Evidence map›Paper›PMID 42286600›Full record

Trial reportBMC psychiatry2026

Effect of iTBS on suicidal ideation and emotion regulation in major depressive disorder: a randomized clinical trial.

Li Pu, Yan Wang, Zhengzhi Deng, Jiang Wu, Zhihong Chen, Rui Fu, Dezhong Yao, Shu Yu, Guojian Yan, Hongmei Yan

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06417437 (New Non-invasive Brain-computer Interface), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT06417437 phase4recruitingnot on this map

New Non-invasive Brain-computer Interface: Theory, Technology and Application Demonstration - Studies on and Intervention for Depressed People Based on Non-invasive BCI and Application Verification

TypeinterventionalSponsorShanghai Mental Health CenterRan2023 to 2027Enrolled400ConditionsDepression, Major Depressive Disorder, Bipolar DepressionArmsSSRI, rTMS, Neuro-Feedback, Game Regulation
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

10 authors.

Li PuThe Clinical Hospital of Chengdu Brain Science Institute, Sichuan Institute for Brain Science and Brain-lnspired Intelligence, China-Cuba Belt and Road Joint Laboratory on Neurotechnology and Brain-Apparatus Communication, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, China.
Yan WangThe Clinical Hospital of Chengdu Brain Science Institute, Sichuan Institute for Brain Science and Brain-lnspired Intelligence, China-Cuba Belt and Road Joint Laboratory on Neurotechnology and Brain-Apparatus Communication, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, China.
Zhengzhi DengThe Clinical Hospital of Chengdu Brain Science Institute, Sichuan Institute for Brain Science and Brain-lnspired Intelligence, China-Cuba Belt and Road Joint Laboratory on Neurotechnology and Brain-Apparatus Communication, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, China.
Jiang WuThe Clinical Hospital of Chengdu Brain Science Institute, Sichuan Institute for Brain Science and Brain-lnspired Intelligence, China-Cuba Belt and Road Joint Laboratory on Neurotechnology and Brain-Apparatus Communication, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, China.
Zhihong ChenThe Clinical Hospital of Chengdu Brain Science Institute, Sichuan Institute for Brain Science and Brain-lnspired Intelligence, China-Cuba Belt and Road Joint Laboratory on Neurotechnology and Brain-Apparatus Communication, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, China.
Rui FuThe Clinical Hospital of Chengdu Brain Science Institute, Sichuan Institute for Brain Science and Brain-lnspired Intelligence, China-Cuba Belt and Road Joint Laboratory on Neurotechnology and Brain-Apparatus Communication, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, China.
Dezhong YaoThe Clinical Hospital of Chengdu Brain Science Institute, Sichuan Institute for Brain Science and Brain-lnspired Intelligence, China-Cuba Belt and Road Joint Laboratory on Neurotechnology and Brain-Apparatus Communication, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, China.
Shu YuThe Clinical Hospital of Chengdu Brain Science Institute, Sichuan Institute for Brain Science and Brain-lnspired Intelligence, China-Cuba Belt and Road Joint Laboratory on Neurotechnology and Brain-Apparatus Communication, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, China.
Guojian YanThe Fourth People's Hospital of Chengdu, Chengdu, China. guojianyan_uestc@163.com.
Hongmei YanThe Clinical Hospital of Chengdu Brain Science Institute, Sichuan Institute for Brain Science and Brain-lnspired Intelligence, China-Cuba Belt and Road Joint Laboratory on Neurotechnology and Brain-Apparatus Communication, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, China. hmyan@uestc.edu.cn.

Funding

Brain Science and Brain-like Intelligence Technology- National Science and Technology Major Project No.2022ZD0208500the Chengdu Municipal Health Commission No. 2023076the National Natural Science Foundation of China No. 62276051the S&T Special Program of Huzhou No. 2024GZ05
6 · The paper itself

Abstract

backgroundMajor depressive disorder (MDD) with suicidal ideation (SI) is a psychiatric emergency characterized by high risk and a critical need for timely adjunctive intervention. Traditional antidepressants often exhibit a significant therapeutic lag. This study evaluated the efficacy of a 10-day intermittent theta burst stimulation (iTBS) protocol as an adjunctive neuromodulation strategy to alleviate depressive symptoms and suicidal ideation by restoring emotion regulation capacities.

methodsIn this prospectively registered, randomized, double-blind, sham-controlled clinical trial using a pre-specified 2:1 allocation ratio, 78 patients with MDD and SI were assigned to active iTBS plus stable medication management (n = 52) or matched sham stimulation plus stable medication management (n = 26) for 10 consecutive treatment days. The primary outcome was the Hamilton Depression Rating Scale (HAMD-17) score. Secondary outcomes included the Beck Scale for Suicide Ideation (BSSI), Hamilton Anxiety Rating Scale (HAMA), and Emotion Regulation Questionnaire (ERQ).

resultsThe iTBS group demonstrated a greater reduction in HAMD-17 scores than the sham group, with a significant Group x Time interaction (F(1, 76) = 117.055, p < .001, partial eta-squared = 0.606). For suicidal ideation, the active iTBS group also showed a larger reduction in BSSI scores (post-treatment between-group comparison, p = .003). iTBS treatment significantly enhanced cognitive reappraisal (F(1, 76) = 51.214, p < .001, partial eta-squared = 0.403), and improvement in cognitive reappraisal was negatively correlated with reduction in depressive severity (r = - .455, p = .001). Improvements in anxiety and sleep quality were also greater after active iTBS, whereas digit-span performance remained comparable between groups.

conclusionA 10-day protocol of active iTBS added to stable medication management was associated with greater baseline-to-post-treatment reductions in depressive symptoms and suicidal ideation, together with improvement in adaptive emotion regulation. Because assessments were performed only at baseline and after treatment, these findings should be interpreted as short-term post-treatment effects rather than evidence of a measured time-to-response trajectory.

trial registrationClinicalTrials.gov identifier NCT06417437; registered before participant recruitment (registration date: 23 April 2024).

Indexed as

Emotional RegulationMajor Depressive DisorderSuicidal IdeationTheta RhythmAdultAntidepressive AgentsDouble-Blind MethodFemaleHumansMaleMiddle AgedPsychiatric Status Rating ScalesTreatment OutcomeAntidepressive AgentsEmotion regulationIntermittent theta burst stimulationMajor depressive disorderSuicidal ideation

Identifiers

PMID42286600
PMCPMC13505019

What OpenQuestion holds

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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.