Evidence map›Paper›PMID 40302403›Full record

ReviewThe American journal of psychiatry2025

Treating Depression With Repetitive Transcranial Magnetic Stimulation: A Clinician's Guide.

Leo Chen, Andrew M Fukuda, Shixie Jiang, Michael K Leuchter, Sanne J H van Rooij, Alik S Widge, William M McDonald, Linda L Carpenter

Abstract readReview
In one paragraph

Review in The American journal of psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

8 authors.

Leo ChenDepartment of Psychiatry, School of Translational Medicine, Monash University and Alfred Mental and Addiction Health, Alfred Health, Melbourne, Victoria, Australia (Chen); Psychiatric Neurotherapeutics Program, Division of Depression and Anxiety Disorders, McLean Hospital, Belmont, MA and Department of Psychiatry, Harvard Medical School, Boston (Fukuda); Department of Psychiatry, University of Florida, Gainesville (Jiang); TMS Clinical and Research Program, Neuromodulation Division, UCLA Semel Institute for Neuroscience and Human Behavior and Department of Psychiatry and Biobehavioral Sciences, UCLA David Geffen School of Medicine, Los Angeles (Leuchter); Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta (van Rooij, McDonald); Department of Psychiatry and Behavioral Sciences, University of Minnesota, Minneapolis (Widge); Butler Hospital, Department of Psychiatry and Human Behavior, Alpert Medical School at Brown University, Providence, Rhode Island (Carpenter).
Andrew M FukudaDepartment of Psychiatry, School of Translational Medicine, Monash University and Alfred Mental and Addiction Health, Alfred Health, Melbourne, Victoria, Australia (Chen); Psychiatric Neurotherapeutics Program, Division of Depression and Anxiety Disorders, McLean Hospital, Belmont, MA and Department of Psychiatry, Harvard Medical School, Boston (Fukuda); Department of Psychiatry, University of Florida, Gainesville (Jiang); TMS Clinical and Research Program, Neuromodulation Division, UCLA Semel Institute for Neuroscience and Human Behavior and Department of Psychiatry and Biobehavioral Sciences, UCLA David Geffen School of Medicine, Los Angeles (Leuchter); Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta (van Rooij, McDonald); Department of Psychiatry and Behavioral Sciences, University of Minnesota, Minneapolis (Widge); Butler Hospital, Department of Psychiatry and Human Behavior, Alpert Medical School at Brown University, Providence, Rhode Island (Carpenter).
Shixie JiangDepartment of Psychiatry, School of Translational Medicine, Monash University and Alfred Mental and Addiction Health, Alfred Health, Melbourne, Victoria, Australia (Chen); Psychiatric Neurotherapeutics Program, Division of Depression and Anxiety Disorders, McLean Hospital, Belmont, MA and Department of Psychiatry, Harvard Medical School, Boston (Fukuda); Department of Psychiatry, University of Florida, Gainesville (Jiang); TMS Clinical and Research Program, Neuromodulation Division, UCLA Semel Institute for Neuroscience and Human Behavior and Department of Psychiatry and Biobehavioral Sciences, UCLA David Geffen School of Medicine, Los Angeles (Leuchter); Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta (van Rooij, McDonald); Department of Psychiatry and Behavioral Sciences, University of Minnesota, Minneapolis (Widge); Butler Hospital, Department of Psychiatry and Human Behavior, Alpert Medical School at Brown University, Providence, Rhode Island (Carpenter).
Michael K LeuchterDepartment of Psychiatry, School of Translational Medicine, Monash University and Alfred Mental and Addiction Health, Alfred Health, Melbourne, Victoria, Australia (Chen); Psychiatric Neurotherapeutics Program, Division of Depression and Anxiety Disorders, McLean Hospital, Belmont, MA and Department of Psychiatry, Harvard Medical School, Boston (Fukuda); Department of Psychiatry, University of Florida, Gainesville (Jiang); TMS Clinical and Research Program, Neuromodulation Division, UCLA Semel Institute for Neuroscience and Human Behavior and Department of Psychiatry and Biobehavioral Sciences, UCLA David Geffen School of Medicine, Los Angeles (Leuchter); Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta (van Rooij, McDonald); Department of Psychiatry and Behavioral Sciences, University of Minnesota, Minneapolis (Widge); Butler Hospital, Department of Psychiatry and Human Behavior, Alpert Medical School at Brown University, Providence, Rhode Island (Carpenter).
Sanne J H van RooijDepartment of Psychiatry, School of Translational Medicine, Monash University and Alfred Mental and Addiction Health, Alfred Health, Melbourne, Victoria, Australia (Chen); Psychiatric Neurotherapeutics Program, Division of Depression and Anxiety Disorders, McLean Hospital, Belmont, MA and Department of Psychiatry, Harvard Medical School, Boston (Fukuda); Department of Psychiatry, University of Florida, Gainesville (Jiang); TMS Clinical and Research Program, Neuromodulation Division, UCLA Semel Institute for Neuroscience and Human Behavior and Department of Psychiatry and Biobehavioral Sciences, UCLA David Geffen School of Medicine, Los Angeles (Leuchter); Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta (van Rooij, McDonald); Department of Psychiatry and Behavioral Sciences, University of Minnesota, Minneapolis (Widge); Butler Hospital, Department of Psychiatry and Human Behavior, Alpert Medical School at Brown University, Providence, Rhode Island (Carpenter).
Alik S WidgeDepartment of Psychiatry, School of Translational Medicine, Monash University and Alfred Mental and Addiction Health, Alfred Health, Melbourne, Victoria, Australia (Chen); Psychiatric Neurotherapeutics Program, Division of Depression and Anxiety Disorders, McLean Hospital, Belmont, MA and Department of Psychiatry, Harvard Medical School, Boston (Fukuda); Department of Psychiatry, University of Florida, Gainesville (Jiang); TMS Clinical and Research Program, Neuromodulation Division, UCLA Semel Institute for Neuroscience and Human Behavior and Department of Psychiatry and Biobehavioral Sciences, UCLA David Geffen School of Medicine, Los Angeles (Leuchter); Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta (van Rooij, McDonald); Department of Psychiatry and Behavioral Sciences, University of Minnesota, Minneapolis (Widge); Butler Hospital, Department of Psychiatry and Human Behavior, Alpert Medical School at Brown University, Providence, Rhode Island (Carpenter).
William M McDonaldDepartment of Psychiatry, School of Translational Medicine, Monash University and Alfred Mental and Addiction Health, Alfred Health, Melbourne, Victoria, Australia (Chen); Psychiatric Neurotherapeutics Program, Division of Depression and Anxiety Disorders, McLean Hospital, Belmont, MA and Department of Psychiatry, Harvard Medical School, Boston (Fukuda); Department of Psychiatry, University of Florida, Gainesville (Jiang); TMS Clinical and Research Program, Neuromodulation Division, UCLA Semel Institute for Neuroscience and Human Behavior and Department of Psychiatry and Biobehavioral Sciences, UCLA David Geffen School of Medicine, Los Angeles (Leuchter); Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta (van Rooij, McDonald); Department of Psychiatry and Behavioral Sciences, University of Minnesota, Minneapolis (Widge); Butler Hospital, Department of Psychiatry and Human Behavior, Alpert Medical School at Brown University, Providence, Rhode Island (Carpenter).
Linda L CarpenterDepartment of Psychiatry, School of Translational Medicine, Monash University and Alfred Mental and Addiction Health, Alfred Health, Melbourne, Victoria, Australia (Chen); Psychiatric Neurotherapeutics Program, Division of Depression and Anxiety Disorders, McLean Hospital, Belmont, MA and Department of Psychiatry, Harvard Medical School, Boston (Fukuda); Department of Psychiatry, University of Florida, Gainesville (Jiang); TMS Clinical and Research Program, Neuromodulation Division, UCLA Semel Institute for Neuroscience and Human Behavior and Department of Psychiatry and Biobehavioral Sciences, UCLA David Geffen School of Medicine, Los Angeles (Leuchter); Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta (van Rooij, McDonald); Department of Psychiatry and Behavioral Sciences, University of Minnesota, Minneapolis (Widge); Butler Hospital, Department of Psychiatry and Human Behavior, Alpert Medical School at Brown University, Providence, Rhode Island (Carpenter).

Funding

Neuroimaging and Neuromodulation CoreP20GM130452 · NIGMS · BUTLER HOSPITAL (PROVIDENCE, RI) · PI MCLAUGHLIN, NICOLE CR · 2019 to 2023
$11.3M
Resonant Frequency rTMS: A Novel Approach to Target Circuit Modulation in MDDR01MH135293 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI LINDA L CARPENTER, ANDREW F LEUCHTER · 2024 to 2026
$2.1M
Effect of TMS on PTSD Neuroimaging and Psychophysiological BiomarkersK01MH121653 · NIMH · EMORY UNIVERSITY · PI VAN ROOIJ, SANNE JH · 2020 to 2024
$894k
NIGMS NIH HHS P20 GM130452NIMH NIH HHS K01 MH121653NIMH NIH HHS R01 MH135293
6 · The paper itself

Abstract

Transcranial magnetic stimulation (TMS) applies electromagnetic pulses to stimulate cortical neurons. The antidepressant effect of the repetitive application of TMS (rTMS) was first shown nearly three decades ago. The therapeutic potential of TMS has been extensively investigated, mostly in treatment-resistant depression (TRD). Studies have extensively evaluated stimulation parameters, treatment schedules, methods to localize the stimulation target, and different magnetic coil designs engineered for desired stimulation breadth and depth. Several of these stimulation protocols and coils/devices have received U.S. Food and Drug Administration (FDA) clearance for application in TRD and other neuropsychiatric disorders, such as obsessive-compulsive disorder. Some stimulation protocols, while not FDA-cleared, have substantial clinical trial-derived evidence to support their safety and antidepressant efficacy. The proliferation of rTMS translational and clinical research has resulted in the field's advancement. This clinician-oriented review contains an overview of fundamental TMS principles, physiological effects, and studies of rTMS in TRD. Also discussed are two innovations that are increasingly applied in the clinic: theta burst stimulation and accelerated scheduling. A synthesis of the key clinical considerations given to patient assessment and safety, treatment setup, and the minimization and management of adverse effects is provided.

Indexed as

Depressive Disorder, Treatment-ResistantTranscranial Magnetic StimulationHumansDepressive DisordersNeurostimulationTMS

Identifiers

PMID40302403
PMCPMC12323729

What OpenQuestion holds

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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.