文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

低强度重复经颅磁刺激后精神分裂症患者的认知改善可持续6个月:一项随机对照试验。

The cognitive improvement in patients with schizophrenia following low-intensity repetitive transcranial magnetic stimulation could last for 6 months: A randomized controlled trial.

作者信息

Zhou Dan, Xie Hongtao, Chen Liqun, Zhu Zhipei, Zhang Chunyan, Jiang Jiangling

机构信息

Shanghai Putuo Mental Health Center, 211 Zhi Dan Road, 200065 Shanghai, China.

Department of Psychiatry, Tongji Hospital of Tongji University, 389 Xincun Road, 200065 Shanghai, China.

出版信息

Psychiatry Res. 2024 Feb;332:115672. doi: 10.1016/j.psychres.2023.115672. Epub 2023 Dec 13.


DOI:10.1016/j.psychres.2023.115672
PMID:38150811
Abstract

Cognitive impairments are a core symptom of schizophrenia. Although low-intensity repetitive transcranial magnetic stimulation (rTMS) also has cognitive improving effect like the commonly used high-intensity rTMS, it has not been applied in schizophrenia yet. To fill this gap, inpatients with schizophrenia were randomized to receive 20 sessions of daily adjunctive active low-intensity rTMS in 4 weeks, or sham treatment. At baseline, 4 weeks, and 6 months, the Positive and Negative Syndrome Scale (PANSS) was used to assess psychotic symptom severity, while the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) and the Stroop Color and Word Test (SCWT) were used to assess cognitive functions. Compared to the sixty-nine patients receiving sham treatment, those fifty-nine patients receiving active rTMS performed better in all cognitive domains at post-treatment with small to large effect sizes. This superiority of active rTMS over sham treatment remained significant at 6-month follow-up, with small to large effect sizes, except for visuospatial function and delayed memory. The reduction in PANSS scores were not correlated with cognitive improvements. Our findings provide evidence for using low-intensity rTMS to ameliorate cognitive impairments in schizophrenia. More research are needed to determine the optimal intensity for each domain of cognitive functions.

摘要

认知障碍是精神分裂症的核心症状。尽管低强度重复经颅磁刺激(rTMS)与常用的高强度rTMS一样具有改善认知的作用,但尚未应用于精神分裂症的治疗。为填补这一空白,将精神分裂症住院患者随机分为两组,一组在4周内每天接受20次辅助性主动低强度rTMS治疗,另一组接受假治疗。在基线、4周和6个月时,使用阳性和阴性症状量表(PANSS)评估精神病性症状的严重程度,同时使用可重复性神经心理状态评估量表(RBANS)和斯特鲁普颜色和文字测验(SCWT)评估认知功能。与69名接受假治疗的患者相比,59名接受主动rTMS治疗的患者在治疗后所有认知领域的表现均更好,效应大小从小到中等。主动rTMS治疗相对于假治疗的这种优势在6个月随访时仍然显著,效应大小从小到中等,但视觉空间功能和延迟记忆除外。PANSS评分的降低与认知改善无关。我们的研究结果为使用低强度rTMS改善精神分裂症的认知障碍提供了证据。需要更多的研究来确定每个认知功能领域的最佳强度。

相似文献

[1]
The cognitive improvement in patients with schizophrenia following low-intensity repetitive transcranial magnetic stimulation could last for 6 months: A randomized controlled trial.

Psychiatry Res. 2024-2

[2]
Efficacy of bilateral repetitive transcranial magnetic stimulation for negative symptoms of schizophrenia: results of a multicenter double-blind randomized controlled trial.

Psychol Med. 2015-4

[3]
Efficacy of high-frequency repetitive transcranial magnetic stimulation on PANSS factors in schizophrenia with predominant negative symptoms - Results from an exploratory re-analysis.

Psychiatry Res. 2018-2-17

[4]
High-frequency neuronavigated rTMS effect on clinical symptoms and cognitive dysfunction: a pilot double-blind, randomized controlled study in Veterans with schizophrenia.

Transl Psychiatry. 2020-2-25

[5]
Low-frequency repetitive transcranial magnetic stimulation over the right orbitofrontal cortex for patients with first-episode schizophrenia: A randomized, double-blind, sham-controlled trial.

Psychiatry Res. 2023-12

[6]
Repetitive transcranial magnetic stimulation (rTMS) improves facial affect recognition in schizophrenia.

Brain Stimul. 2014-5-9

[7]
Efficacy of high-frequency repetitive transcranial magnetic stimulation in schizophrenia patients with treatment-resistant negative symptoms treated with clozapine.

Schizophr Res. 2019-1-29

[8]
A randomized, double blind, sham-controlled trial of repetitive transcranial magnetic stimulation (rTMS) in the treatment of negative symptoms in schizophrenia.

Brain Stimul. 2020-2-29

[9]
Cognitive Effects of High-Frequency rTMS in Schizophrenia Patients With Predominant Negative Symptoms: Results From a Multicenter Randomized Sham-Controlled Trial.

Schizophr Bull. 2016-5

[10]
Theta-burst rTMS in schizophrenia to ameliorate negative and cognitive symptoms: study protocol for a double-blind, sham-controlled, randomized clinical trial.

Trials. 2024-4-17

引用本文的文献

[1]
A quasi-experimental study on a co-production- and school-based psychosocial well-being program in Hong Kong.

Sci Rep. 2025-8-8

[2]
Alterations and potential associations of repetitive transcranial magnetic stimulation on body weight in stable schizophrenic patients.

Schizophrenia (Heidelb). 2025-4-28

[3]
Repetitive transcranial magnetic stimulation improves cognition, depression, and walking ability in patients with Parkinson's disease: a meta-analysis.

BMC Neurol. 2024-12-24

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索