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Evidence map · VNS · treatment-resistant depression

VNS for treatment-resistant depression: what the research shows

Vagus nerve stimulation for treatment-resistant depression. 1,043 papers from 1969 to 2026, including 24 meta-analyses, 32 systematic reviews and 91 randomised controlled trials. Each study below links to its source.

1,043Papers in the corpus
24Meta-analyses
91Randomised controlled trials
312Open-access papers

Study design

Jev labels
Meta-analysis24Systematic review32RCT91Non-randomised trial96Cohort38Case-control2Cross-sectional11Case series16

172 papers have no confident study-design label yet. Labels are AI-classified by Jev: advisory, not clinician-reviewed.

Papers over time

by publication year
370185 1965–691995–992025–26*

* 2025–26 is still in progress, so its count is incomplete.

Most-cited trials and reviews

by citations
  1. 1

    Vagus nerve stimulation for treatment-resistant depression: a randomized, controlled acute phase trial.

    RCTRush et al. · 2005 · 370 citations
  2. 2

    Transcutaneous Vagus Nerve Stimulation Modulates Default Mode Network in Major Depressive Disorder.

    RCTFang et al. · 2016 · 267 citations
  3. 3

    Auricular transcutaneous electrical nerve stimulation in depressed patients: a randomized controlled pilot study.

    RCTHein et al. · 2013 · 196 citations
  4. 4

    Transcutaneous vagus nerve stimulation modulates amygdala functional connectivity in patients with depression.

    RCTLiu et al. · 2016 · 115 citations
  5. 5

    Vagus nerve stimulation therapy randomized to different amounts of electrical charge for treatment-resistant depression: acute and chronic effects.

    RCTAaronson et al. · 2013 · 112 citations
  6. 6

    Serial vagus nerve stimulation functional MRI in treatment-resistant depression.

    RCTNahas et al. · 2007 · 99 citations
  7. 7

    Safety and efficacy of Vagus Nerve Stimulation in treatment-resistant depression. A systematic review.

    Systematic reviewDaban et al. · 2008 · 90 citations
  8. 8

    A patient-level meta-analysis of studies evaluating vagus nerve stimulation therapy for treatment-resistant depression.

    Meta-analysisBerry et al. · 2013 · 88 citations · Open access

Recent trials and reviews

last 3 years
  1. 1

    Postoperative pain after joint replacement surgery : A randomized controlled trial of transcutaneous auricular vagus nerve stimulation and the role of depression and anxiety.

    RCTPuhl et al. · 2026 · 0 citations
  2. 2

    Long-term efficacy and safety of vagus nerve stimulation in treatment-resistant depression: A systematic review.

    Systematic reviewRosson et al. · 2026 · 0 citations
  3. 3

    Assessing symptom severity in patients with markedly treatment-resistant depression: Insights from the RECOVER trial.

    RCTRush et al. · 2026 · 0 citations
  4. 4

    Vagus nerve stimulation in treatment-resistant depression: A one-year, randomized, sham-controlled trial.

    RCTConway et al. · 2025 · 16 citations
  5. 5

    Effects of vagus nerve stimulation on daily function and quality of life in markedly treatment-resistant major depression: Findings from a one-year, randomized, sham-controlled trial.

    RCTRush et al. · 2025 · 10 citations

Decision support only. This page summarises published literature; it is not medical advice or a recommendation for any patient. Study designs and topic labels are AI-classified by Jev: advisory, not clinician-reviewed. Abstracts are not reproduced here: follow the links to read each source. Data snapshot 2026-09-25.