Evidence map›Paper›PMID 40856192›Full record

Trial reportCNS spectrums2025

The short-term efficacy of low-frequency rTMS versus continuous theta burst stimulation as early augmentation, targeting right DLPFC in the management of obsessive-compulsive disorder: a randomized clinical study.

Vishal Kumar Gautam, Tapas Kumar Aich, Amil Hayat Khan, Sujita Kumar Kar, Ajeet Chaudhury, Umashankar Kushwaha

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in CNS spectrums, 2025. 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

6 authors.

Vishal Kumar GautamDepartment of Psychiatry, https://ror.org/05br52903BRD Medical College, Gorakhpur, UP, India.
Tapas Kumar AichDepartment of Psychiatry, https://ror.org/05br52903BRD Medical College, Gorakhpur, UP, India.
Amil Hayat KhanDepartment of Psychiatry, https://ror.org/05br52903BRD Medical College, Gorakhpur, UP, India.
Sujita Kumar KarDepartment of Psychiatry, https://ror.org/00gvw6327King George's Medical University, Lucknow, UP, India.ORCID 0000-0003-1107-3021
Ajeet ChaudhuryDepartment of Psychiatry, https://ror.org/05br52903BRD Medical College, Gorakhpur, UP, India.
Umashankar KushwahaDepartment of Psychiatry, https://ror.org/05br52903BRD Medical College, Gorakhpur, UP, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObsessive-compulsive disorder (OCD) is a significantly disabling and difficult-to-treat psychiatric disorder. Non-invasive neuromodulation techniques like repetitive transcranial magnetic stimulation (rTMS) have been increasingly used in the management of OCD. This study aimed to compare the efficacy of early augmentation with low-frequency rTMS (LF-rTMS) and continuous theta burst stimulation (cTBS) in improving psychopathology in OCD patients.

methodsThe study design was a parallel-group, double-blind, randomized clinical trial. The study recruited 46 OCD patients who were randomly allocated to receive either LF-rTMS or cTBS (23 patients in each group) following the computer-generated random table method. All participants were rated on YBOCS, HAM-A, and HAM-D at baseline and third week and sixth weeks. These patients received a total of 15 sessions of LF-rTMS or cTBS stimulation once daily for 5 consecutive days in a week for 3 consecutive weeks over the right dorso-lateral pre-frontal cortex (DLPFC) area.

resultsThere was a statistically significant improvement in the total YBOCS score for both the LF-rTMS group and the cTBS group at the end of the third and sixth week when compared with their baseline scores. However, there was no statistically significant difference between the 2 groups in terms of the improvement in the total YBOCS score, as well as the total scores for the HAM-A and HAM-D during the follow-up periods.

conclusionThe study results suggest that both LF-rTMS and cTBS were equally effective in managing OCD patients as an early augmentation strategy.

Indexed as

Dorsolateral Prefrontal CortexObsessive-Compulsive DisorderTranscranial Magnetic StimulationAdultDouble-Blind MethodFemaleHumansMaleMiddle AgedTreatment OutcomeYoung Adultcontinuous theta burst stimulationearly augmentationefficacylow-frequency rTMSObsessive-compulsive disorder

Identifiers

PMID40856192
PMCPMC13064766

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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.