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Randomised controlled equivalence trial.
Single blind (assessors blinded).
South London and Maudsley National Health Service Trust, London, and Pembury Hospital, Invicta Mental Health Trust, Kent, UK; recruitment January 2002 to August 2004.
Forty six right-handed adults (aged ⩾18 years) referred for electroconvulsive therapy (ECT) for major depression (Structured Clinical Interview for DSM-IV Axis I Disorders). Main exclusions: inability to receive repetitive transcranial magnetic stimulation (rTMS) or ECT (metallic plates in head, unfit for anaesthesia, history of seizures); rTMS or ECT in previous 6 months; dementia or other axis I diagnosis; substance misuse in previous 6 months.
rTMS (15 sessions: daily for 5 …
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