Evidence map›Paper›PMID 39373168›Full record

Trial reportSchizophrenia bulletin2025

Repetitive Transcranial Magnetic Stimulation (rTMS) Treatment Reduces Variability in Brain Function in Schizophrenia: Data From a Double-Blind, Randomized, Sham-Controlled Trial.

Christin Schifani, Colin Hawco, Zafiris J Daskalakis, Tarek K Rajji, Benoit H Mulsant, Vinh Tan, Erin W Dickie, Iska Moxon-Emre, Daniel M Blumberger, Aristotle N Voineskos

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Schizophrenia bulletin, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Review
  5. Review
  6. Article
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

10 authors.

Christin SchifaniCampbell Family Research Institute, Centre for Addiction and Mental Health, Toronto, M5T 1R8, Canada.
Colin HawcoCampbell Family Research Institute, Centre for Addiction and Mental Health, Toronto, M5T 1R8, Canada.
Zafiris J DaskalakisDepartment of Psychiatry, University of California San Diego School of Medicine, San Diego, 92093, United States.
Tarek K RajjiCampbell Family Research Institute, Centre for Addiction and Mental Health, Toronto, M5T 1R8, Canada.
Benoit H MulsantCampbell Family Research Institute, Centre for Addiction and Mental Health, Toronto, M5T 1R8, Canada.
Vinh TanCampbell Family Research Institute, Centre for Addiction and Mental Health, Toronto, M5T 1R8, Canada.
Erin W DickieCampbell Family Research Institute, Centre for Addiction and Mental Health, Toronto, M5T 1R8, Canada.
Iska Moxon-EmreCampbell Family Research Institute, Centre for Addiction and Mental Health, Toronto, M5T 1R8, Canada.
Daniel M BlumbergerCampbell Family Research Institute, Centre for Addiction and Mental Health, Toronto, M5T 1R8, Canada.
Aristotle N VoineskosCampbell Family Research Institute, Centre for Addiction and Mental Health, Toronto, M5T 1R8, Canada.ORCID 0000-0003-0156-0395

Funding

CIHR
6 · The paper itself

Abstract

background/hypothesisThere is increasing awareness of interindividual variability in brain function, with potentially major implications for repetitive transcranial magnetic stimulation (rTMS) efficacy. We perform a secondary analysis using data from a double-blind randomized controlled 4-week trial of 20 Hz active versus sham rTMS to dorsolateral prefrontal cortex (DLPFC) during a working memory task in participants with schizophrenia. We hypothesized that rTMS would change local functional activity and variability in the active group compared with sham. STUDY

design83 participants were randomized in the original trial, and offered neuroimaging pre- and post-treatment. Of those who successfully completed both scans (n = 57), rigorous quality control left n = 42 (active/sham: n = 19/23), who were included in this analysis. Working memory-evoked activity during an N-Back (3-Back vs 1-Back) task was contrasted. Changes in local brain activity were examined from an 8 mm ROI around the rTMS coordinates. Individual variability was examined as the mean correlational distance (MCD) in brain activity pattern from each participant to others within the same group.

resultsWe observed an increase in task-evoked left DLPFC activity in the active group compared with sham (F1,36 = 5.83, False Discovery Rate (FDR))-corrected P = .04). Although whole-brain activation patterns were similar in both groups, active rTMS reduced the MCD in activation pattern compared with sham (F1,36 = 32.57, P < .0001). Reduction in MCD was associated with improvements in attention performance (F1,16 = 14.82, P = .0014, uncorrected).

conclusionsActive rTMS to DLPFC reduces individual variability of brain function in people with schizophrenia. Given that individual variability is typically higher in schizophrenia patients compared with controls, such reduction may "normalize" brain function during higher-order cognitive processing.

Indexed as

Dorsolateral Prefrontal CortexMemory, Short-TermOutcome Assessment, Health CareSchizophreniaTranscranial Magnetic StimulationAdultDouble-Blind MethodFemaleHumansMagnetic Resonance ImagingMaleMiddle Agedbrain stimulationfunctional MRIindividual variabilityintersubject variabilityrTMSschizophrenia

Identifiers

PMID39373168
PMCPMC12061648

What OpenQuestion holds

Textmetadata
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.