Evidence map›Paper›PMID 40988891›Full record

ReviewNeuropsychiatric disease and treatment2025

The Effects of Repetitive Transcranial Magnetic Stimulation on Post-Traumatic Stress Disorder and Parameter Discussion: A Meta-Analysis Based on Randomized Controlled Trials.

Yin-Xu Wang, Jing-Yi Lin, Chun-Yu Zhang, Jing-Jing Liu, Bang-Qiang Hou, Qiu Nie, Juan Lu, Yu-Lei Xie

Abstract readReview
In one paragraph

Review in Neuropsychiatric disease and treatment, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 2 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, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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.

Yin-Xu Wang *Department of Rehabilitation Medicine, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, People's Republic of China.
Jing-Yi Lin *Department of Rehabilitation Medicine, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, People's Republic of China.ORCID 0009-0002-9747-6437
Chun-Yu Zhang *Department of Clinical Medicine, The Affiliated Hospital of Southwest Medical University, Stem Cell Immunity and Regeneration Key Laboratory of Luzhou, Luzhou, Sichuan, People's Republic of China.
Jing-Jing LiuDepartment of Rehabilitation Medicine, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, People's Republic of China.ORCID 0009-0000-1885-2883
Bang-Qiang HouDepartment of Rehabilitation Medicine, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, People's Republic of China.
Qiu NieDepartment of Rehabilitation Medicine, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, People's Republic of China.
Juan LuBaoshihua Hospital, Chengdu, Sichuan, People's Republic of China.
Yu-Lei XieDepartment of Rehabilitation Medicine, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, People's Republic of China.ORCID 0000-0003-1161-5804

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Recovery from posttraumatic stress disorder (PTSD) is an urgent clinical issue. Repetitive transcranial magnetic stimulation (rTMS) has shown advantages in treating PTSD. However, the quality of existing evidence is low. This review aims to evaluate the efficacy and safety of rTMS for PTSD and to explore the key parameters that influence its therapeutic effects. Methods: We searched five electronic databases from their inception through September 22, 2024. Eligible studies were screened and data were extracted; the methodological quality of the included trials was assessed. Meta-analysis was performed using RevMan 5.3, and dose-response analysis was conducted with Stata 18.0. Results: Fifteen studies involving 760 patients were included. There was no statistically significant difference between high-frequency rTMS (HF-rTMS) and low-frequency rTMS (LF-rTMS) (p = 0.24). Neither the >80% motor threshold (MT) group nor the >10-day treatment group differed significantly from their respective control groups (80% MT and ≤10 days; p > 0.05). The dose-response analysis showed no linear relationship between MT and PTSD Checklist (PCL) (nonlinearity test P=0.008< 0.05), whereas a linear relationship was observed between treatment sessions and PCL scores (linearity test P=0.001< 0.05, nonlinearity test P=0.631> 0.05). As the treatment sessions increased, the PCL scores decreased in a dose-dependent manner. Conclusion: rTMS is an effective and noninvasive treatment for PTSD. However, study findings suggest that there are no statistically significant differences between HF-rTMS and LF-rTMS, or between >80% MT and <80% MT groups. Dose-response analysis indicates a positive correlation between increased number of sessions and symptom improvement. Despite limitations such as small sample sizes and high heterogeneity that may affect the robustness and generalizability of the results, this study still recommends prioritizing high-frequency rTMS and increased treatment sessions to enhance therapeutic outcomes.

Indexed as

non-invasive neuromodulationpost-traumatic stress disorderrepetitive transcranial magnetic stimulation

Identifiers

PMID40988891
PMCPMC12452984

What OpenQuestion holds

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Registered trials

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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.