Evidence map›Paper›PMID 41703265›Full record

ArticleMolecular psychiatry2026

Exploring the impact of cognitive profiles on the response to magnetic seizure therapy and electroconvulsive therapy.

Zhenglong Guo, Wentao Zhao, Jianhong Li, Haoxiang Zhang, Binbin Chen, Simeng Wei, Yao Gao, Xiao Wang, Xinzhe Du, Yong Xu and 2 more

Abstract read
In one paragraph

Article in Molecular psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

12 authors.

Zhenglong Guo *Department of Psychiatry, First Hospital/First Clinical Medical College of Shanxi Medical University, Taiyuan, China.
Wentao Zhao *Department of Psychiatry, First Hospital/First Clinical Medical College of Shanxi Medical University, Taiyuan, China.
Jianhong Li *Department of Psychiatry, First Hospital/First Clinical Medical College of Shanxi Medical University, Taiyuan, China.
Haoxiang ZhangDepartment of Psychiatry, First Hospital/First Clinical Medical College of Shanxi Medical University, Taiyuan, China.
Binbin ChenDepartment of Psychiatry, First Hospital/First Clinical Medical College of Shanxi Medical University, Taiyuan, China.
Simeng WeiDepartment of Psychiatry, First Hospital/First Clinical Medical College of Shanxi Medical University, Taiyuan, China.
Yao GaoDepartment of Psychiatry, First Hospital/First Clinical Medical College of Shanxi Medical University, Taiyuan, China.
Xiao WangDepartment of Psychiatry, First Hospital/First Clinical Medical College of Shanxi Medical University, Taiyuan, China.
Xinzhe DuDepartment of Psychiatry, First Hospital/First Clinical Medical College of Shanxi Medical University, Taiyuan, China.
Yong XuThe Eighth Affiliated Hospital, Sun Yat-Sen University, Shenzhen, China.
Zhifen LiuDepartment of Psychiatry, First Hospital/First Clinical Medical College of Shanxi Medical University, Taiyuan, China.
Sha LiuDepartment of Psychiatry, First Hospital/First Clinical Medical College of Shanxi Medical University, Taiyuan, China. liusha1984114@163.com.ORCID http://orcid.org/0000-0002-6710-8126

Funding

National Natural Science Foundation of China (National Science Foundation of China) 82271546
6 · The paper itself

Abstract

Magnetic seizure therapy (MST) and electroconvulsive therapy (ECT) are effective treatments for schizophrenia (SCZ) and major depressive disorder (MDD), with MST offering advantages in preserving cognitive function. Although cognitive profiles are known to influence treatment outcomes, their role in moderating response to seizure therapies remains unclear. We conducted an open-label, non-randomized controlled trial to compare the efficacy of MST and ECT across different cognitive profiles. From October 2020 to June 2024, we recruited 263 patients with SCZ and 135 patients with MDD, identifying cognitive profiles through latent profile analysis. Among them, 54 patients with SCZ and 119 patients with MDD received MST or ECT, completing 3 or 4 sessions per week. MST was administered at 100% device output and 100 Hz over the vertex. Treatment effectiveness was measured using the Positive and Negative Syndrome Scale and the 24-item Hamilton Depression Rating Scale, while cognitive function with the MATRICS Consensus Cognitive Battery. We analyzed outcomes trajectories using a linear mixed-effects model. Results indicated significant symptom score reductions for both MST and ECT. MST provided better cognitive benefits, especially in information processing speed. Among cognitive profiles, the Optimal-Cognition Group in SCZ receiving ECT showed the strongest symptom reduction, while the Poor-Cognition Group in MDD receiving ECT exhibited the greatest symptom reduction. In contrast, MST had comparable treatment effects on both cognitive groups in SCZ and MDD. In conclusion, MST and ECT yielded similar clinical outcomes, but MST provided better cognitive protective advantages; baseline cognitive profiles appeared to influence ECT outcomes, whereas MST effects were relatively consistent across cognitive profiles.

Indexed as

CognitionElectroconvulsive TherapyMagnetic Field TherapySchizophreniaTranscranial Magnetic StimulationAdultCognitive EnhancementFemaleHumansMajor Depressive DisorderMaleMiddle AgedNeuropsychological TestsSeizuresTreatment Effect HeterogeneityTreatment Outcome

Identifiers

PMID41703265
PMCPMC13268970

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

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 Socratic graph.