Evidence map›Paper›PMID 41379812›Full record

SynthesisPloS one2025

The effects of high-frequency repetitive transcranial magnetic stimulation on negative symptoms in schizophrenia patients: A systemic review and meta-analysis.

Boxing Wang, Xinyue Zhu, Ling Chen, Shuyun Liu, Chengshi Wang

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. 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

5 authors.

Boxing WangWest China Medical school, Sichuan University, Chengdu, China.
Xinyue ZhuDepartment of Endocrinology and Metabolism, Center for Diabetes and Metabolism Research, West China Hospital, Sichuan University, Chengdu, China.
Ling ChenInstitute of Taoism and Religious Culture, Sichuan University, Chengdu, China.
Shuyun LiuDepartment of General Surgery and NHC Key Laboratory of Transplant Engineering and Immunology, Frontiers Science Center for Disease-related Molecular Network, West China Hospital of Sichuan University, Chengdu, China.
Chengshi WangDepartment of Endocrinology and Metabolism, Laboratory of Diabetes and Metabolism Research, West China Hospital, Sichuan University, Chengdu, China.ORCID https://orcid.org/0000-0002-0650-4109

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe research on high-frequency repetitive transcranial magnetic stimulation (rTMS) is very ambiguous, particularly the variability in treatment parameters and the need for standardized protocols, and its effectiveness have hardly been provided conclusive evidence. This systematic review and meta-analysis aimed to determine the effects of high-frequency rTMS on negative symptoms in schizophrenia patients.

methodsSix databases (PubMed, Embase, Web of Science, SinoMed, PsycINFO and MEDLINE) were searched from inception to March 2024. Relevant data were extracted and analysed by two independent investigators using Cochrane RevMan software (version 5.3) and R software (version 4.3.1).

resultsA total of 17 Randomized Controlled Trials (RCTs) were included in the current meta-analysis. Compared with control treatment, active rTMS showed advantage in treating negative symptoms of schizophrenia [standardized mean difference (SMD): -0.22, 95% confidence interval (CI): -0.38, -0.05, P = 0.009; I2 = 9%]. Subgroup analysis revealed that rTMS with a total treatment course of more than 15 sessions [SMD: -0.31 (95% CI: -0.49, -0.13), P = 0.0007; I2 = 0%], active rTMS with a frequency of 20 Hz [SMD: -0.40 (95% CI: -0.67, -0.13), P = 0.004; I2 = 0%], and active rTMS targeting the dorsolateral prefrontal cortex (DLPFC) [SMD: -0.25 (95% CI: -0.40, -0.09), P = 0.003; I2 = 0%] were significantly effective in terms of reducing negative symptoms.

conclusionsThe effect of rTMS on negative symptoms is influenced by rTMS parameters. We suggest that researchers should focus on changing the frequency, location and length of treatment to improve negative symptoms of schizophrenia.

Indexed as

SchizophreniaTranscranial Magnetic StimulationHumansRandomized Controlled Trials as TopicTreatment Outcome

Identifiers

PMID41379812
PMCPMC12697975

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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.