Evidence map›Paper›PMID 40376936›Full record

Trial reportPsychological medicine2025

Repetitive transcranial magnetic stimulation of the left dorsolateral prefrontal cortex in binge eating disorder: a double-blind randomized controlled trial.

Mara F Maranhão, Nara Estella, Maria Elisa G Cury, Ulrike Schmidt, Iain C Campbell, Angélica M Claudino

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychological medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. Pooled it
  2. Review
  3. rTMS Therapy for Eating Disorders: Scoping Review on Efficacy, Safety, Stimulation Parameters and Study Subjects.European eating disorders review : the journal of the Eating Disorders Association · 2026
    Review
  4. Article
  5. ExoTMS transcranial magnetic stimulation for the reduction of binge eating symptoms.PCN reports : psychiatry and clinical neurosciences · 2025
    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

6 authors.

Mara F MaranhãoDepartment of Psychiatry and Psychological Medicine, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil.ORCID 0000-0001-6687-8738
Nara EstellaDepartment of Psychiatry and Psychological Medicine, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil.
Maria Elisa G CuryDepartment of Psychiatry and Psychological Medicine, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil.
Ulrike SchmidtCentre for Research in Eating and Weight Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Iain C CampbellCentre for Research in Eating and Weight Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Angélica M ClaudinoDepartment of Psychiatry and Psychological Medicine, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBinge-eating disorder (BED) is characterized by highly distressing episodes of loss-of-control over-eating. We have examined the use of repetitive transcranial magnetic stimulation (rTMS) for the treatment of people with BED and associated obesity. Such non-invasive brain stimulation (NIBS) techniques are used therapeutically in several psychiatric conditions and there is an associated scientific rationale.

methodsSixty participants were randomly allocated to receive 20 sessions of neuronavigated 10 Hz rTMS administered to the left dorsolateral prefrontal cortex (dlPFC) or sham treatment. Primary outcomes were the frequency of binge eating episodes (BEE) and the 'urge to eat' (craving) evaluated at baseline and end-of-treatment (8 weeks post-randomization). Secondary outcomes included body mass index (BMI), hunger, general and specific eating disorder psychopathology. Follow-up analyses were conducted for most outcomes at 16 weeks post-randomization. Multilevel models were used to evaluate group, time, and group-by-time interactions for the association between rTMS exposure and outcomes.

resultsThe real rTMS group (compared with sham treatment), showed a significantly greater decrease in the number of BEE at the end of treatment (Estimated Mean [EM]: 2.41 95% CI: 1.84-3.15 versus EM: 1.45 95% CI: 1.05-1.99, p = 0.02), and at follow-up (EM: 3.79 95% CI: 3-4.78 versus EM: 2.45 95% CI: 1.88-3.17, p = 0.02; group × time interaction analysis p = 0.02). No group differences were found for other comparisons.

conclusionrTMS was associated with reduced BEE during and after treatment: it suggests rTMS is a promising intervention for BED.

Indexed as

Binge-Eating DisorderDorsolateral Prefrontal CortexPrefrontal CortexTranscranial Magnetic StimulationAdultDouble-Blind MethodFemaleHumansMaleMiddle AgedTreatment OutcomeYoung AdultBinge eatingBinge eating disorderEating DisordersInterventionNeuromodulationObesityRandomised Clinical TrialrTMSTranscranial Magnetic StimulationTreatment

Identifiers

PMID40376936
PMCPMC12094624

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.