Deep brain stimulation for psychiatric disorders: Is there an impact on social functioning?

Surg Neurol Int. 2017 Jul 7:8:134. doi: 10.4103/sni.sni_15_17. eCollection 2017.

Abstract

Background: Deep brain stimulation (DBS) for refractory psychiatric disorders shows promising effects on symptom-reduction, however, little is known regarding the effects of DBS on social outcome.

Methods: A PubMed search based on original studies of DBS for psychiatric disorders [treatment resistant depression (TRD), Gilles de la Tourette's syndrome (GTS), and obsessive compulsive disorder (OCD)] was conducted. Data on social outcome following surgery were extracted and analyzed.

Results: Social functioning was not a primary outcome measure in the reviewed article. The literature is incomplete and inconclusive on this variable, however from the reported data, there is some evidence that DBS has the potential to improve social functioning.

Conclusions: More systematic and detailed data gathering and reporting on social outcome with longer follow-ups are needed to evaluate more exhaustively the role of DBS in refractory psychiatric disorders.

Keywords: Deep brain stimulation; Gilles de la Tourette's syndrome; obsessive compulsive disorder; refractory psychiatric disorders; social outcome; treatment resistant depression.

Publication types

  • Review