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Titolo:
METAANALYSIS OF RANDOMIZED CONTROLLED TRIALS OF CRANIAL ELECTROSTIMULATION - EFFICACY IN TREATING SELECTED PSYCHOLOGICAL AND PHYSIOLOGICAL CONDITIONS
Autore:
KLAWANSKY S; YEUNG A; BERKEY C; SHAH N; PHAN H; CHALMERS TC;
Indirizzi:
HARVARD UNIV,SCH PUBL HLTH,DEPT HLTH POLICY & MANAGEMENT,TECHNOL ASSESSMENT GRP,ROOM LL-7 BOSTON MA 02115 HARVARD UNIV,SCH PUBL HLTH,DEPT EPIDEMIOL BOSTON MA 02115
Titolo Testata:
The Journal of nervous and mental disease
fascicolo: 7, volume: 183, anno: 1995,
pagine: 478 - 484
SICI:
0022-3018(1995)183:7<478:MORCTO>2.0.ZU;2-V
Fonte:
ISI
Lingua:
ENG
Soggetto:
ELECTROTHERAPY STIMULATION; ELECTRICAL-STIMULATION; ALCOHOLIC PATIENTS; BRAIN-DYSFUNCTION; ELECTROSLEEP; PUBLICATION; HEADACHE; QUALITY; THERAPY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Physical, Chemical & Earth Sciences
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
36
Recensione:
Indirizzi per estratti:
Citazione:
S. Klawansky et al., "METAANALYSIS OF RANDOMIZED CONTROLLED TRIALS OF CRANIAL ELECTROSTIMULATION - EFFICACY IN TREATING SELECTED PSYCHOLOGICAL AND PHYSIOLOGICAL CONDITIONS", The Journal of nervous and mental disease, 183(7), 1995, pp. 478-484

Abstract

To clarify the diverse published results of cranial electrostimulation (CES) efficacy, we conducted an extensive literature review that identified 18 of the most carefully conducted randomized controlled trials of CES versus sham treatment. For the 14 trials that had sufficient data, we used the techniques of meta-analysis to pool the published results of treating each of four conditions: anxiety (eight trials), brain dysfunction (two trials), headache (two trials), and insomnia (two trials). Because studies utilized different outcome measures, we used an effect size method to normalize measures which we then pooled across studies within each condition. The meta-analysis of anxiety showed CES to be significantly more effective than sham treatment (p < .05). Pooling did not affect results that were individually positive (headache and pain under anesthesia) or negative (brain dysfunction and insomnia). Most studies failed to report all data necessary for meta-analysis. Moreover, in all but two trials, the therapist was not blinded and knew which patients were receiving CES or sham treatment. We strongly recommend that future trials of CES report complete data and incorporate therapist blinding to avoid possible bias.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/09/20 alle ore 13:06:00