Effects of bilateral repetitive transcranial magnetic stimulation on prospective memory in patients with schizophrenia: A double-blind randomized controlled clinical trial.

IF 2 Q3 NEUROSCIENCES Neuropsychopharmacology Reports Pub Date : 2024-03-01 Epub Date: 2023-12-06 DOI:10.1002/npr2.12397
Fen Xue, Xin-Fu Wang, Fan-Ni Kong, Tian-Lu Yin, Yu-Hong Wang, Li-Da Shi, Xiao-Wen Liu, Hui-Jing Yu, Li-Jun Liu, Ping Zhu, Xiao-Xue Qi, Xue-Jing Xu, Hong-Pu Hu, Su-Xia Li
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Abstract

Aims: To investigate effects of repetitive transcranial magnetic stimulation (rTMS) on the prospective memory (PM) in patients with schizophrenia (SCZ).

Methods: Fifty of 71 patients completed this double-blind placebo-controlled randomized trial and compared with 18 healthy controls' (HCs) PM outcomes. Bilateral 20 Hz rTMS to the dorsolateral prefrontal cortex at 90% RMT administered 5 weekdays for 4 weeks for a total of 20 treatments. The Positive and Negative Symptom Scale (PANSS), the Scale for the Assessment of Negative Symptoms (SANS), and PM test were assessed before and after treatment.

Results: Both Event-based PM (EBPM) and Time-based PM (TBPM) scores at baseline were significantly lower in patients with SCZ than that in HCs. After rTMS treatments, the scores of EBPM in patients with SCZ was significantly improved and had no differences from that in HCs, while the scores of TBPM did not improved. The negative symptom scores on PANSS and the scores of almost all subscales and total scores of SANS were significantly improved in both groups.

Conclusions: Our findings indicated that bilateral high-frequency rTMS treatment can alleviate EBPM but not TBPM in patients with SCZ, as well as improve the negative symptoms.

Significance: Our results provide one therapeutic option for PM in patients with SCZ.

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双侧重复经颅磁刺激对精神分裂症患者前瞻性记忆的影响:双盲随机对照临床试验。
目的:研究重复经颅磁刺激(rTMS)对精神分裂症(SCZ)患者前瞻性记忆(PM)的影响:71名患者中有50人完成了这项双盲安慰剂对照随机试验,并与18名健康对照者(HCs)的前瞻性记忆结果进行了比较。对背外侧前额叶皮层进行双侧 20 赫兹经颅磁刺激,RMT 为 90%,连续 4 周,每周 5 天,共 20 次治疗。对治疗前后的阳性和阴性症状量表(PANSS)、阴性症状评估量表(SANS)以及 PM 测试进行评估:结果:基于事件的 PM(EBPM)和基于时间的 PM(TBPM)基线得分在 SCZ 患者中明显低于 HCs 患者。经颅磁刺激治疗后,SCZ患者的EBPM评分明显改善,与HC患者无差异,而TBPM评分没有改善。两组患者的 PANSS 阴性症状评分以及 SANS 几乎所有分量表的评分和总分均有明显改善:结论:我们的研究结果表明,双侧高频经颅磁刺激治疗可以缓解 SCZ 患者的 EBPM,但不能缓解 TBPM,同时还能改善患者的阴性症状:我们的研究结果为SCZ患者的PM提供了一种治疗方案。
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来源期刊
Neuropsychopharmacology Reports
Neuropsychopharmacology Reports Psychology-Clinical Psychology
CiteScore
3.60
自引率
4.00%
发文量
75
审稿时长
14 weeks
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