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“…[79]. Other case-reporting [81,82] also succeeded in improving patients with PPD using rTMS. Although parameters that can affect therapeutic effects such as stimulation site, frequency, and interval time are still being studied, thare are not much research data, we have been able to con rm that there is therapeutic effect without relying on multiple parameter settings on the literature collected, and if the protocol becomes more sophisticated, we will have a higher therapetic effect.…”
Section: Discussionmentioning
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“…[79]. Other case-reporting [81,82] also succeeded in improving patients with PPD using rTMS. Although parameters that can affect therapeutic effects such as stimulation site, frequency, and interval time are still being studied, thare are not much research data, we have been able to con rm that there is therapeutic effect without relying on multiple parameter settings on the literature collected, and if the protocol becomes more sophisticated, we will have a higher therapetic effect.…”
Section: Discussionmentioning
“…Except for Garcia study [62] which is expected reporting bias because of selection report, SMD = 1.074 (95% CI: 0.689-1.459, Z = 5.468, p < 0.001) which is meaningful result. The literature not included in the meta-analysis and excluded literature because those are not suitable selection criteria also supprot the therapeutic effect of rTMS for PPD [64,[66][67][68][69][70][78][79][80][81][82]. In a studies included systematic review, 36% of the patients with PPD scored the same as the normal person and 66% saw their depression rating scale decrease by more than 50%.…”
Section: Discussionmentioning
“…In Brock’s study, 14 out of 19 patients with rTMS achieved remission [ 70 ], and in Ozmut’s study, eight out of 15 patients responded to rTMS [ 71 ]. Other studies also succeeded in improving the depression of patients with PPD using rTMS [ 72 , 73 ]. It could be possible that the effect size was overestimated because the parameters that can affect the treatment effect, such as the site of stimulation, frequency, and interval time, were not established, and there was a risk of bias.…”
Section: Discussionmentioning
“…Ozmut's study, eight out of 15 patients responded to rTMS [73]. Other studies also succeeded in improving the depression of patients with PPD using rTMS [74,75]. It could be possible that the effect size was overestimated because the parameters that can affect the treatment effect, such as the site of stimulation, frequency, and interval time, were not established, and there was a risk of bias.…”
Section: Discussionmentioning