Evidence map›Paper›PMID 41121094›Full record

Trial reportBMC psychiatry2025

Moderating role of familial relationships in the efficacy of rTMS intervention on cognitive function in patients with schizophrenia.

Cheng Zhu, Jing Yao, Hengyong Guan, Fengchun Wu, Meihong Xiu

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03774927 (A Randomized, Double-blind Sham-controlled Trial of High Frequency rTMS for Cognitive Impairments in Chronic Schizophrenia Patients), which is not on this map. Not yet cited in PubMed.

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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.

NCT03774927 nacompletednot on this map

A Randomized, Double-blind Sham-controlled Trial of High Frequency rTMS for Cognitive Impairments in Chronic Schizophrenia Patients

TypeinterventionalSponsorBeijing HuiLongGuan HospitalRan2017 to 2018Enrolled120ConditionsSchizophreniaArms10 Hz treatment group, 20 Hz treatment group, Control Group
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

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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

5 authors.

Cheng Zhu *School of Mental Health, Zhejiang Provincial Clinical Research Center for Mental Disorders, The Affiliated Wenzhou Kangning Hospital, Wenzhou Medical University, Wenzhou, China.
Jing Yao *Peking University HuiLongGuan Clinical Medical School, Beijing HuiLongGuan Hospital, Beijing, China.
Hengyong GuanHebei Province Rongjun Hospital, Baoding, China.
Fengchun WuDepartment of Psychiatry, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, Liwan District, 510370, China. 13580380071@163.com.
Meihong XiuPeking University HuiLongGuan Clinical Medical School, Beijing HuiLongGuan Hospital, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt has been hypothesized that rTMS improves cognitive performance in SCZ by altering neuronal activity through magnetic field pulses. However, these findings were controversial. The present study examined whether familial relationships impacted the effect of rTMS targeting the left DLPFC on cognitive function improvement in patients with SCZ.

methodsA total of 84 SCZ patients were randomly allocated to the active rTMS or sham rTMS groups and received a 6-week intervention session. Patients were followed up at the end of the 24th week. Cognitive functions were evaluated at baseline and at the end of the 2nd, 6th, and 24th weeks. Patients' relationships with their family members were also evaluated.

resultsSignificant interactions of time × treatment on immediate memory and total scores were observed in patients with SCZ treated with rTMS. Active rTMS stimulation showed a beneficial effect on immediate memory in SCZ. In addition, we found that after controlling for confounding factors, patients with positive familial relationships experienced greater improvements in immediate memory after rTMS than those with negative relationships. More importantly, linear regression analysis revealed that familial relationship was a predictor of immediate memory improvement following rTMS intervention.

conclusionsOur results reveal that familial relationships significantly influence the outcome of rTMS treatment in patients with SCZ. Relative to patients with negative familial relationships, those with positive relationships showed greater cognitive improvement.

trial registrationClinicalTrials.gov, NCT03774927, registered on 20,181,211.

Indexed as

CognitionFamily RelationsSchizophreniaTranscranial Magnetic StimulationAdultDorsolateral Prefrontal CortexFemaleHumansMaleMemory, Short-TermMiddle AgedTreatment OutcomeCognitive functionsFamilial relationshipRTMSSchizophrenia

Identifiers

PMID41121094
PMCPMC12538804

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Registered trials

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.