Evidence map›Paper›PMID 40397262›Full record

SynthesisThe Psychiatric quarterly2026

Effects of continuous theta burst stimulation on patients with obsessive‒compulsive disorder (OCD): A systematic review and meta-analysis of randomized sham controlled trials.

Moiz Ul Haq Hashmi, Mahadev Khurana, Syeda Fizza Qadri, Fatima Kaleem Ahmed, Faiqa Iqbal, Talat Mehmood, Wafa Farhan, Sahil Kumar, Aneesha Kumari

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in The Psychiatric quarterly, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. 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

9 authors.

Moiz Ul Haq HashmiNishtar Medical College and Hospital, Multan, Punjab, Pakistan. moizhashmi1424@gmail.com.ORCID http://orcid.org/0009-0006-5898-9351
Mahadev KhuranaChandka Medical College, Larkana, Sindh, Pakistan.
Syeda Fizza QadriDow Medical College, Karachi, Sindh, Pakistan.
Fatima Kaleem AhmedKing Khalid University Hospital, Riyadh, Saudi Arabia.
Faiqa IqbalShaheed Mohtarma Benazir Bhutto Medical College, Karachi, Sindh, Pakistan.
Talat MehmoodNishtar Medical College and Hospital, Multan, Punjab, Pakistan.
Wafa FarhanOMI Hospital, Karachi, Sindh, Pakistan.
Sahil KumarChandka Medical College, Larkana, Sindh, Pakistan.
Aneesha KumariChandka Medical College, Larkana, Sindh, Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite standard pharmacological and behavioral therapies, a significant proportion of patients with obsessive‒compulsive disorder (OCD) have a suboptimal or no response. Continuous theta burst stimulation (cTBS) is a novel variant of traditional transcranial magnetic stimulation (TMS) that has shown promising results in a wide array of behavioral disorders. To integrate the evidence of its role in OCD, we conducted a systematic review and meta-analysis of pertinent randomized controlled trials (RCTs). We conducted a comprehensive literature search from inception until June 2024 on PubMed, Google Scholar, PsycINFO, Embase, and clinical trial registries. Six RCTs were identified and included in our study. Data regarding obsessive‒compulsive symptoms, depression, and anxiety were extracted and analyzed via a random effects model. We found no significant differences between the active and sham groups regarding the change in obsessive‒compulsive symptoms, neither immediately posttreatment (p = 0.98) nor at follow-up (p = 0.83). Similarly, neither group was superior in alleviating concomitant anxiety and depression. Owing to the limited number of studies and their variability in terms of brain targets and the total number of pulses administered, we cannot definitively conclude the effectiveness of cTBS in patients with OCD. However, our research highlights it as a potentially safe treatment option with no serious side effects. Future investigators should aim to optimize intervention protocols and utilize neuronavigation techniques for accurate delivery of pulses to targeted brain loci. High-powered trials with sufficient sample sizes are needed to gain deeper insight into the effects of cTBS on primary and secondary clinical manifestations of OCD.

Indexed as

Obsessive-Compulsive DisorderOutcome Assessment, Health CareTranscranial Magnetic StimulationHumansRandomized Controlled Trials as TopicAnxietyContinuous theta burst stimulationDepressionObsessive‒compulsive disorderTranscranial magnetic stimulation

Identifiers

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.