{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,28]],"date-time":"2025-09-28T04:10:41Z","timestamp":1759032641254,"version":"3.37.3"},"reference-count":0,"publisher":"National Library of Serbia","issue":"2","license":[{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004564","name":"Ministry of Education, Science and Technological Development of the Republic of Serbia","doi-asserted-by":"publisher","award":["41014"],"award-info":[{"award-number":["41014"]}],"id":[{"id":"10.13039\/501100004564","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["VSP","VOJNOSANIT PREGL","VOJNOSANITETSKI PREG"],"published-print":{"date-parts":[[2014]]},"abstract":"<jats:p>Introduction. Bipolar depression is often unrecognized and difficult to treat\n   because of two opposite problems: treatment resistance and risk of manic\n   switch. Case report. A 53-year-old female was suffering from unipolar\n   depressive disorder since the age of 36. During a recent major depressive\n   episode pervasive feelings of sadness, lost of interest in activities, severe\n   insomnia and highly expressed somatic anxiety dominated 7 months. After\n   unsuccessful tries with two different antidepressants of adequate doses and\n   duration, slow rate repetitive trascranial magnetic stimulation (rTMS) was\n   started, but the patient stayed at the fixed dose of antidepressant. Partial\n   sleep deprivation (PSD) was additionally applied twice during these 2 weeks\n   with the idea to boost up, or enhance rTMS treatment response. At the last\n   two rTMS sessions depression obviously meliorated, but the patient also\n   expressed symptoms of hypomania. The therapy of rTMS was stopped, hypomanic\n   symptoms gradually vanished and two weeks after the rTMS treatment the\n   patient was euthymic. Antidepressant was kept on. In a follow-up period of 2\n   years the diagnose of bipolar affective disorder was definitely established.\n   Conclusion. This case report shows that a combination of slow rate rTMS and\n   partial sleep deprivation in the patient at the fixed dose of\n   antidepressants, have strong synergistic effect even with potential to induce\n   hypomanic switch, that is the first description in the literature to our\n   knowledge.<\/jats:p>","DOI":"10.2298\/vsp1402207k","type":"journal-article","created":{"date-parts":[[2014,2,11]],"date-time":"2014-02-11T10:18:30Z","timestamp":1392113910000},"page":"207-210","source":"Crossref","is-referenced-by-count":5,"title":["Switch to hypomania induced by repetitive transcranial magnetic stimulation and partial sleep deprivation added to antidepressant: A case report"],"prefix":"10.2298","volume":"71","author":[{"given":"Jelena","family":"Krstic","sequence":"first","affiliation":[{"name":"Clinical Hospital Center \u201cDr Dragi\u0161a Mi\u0161ovi\u0107\u201d-Dedinje, Psychiatric Hospital, Belgrade + Faculty of Biology, Belgrade"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4325-5498","authenticated-orcid":false,"suffix":"V.","given":"Tihomir","family":"Ilic","sequence":"additional","affiliation":[{"name":"Military Medical Academy, Clinic of Neurology, Department of Clinical Neurophysiology, Belgrade + University of Defence, Military Medical Academy, Faculty of Medicine, Belgrade"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1078","container-title":["Vojnosanitetski pregled","Military Medical and Pharmaceutical Journal of Serbia"],"original-title":[],"language":"en","deposited":{"date-parts":[[2023,5,29]],"date-time":"2023-05-29T11:14:02Z","timestamp":1685358842000},"score":1,"resource":{"primary":{"URL":"https:\/\/doiserbia.nb.rs\/Article.aspx?ID=0042-84501402207K"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014]]},"references-count":0,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2014]]}},"URL":"https:\/\/doi.org\/10.2298\/vsp1402207k","relation":{},"ISSN":["0042-8450","2406-0720"],"issn-type":[{"type":"print","value":"0042-8450"},{"type":"electronic","value":"2406-0720"}],"subject":[],"published":{"date-parts":[[2014]]}}}