{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T18:37:55Z","timestamp":1794335875659,"version":"4.9.0"},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2012,5,25]],"date-time":"2012-05-25T00:00:00Z","timestamp":1337904000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychiatry Clin Neurosci"],"published-print":{"date-parts":[[2012,6]]},"abstract":"<jats:p><jats:bold>Aims:\u2002<\/jats:bold> Deep brain stimulation (DBS) of the ventral capsule\/ventral striatum (VC\/VS) is a promising alternative to ablative surgery in treatment of refractory obsessive\u2013compulsive disorder (OCD). A pilot study was conducted to assess 15\u2010month outcomes of DBS in patients with refractory OCD in Taiwan.<\/jats:p><jats:p><jats:bold>Methods:\u2002<\/jats:bold> Four adult patients with a 3\u2010year or more history of refractory OCD (Yale\u2013Brown Obsessive\u2013Compulsive Scale [Y\u2010BOCS] score of at least 28) met the criteria for DBS surgery. DBS electrodes were implanted bilaterally in the VC\/VS. Stimulation was adjusted for therapeutic benefit and absence of adverse effects. Psychiatric evaluation was conducted preoperatively, postoperatively, and at follow up at every 3\u2003months for 15\u2003months. Primary outcome measure was Y\u2010BOCS. Secondary outcomes included the Hamilton Depression Rating Scale (HAM\u2010D), and the Global Assessment of Function Scale.<\/jats:p><jats:p><jats:bold>Results:\u2002<\/jats:bold> Mean severity of OCD was a Y\u2010BOCS score of 36.3\u2003\u00b1\u20032.1. At the end of 15\u2003months' follow up, there was a 33.06% decrease in OCD severity (<jats:italic>P<\/jats:italic>\u2003=\u20030.001). Similar findings were seen for HAM\u2010D (32.51% reduction, <jats:italic>P<\/jats:italic>\u2003=\u20030.005), and Global Assessment of Function Scale (31.03% increase, <jats:italic>P<\/jats:italic>\u2003=\u20030.026). In terms of adverse effects, two patients suffered from hypomania episodes after several weeks of DBS stimulation, and one had transient hypomania\u2010like syndrome during DBS initial programming. One patient (Case 1) had an allergic reaction to implantation of the pulse generator in the chest, and another patient (Case 3) exhibited vertigo.<\/jats:p><jats:p><jats:bold>Conclusions:\u2002<\/jats:bold> We confirm that DBS of the VC\/VS appears to be beneficial for improvements in function and mood among patients with treatment\u2010resistant OCD. Compared to previous studies examining the therapeutic effects of DBS, no serious adverse effects were observed.<\/jats:p>","DOI":"10.1111\/j.1440-1819.2012.02352.x","type":"journal-article","created":{"date-parts":[[2012,5,25]],"date-time":"2012-05-25T10:30:38Z","timestamp":1337941838000},"page":"303-312","source":"Crossref","is-referenced-by-count":48,"title":["Pilot study of deep brain stimulation in refractory obsessive\u2013compulsive disorder ethnic Chinese patients"],"prefix":"10.1111","volume":"66","author":[{"given":"Hsin\u2010Chi","family":"Tsai","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chun\u2010Hung","family":"Chang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiann\u2010I","family":"Pan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hung\u2010Jen","family":"Hsieh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheng\u2010Tzung","family":"Tsai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hsiang\u2010Yi","family":"Hung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shin\u2010Yuan","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,5,25]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(96)07495-8"},{"key":"e_1_2_6_3_2","first-page":"1953","volume-title":"Textbook of Stereotactic and Functional Neurosurgery","author":"Meyerson BA","year":"1999"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1586\/17434440.4.6.895"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1042-3680(03)00007-X"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(99)02376-4"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.3171\/jns.2003.98.5.1104"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.3171\/jns.2004.101.4.0682"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsych.2004.11.042"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.npp.1301165"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsych.2009.11.028"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1992.77.1.0062"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.159.2.269"},{"key":"e_1_2_6_14_2","first-page":"279","article-title":"Reliability and validity of the Chinese version of the Yale\u2010Brown Obsessive Compulsive Scale (Y\u2010BOCS)","volume":"20","author":"Tang HS","year":"2006","journal-title":"Taiwan. 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