Deep brain stimulation for obsessive–compulsive disorder: a crisis of access,Nature Medicine

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Deep brain stimulation for obsessive–compulsive disorder: a crisis of access
Nature Medicine ( IF 58.7 ) Pub Date : 2022-07-15 , DOI: 10.1038/s41591-022-01879-z
Veerle Visser-Vandewalle ₁ , Pablo Andrade ₁ , Philip E Mosley ₂ , Benjamin D Greenberg _{3,

4,

5} , Rick Schuurman ₆ , Nicole C McLaughlin _{3,

7} , Valerie Voon ₈ , Paul Krack ₉ , Kelly D Foote _{10,

11} , Helen S Mayberg _{12,

13} , Martijn Figee ₁₄ , Brian H Kopell ₁₄ , Mircea Polosan _{15,

16,

17} , Eileen M Joyce _{18,

19} , Stephan Chabardes ₂₀ , Keith Matthews ₂₁ , Juan C Baldermann _{22,

23} , Himanshu Tyagi ₁₉ , Paul E Holtzheimer ₂₄ , Chris Bervoets ₂₅ , Clement Hamani ₂₆ , Carine Karachi ₂₇ , Damiaan Denys ₂₈ , Ludvic Zrinzo _{18,

19} , Patric Blomstedt ₂₉ , Matilda Naesström ₃₀ , Aviva Abosch ₃₁ , Steven Rasmussen _{32,

33} , Volker A Coenen _{34,

35} , Thomas E Schlaepfer _{34,

35} , Darin D Dougherty ₃₆ , Philippe Domenech _{37,

38} , Peter Silburn ₃₉ , James Giordano _{40,

41,

42} , Andres M Lozano ₄₃ , Sameer A Sheth ₄₄ , Terry Coyne ₃₉ , Jens Kuhn _{23,

45} , Luc Mallet _{46,

47,

48} , Bart Nuttin ₄₉ , Marwan Hariz _{18,

19,

29} , Michael S Okun _{10,

11,

50}

Affiliation

Department of Stereotactic and Functional Neurosurgery, University Hospital Cologne, and Faculty of Medicine, University of Cologne, Cologne, Germany.
Clinical Brain Networks Group, QIMR Berghofer Medical Research Institute, and Queensland Brain Institute, Brisbane, Queensland, Australia.
Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, USA.
Center for Neuromodulation, Butler Hospital, Providence, RI, USA.
RR&D Center for Neurorestoration and Neurotechnology, Providence, RI, USA.
Department of Neurosurgery, Amsterdam University Medical Centers, Location AMC, Amsterdam, the Netherlands.
Behavioral Medicine and Addictions Research, Butler Hospital, Providence, Rhode Island, USA.
Department of Psychiatry, University of Cambridge, Cambridge, UK.
Department of Neurology, Bern University Hospital and University of Bern, Bern, Switzerland.
Department of Neurosurgery, University of Florida Health, Gainesville, FL, USA.
Norman Fixel Institute for Neurological Diseases, University of Florida Health, Gainesville, FL, USA.
Departments of Neurology, Neurosurgery, Psychiatry and Neuroscience, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Center for Advanced Circuit Therapeutics, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Nash Family Center for Advanced Circuit Therapeutics, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Fondation Fondamental, Créteil, France.
Centre Expert Troubles Bipolaires, Service Universitaire de Psychiatrie, Centre Hospitalier Universitaire de Grenoble et des Alpes, Grenoble, France.
Grenoble Institut des Neurosciences, Inserm U 836, La Tronche, France.
Unit of Functional Neurosurgery, UCL Queen Square Institute of Neurology and UCLH National Hospital for Neurology and Neurosurgery, Queen Square, London, UK.
Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology and UCLH National Hospital for Neurology and Neurosurgery, Queen Square, London, UK.
Department of Neurosurgery, Grenoble University Hospital, Grenoble, France.
Division of Molecular and Clinical Medicine, School of Medicine, University of Dundee, Ninewells Hospital and Medical School, Dundee, Scotland, UK.
Department of Neurology, University Hospital Cologne, and Faculty of Medicine, University of Cologne, Cologne, Germany.
Department of Psychiatry and Psychotherapy, University Hospital Cologne, and Faculty of Medicine, University of Cologne, Cologne, Germany.
Departments of Psychiatry and Surgery, Geisel School of Medicine at Dartmouth, Hanover, NH, USA.
Department of Neurosciences, Adult Psychiatry, UPC KU Leuven, Leuven, Belgium.
Sunnybrook Research Institute, Division of Neurosurgery, University of Toronto, Toronto, Canada.
Neurosurgery Department, Hôpital de la Salpêtrière, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, Paris, France.
Department of Psychiatry, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands.
Unit for Deep Brain Stimulation, Umeå University, Umeå, Sweden.
Department of Clinical Sciences/Psychiatry, Umeå University, Umeå, Sweden.
Department of Neurosurgery and Department of Neurology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Department of Psychiatry and Human Behavior, Alpert School of Medicine, Brown University, Providence, RI, USA.
Carney Institute for Brain Science, Brown University, Providence, RI, USA.
Department of Stereotactic and Functional Neurosurgery, Medical Center, University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Center for Deep Brain Stimulation, Freiburg University, Freiburg, Germany.
Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, MA, USA.
Département Médico-Universitaire de Psychiatrie et d'Addictologie, Assistance Publique-Hôpitaux de Paris, Le Groupe Hospitalier Universitaire Henri Mondor, Université Paris-Est, Créteil, France.
Institut du Cerveau, Inserm U1127, CNRS UMR7225, Sorbonne Université, Paris, France.
Queensland Brain Institute, University of Queensland, Brisbane, Queensland, Australia.
Department of Neurology, Georgetown University Medical Center, Washington, DC, USA.
Department of Biochemistry and Molecular & Cellular Biology, Georgetown University, Washington, DC, USA.
Neuroethics Studies Program, Pellegrino Center for Clinical Bioethics, Georgetown University, Washington, DC, USA.
Department of Neurosurgery and Neuroscience, Toronto Western Hospital, Toronto, Ontario, Canada.
Department of Neurosurgery, Baylor College of Medicine, Houston, TX, USA.
Department of Psychiatry, Psychotherapy, and Psychosomatics, Johanniter Hospital Oberhausen, Oberhausen, Germany.
Département Médical-Universitaire de Psychiatrie et d'Addictologie, Hôpitaux Universitaires Henri Mondor-Albert Chenevier, Assistance Publique-Hôpitaux de Paris, University Paris-Est Créteil, Créteil, France.
Institut du Cerveau, Paris Brain Institute, Inserm, CNRS, Sorbonne Université, Paris, France.
Department of Mental Health and Psychiatry, Global Health Institute, University of Geneva, Geneva, Switzerland.
Department of Neurosurgery, University Hospitals Leuven, KU Leuven, Leuven, Belgium.
Department of Neurology, University of Florida Health, Gainesville, FL, USA.

Deep brain stimulation is an effective treatment for obsessive–compulsive disorder but is rarely used. Action is needed by psychologists, psychiatrists and insurers so that patients with otherwise intractable cases can receive this therapy to improve their mental health.

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