What is it about?

Depression in older adults is common and often difficult to treat. Many patients do not respond well to medications or experience side effects that limit their use. In this study, we tested a noninvasive brain stimulation technique called theta-burst stimulation (TBS), a faster form of transcranial magnetic stimulation, to treat late-life depression. In a randomized clinical trial, 108 adults aged 60 years or older with moderate to severe depression received either active brain stimulation or a sham (placebo) treatment. The stimulation targeted areas of the prefrontal cortex involved in mood regulation. We evaluated whether this treatment could safely reduce depressive symptoms over time. And the TBS worked for late-life depression.

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Why is it important?

Late-life depression is associated with disability, cognitive decline, and reduced quality of life, yet current treatments are often insufficient for many older patients. Our study provides new evidence on the effectiveness and safety of theta-burst stimulation for this population. Although the improvement was modest in the short term, patients receiving active stimulation showed greater reduction in depressive symptoms and higher response rates after 12 weeks compared with placebo. These findings suggest that TBS may represent a promising noninvasive treatment option for older adults with depression and may expand therapeutic alternatives beyond medications or electroconvulsive therapy.

Perspectives

It is an important publication because it is one of the biggest trials regarding TBS (and even TMS) for treating depression in the elderly. I worked and it is an option for this population that is more sensitive to antidepressants.

Leandro Valiengo
Universidade de Sao Paulo Campus da Capital

Read the Original

This page is a summary of: Bilateral Theta-Burst Stimulation of Dorsolateral Prefrontal Cortex Regions for Late-Life Depression: A Randomized, Sham-Controlled Clinical Trial, American Journal of Psychiatry, March 2026, American Psychiatric Association,
DOI: 10.1176/appi.ajp.20250537.
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