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. 2002 Apr 22;2002(2):CD003493. doi: 10.1002/14651858.CD003493

Klein 1999.

Methods Randomised
 double‐blind
 placebo control
 Parallel trial.
 Computer‐generated random number list.
 2 week treatment
Participants Included:
 Inpatients
 none treatment‐resistant
 Hight‐handed
 DSM‐IV criteria for major depression.
 Clinical interview and review of past data.
 >15 in (HDRS)
 Excluded:
 history of major brain trauma, seizure disorder, substance abuse.
 Number randomised: 70
 Mean age: 58.2 (17.2)
 Men: 17
 Women: 53
 3 withdrawals
 Patients were maintained with their previous medication regimens
Interventions rTMS (1Hz at 110% motor threshold, 1200 total pulses, 2 trains per session, 60'' train duration) over the right prefrontal cortex + current medication vs Sham TMS + current medication Coil: circular 9 cm.
Outcomes Hamilton Depression Rating Scale‐17 item
 Montgomery‐Asberg Depression Rating Scale
 Global Impression Scale
Notes The patients were assessed by a single rater (senior psychiatry, who was involved in the diagnostic evaluation but was blind to the nature of treatment.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Unclear risk B ‐ Unclear