
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Infraslow fluctuations of sustained attention in mood disorders
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Meta-Analysis of Brain Volumetric Abnormalities in Patients with Remitted Major Depressive DisorderPreprint
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Cognitive Dysfunction and Suicide
Sunzeri, F. (2026) · Springer eBooks · doi:10.1007/978-3-032-14465-2_19
- Authors
- Naim-Feil, J., Bradshaw, J. L., Sheppard, D. M., Rosenberg, O., Levkovitz, Y., Dannon, P., Fitzgerald, P. B., Isserles, M., & Zangen, A.
- Affiliations
- Monash Alfred Psychiatry Research Centre, Central Clinical School, The Alfred and Monash University, Prahran, VIC, Australia
- Monash University (AU)
- Tel Aviv University (IL)
- Shalvata Mental Health Center (IL)
- The Alfred Hospital (AU)
- Hadassah Medical Center (IL)
- Ben-Gurion University of the Negev (IL)
- ORCID
- Venue
- Neural Plasticity
- Publisher
- Wiley
- Published
- 2016
- Volume
- 2016
- Pages
- 1-10
- ISSN
- 1687-5443 (ISSN-L)
- 2090-5904
- PMC
- PMC4707329
- OpenAlex
- W2174665884
- Cited by
- 33
- References
- 77
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 6 · 2023: 3 · 2022: 3 · 2021: 3 · 2020: 1 · 2019: 6 · 2018: 3 · 2017: 3
- FWCI
- 1.07
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Neural Plasticity (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Minerva Access (University of Melbourne) (submittedVersion, cc-by)
- Funders
- BrainsWay
- National Health and Medical Research Council
- Topics
- Life Sciences › Neuroscience › Neurology › Transcranial Magnetic Stimulation Studies
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Health Sciences › Medicine › Neurology › Neurological disorders and treatments
- Keywords
- major depressive disorder, deep transcranial magnetic stimulation, attentional control, sustained attention, cognitive inhibition, dorsolateral prefrontal cortex, neuroplasticity, attention deficits, Sustained Attention to Response Task, antidepressant effects
- MeSH terms
- Adult, Affect, Attention, Cognition, Major Depressive Disorder, Female, Humans, Male, Middle Aged, Neuropsychological Tests, Pilot Projects, Prefrontal Cortex, Transcranial Magnetic Stimulation
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