Evidence map›Paper›PMID 35971295›Full record

Trial reportAddiction (Abingdon, England)2023

Effects of 10 add-on HF-rTMS treatment sessions on alcohol use and craving among detoxified inpatients with alcohol use disorder: a randomized sham-controlled clinical trial.

Monja Hoven, Renée S Schluter, Arnt F Schellekens, Ruth J van Holst, Anna E Goudriaan

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Addiction (Abingdon, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. A systematic review and meta-analysis of neuromodulation therapies for substance use disorders.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Major depressive disorder-alcohol use disorder comorbidity: diagnosis, mechanisms and treatment.European archives of psychiatry and clinical neuroscience · 2026
    Review
  7. Article
  8. Article
  9. Modulation of Alcohol Use Disorder by Brain Stimulation.Current topics in behavioral neurosciences · 2025
    Review
  10. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Monja HovenAmsterdam UMC, Department of Psychiatry, University of Amsterdam, Amsterdam, the Netherlands.ORCID 0000-0002-0900-8565
Renée S SchluterAmsterdam UMC, Department of Psychiatry, University of Amsterdam, Amsterdam, the Netherlands.ORCID 0000-0003-0598-5251
Arnt F SchellekensDonders Institute for Brain, Cognition, and Behavior, Department of Psychiatry, Radboud University Medical Centre, Nijmegen, the Netherlands.ORCID 0000-0002-7715-5209
Ruth J van HolstAmsterdam UMC, Department of Psychiatry, University of Amsterdam, Amsterdam, the Netherlands.
Anna E GoudriaanAmsterdam UMC, Department of Psychiatry, University of Amsterdam, Amsterdam, the Netherlands.ORCID 0000-0001-8670-9384
Amsterdam Neuroscience · NLRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsAlcohol use disorder (AUD) is a chronic disorder with high relapse rates. There are currently few clinical trials of high frequency repetitive transcranial magnetic stimulation (HF-rTMS) to reduce alcohol use among AUD patients, and results are mixed. The current study tested the effect of 10 add-on sessions of HF-rTMS over the right dorsolateral pre-frontal cortex (DLPFC) on alcohol use and craving.

designSingle-center, single blind sham-controlled parallel-group RCT (n = 80), with 3 and 6 months follow-up.

settingClinical treatment center in Amsterdam, the Netherlands.

participantsEighty detoxified and abstinent AUD inpatients in clinical treatment (20 females, average age = 44.35 years).

interventionTen sessions of active or sham HF-rTMS (60 10 Hz trains of 5 sec at 110% motor threshold) over the right DLPFC on 10 consecutive work-days. MEASUREMENTS: The primary outcome measure is the number of abstinent days over 6-month follow-up (FU). Secondary outcome measures are craving over 6-month FU (alcohol urge questionnaire and obsessive-compulsive drinking scale), time to first relapse over 6-month FU and grams of alcohol consumed over 6-month FU. Additional outcome measures: full abstinence over 6-month FU and treatment success over 12-month FU.

findingsHF-rTMS did not affect the number of abstinent days over 6 months FU [sham = 124 ± 65.9 days, active = 115 ± 69.8 days, difference: 9 days, 95% confidence interval (CI) = Poisson model: 0.578-3.547]. Moreover, HF-rTMS did not affect craving (AUQ/OCDS) (sham = 15.38/5.28, active = 17.48/4.75, differences = 2.1/-0.53, 95% CI mixed-effects model = -9.14 to 2.07/-1.44 to 2.40).

conclusionsThere was no clear evidence that high-frequency repetitive transcranial magnetic stimulation over the right dorsolateral pre-frontal cortex treatment has a long-term positive effect on alcohol use or craving as add-on treatment for alcohol use disorder. High treatment response at 6-month follow-up could have limited the possibility to find an effect.

Indexed as

AlcoholismTranscranial Magnetic StimulationAdultCravingFemaleHumansInpatientsPrefrontal CortexRecurrenceSingle-Blind MethodTreatment OutcomeAbstinencealcohol usealcohol use disordercravingneuromodulationrelapsetranscranial magnetic stimulation

Identifiers

PMID35971295
PMCPMC10087396
OpenAlexW4291825640

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.