Evidence map›Paper›PMID 36161554›Full record

SynthesisNeuropsychology review2023

Treatment Response of Transcranial Magnetic Stimulation in Intellectually Capable Youth and Young Adults with Autism Spectrum Disorder: A Systematic Review and Meta-Analysis.

Joshua R Smith, Maura DiSalvo, Allison Green, Tolga Atilla Ceranoglu, Sheeba Arnold Anteraper, Paul Croarkin, Gagan Joshi

Registry-linked trialOpen access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Neuropsychology review, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07258914 (Feasibility and Efficacy of rTMS in Depression in Individuals With Autism Spectrum Disorder), which is not on this map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 7% 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.

NCT07258914 narecruitingnot on this mapstarted 2024, after this paper: background citation

Feasibility and Efficacy of rTMS in Depression in Individuals With Autism Spectrum Disorder (ASD)

TypeinterventionalSponsorHospital Center Guillaume RégnierRan2024 to 2026Enrolled25ConditionsAutism Spectrum Disorder, Depression, Major Depressive Episode (MDE)ArmsrTMS, rTMS treatment with intermittent Theta Burst (ITBS)
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. A Meta-analysis of Randomized Controlled Trials of Functional Magnetic Resonance Imaging Neurofeedback for Training of Attention and Related Cognitive Functions.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2026
    Review
  5. Review
  6. Clinical utility and prospective of TMS-EEG: Updated review from an international expert group.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2026
    Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

7 authors at 4 institutions in 1 country.

Joshua R SmithDivision of Child and Adolescent Psychiatry, Department of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center at Village of Vanderbilt, 1500 21st Avenue South, Suite 2200, Nashville, TN, 37212, USA. Joshua.R.Smith@vumc.org.ORCID 0000-0001-7008-165X
Maura DiSalvoClinical and Research Programs in Pediatric Psychopharmacology, and Adult ADHD, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, 02114, USA.
Allison GreenClinical and Research Programs in Pediatric Psychopharmacology, and Adult ADHD, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, 02114, USA.
Tolga Atilla CeranogluDivision of Child and Adolescent Psychiatry, Department of Psychiatry, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, 02114, USA.ORCID 0000-0002-7327-5502
Sheeba Arnold AnteraperCarle Foundation Hospital, 611 West Park Street, Urbana, IL, 61801, USA.
Paul CroarkinDepartment of Psychiatry and Psychology, Mayo Clinic, 1216 2nd Street Southwest, Rochester, MN, 55902, USA.ORCID 0000-0001-6843-6503
Gagan JoshiDivision of Child and Adolescent Psychiatry, Department of Psychiatry, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, 02114, USA.
Harvard University · USMassachusetts General Hospital · USCarle Foundation Hospital · USMayo Clinic · US

Funding

TRAINING PROGRAM IN INTEGRATIVE DEVELOPMENTAL PROCESST32HD007475 · NICHD · TRUSTEES OF INDIANA UNIVERSITY · PI Daniel Patrick Kennedy, LINDA B. SMITH · 1995 to 2026
$9.5M
Glutamatergic and GABAergic Biomarkers in rTMS for Adolescent DepressionR01MH113700 · NIMH · MAYO CLINIC ROCHESTER · PI CROARKIN, PAUL E · 2017 to 2021
$2.5M
A Randomized Controlled Trial of Sequential Bilateral Accelerated Theta Burst Stimulation in Adolescents with Suicidal Ideation Associated with Major Depressive DisorderR01MH124655 · NIMH · MAYO CLINIC ROCHESTER · PI CROARKIN, PAUL E · 2020 to 2023
$2.4M
Behavioral and Neural Response to Memantine in Adolescents with AutismK23MH100450 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI JOSHI, GAGAN · 2014 to 2017
$756k
Intrinsic Functional Architecture of Dentate Nuclei in Autism Spectrum DisorderR03MH121879 · NIMH · UT SOUTHWESTERN MEDICAL CENTER · PI ANTERAPER, SHEEBA · 2020 to 2020
$156k
NICHD NIH HHS T32 HD007475NIMH NIH HHS 1R03MH121879-01A1NIMH NIH HHS K23 MH100450NIMH NIH HHS K23MH100450NIMH NIH HHS R01 MH113700NIMH NIH HHS R01 MH124655NIMH NIH HHS R03 MH121879NIMH NIH HHS T32HD007475
6 · The paper itself

Abstract

To examine current clinical research on the use of transcranial magnetic stimulation (TMS) in the treatment of pediatric and young adult autism spectrum disorder in intellectually capable persons (IC-ASD). We searched peer-reviewed international literature to identify clinical trials investigating TMS as a treatment for behavioral and cognitive symptoms of IC-ASD. We identified sixteen studies and were able to conduct a meta-analysis on twelve of these studies. Seven were open-label or used neurotypical controls for baseline cognitive data, and nine were controlled trials. In the latter, waitlist control groups were often used over sham TMS. Only one study conducted a randomized, parallel, double-blind, and sham controlled trial. Favorable safety data was reported in low frequency repetitive TMS, high frequency repetitive TMS, and intermittent theta burst studies. Compared to TMS research of other neuropsychiatric conditions, significantly lower total TMS pulses were delivered in treatment and neuronavigation was not regularly utilized. Quantitatively, our multivariate meta-analysis results report improvement in cognitive outcomes (pooled Hedges' g = 0.735, 95% CI = 0.242, 1.228; p = 0.009) and primarily Criterion B symptomology of IC-ASD (pooled Hedges' g = 0.435, 95% CI = 0.359, 0.511; p < 0.001) with low frequency repetitive TMS to the dorsolateral prefrontal cortex. The results of our systematic review and meta-analysis data indicate that TMS may offer a promising and safe treatment option for pediatric and young adult patients with IC-ASD. However, future work should include use of neuronavigation software, theta burst protocols, targeting of various brain regions, and robust study design before clinical recommendations can be made.

Indexed as

Autism Spectrum DisorderTranscranial Magnetic StimulationAdolescentChildHumansRandomized Controlled Trials as TopicResearch DesignYoung AdultAutismBrain StimulationNeurodevelopmentalNeuromodulationPediatricTranscranial Magnetic Stimulation

Identifiers

PMID36161554
PMCPMC10039963
OpenAlexW4297217131

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

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.