Evidence map›Paper›PMID 41704822›Full record

ReviewBrain communications2026

Efficacy and long-term effects of intermittent theta burst stimulation on negative symptoms in schizophrenia: a systematic review and meta-analysis.

Shuyan Tong, Sisi Chen, Jin Chen, Zhu Tong, Wanlong Li, Shasha Liu, Hanqing Shi, Lei Yao, Caiyi Zhang, Xiangrong Zhang

Registry-linked trialAbstract readReview
In one paragraph

Review in Brain communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07680959 (The Efficacy of Combined HD-tDCS and iTBS in Treating Negative Symptoms of Schizophrenia), which is not on this map. Not yet cited in PubMed.

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

NCT07680959 naenrolling by invitationnot on this map

The Efficacy of Combined HD-tDCS and iTBS in Treating Negative Symptoms of Schizophrenia

TypeinterventionalSponsorTri-Service General Hospital (TSGH)Ran2024 to 2028Enrolled100ConditionsNegative Symptoms in Schizophrenia, Brain Stimulation InterventionArmsactive iTBS followed by active HD-tDCS, active iTBS followed by sham HD-tDCS, sham iTBS followed by active HD-tDCS, sham iTBS followed by sham HD-tDCS
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Shuyan TongDepartment of Geriatric Psychiatry, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing 210029, Jiangsu, China.
Sisi ChenDepartment of Psychiatry, The Affiliated Xuzhou Oriental Hospital of Xuzhou Medical University, Xuzhou 221004, Jiangsu, China.
Jin ChenDepartment of Psychiatry, The Affiliated Xuzhou Oriental Hospital of Xuzhou Medical University, Xuzhou 221004, Jiangsu, China.
Zhu TongDepartment of Psychiatry, The Affiliated Xuzhou Oriental Hospital of Xuzhou Medical University, Xuzhou 221004, Jiangsu, China.
Wanlong LiDepartment of Psychiatry, The Affiliated Xuzhou Oriental Hospital of Xuzhou Medical University, Xuzhou 221004, Jiangsu, China.
Shasha LiuDepartment of Psychiatry, The Affiliated Xuzhou Oriental Hospital of Xuzhou Medical University, Xuzhou 221004, Jiangsu, China.
Hanqing ShiDepartment of Psychiatry, The Affiliated Xuzhou Oriental Hospital of Xuzhou Medical University, Xuzhou 221004, Jiangsu, China.
Lei YaoDepartment of Psychiatry, The Affiliated Xuzhou Oriental Hospital of Xuzhou Medical University, Xuzhou 221004, Jiangsu, China.
Caiyi ZhangDepartment of Psychiatry, The Affiliated Xuzhou Oriental Hospital of Xuzhou Medical University, Xuzhou 221004, Jiangsu, China.
Xiangrong ZhangDepartment of Geriatric Psychiatry, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing 210029, Jiangsu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aims to investigate the clinical efficacy and long-term benefits of intermittent theta burst stimulation (iTBS) in alleviating negative symptoms in patients with schizophrenia. Two authors independently identified eligible studies from the Medical Literature Analysis and Retrieval System Online, Cochrane Library, Web of Science, and Excerpta Medica Database databases up to October 21, 2024. Our meta-analysis was conducted using Review Manager 5.3 and Stata 14 software. Seventeen randomized controlled trials with a total of 764 participants were included in the meta-analysis. iTBS demonstrated greater efficacy in alleviating negative symptoms immediately after treatment (standardized mean difference = -0.55, 95% confidence interval: -1.00 to -0.10). Improved outcomes were associated with stimulation targeting the left dorsolateral prefrontal cortex, delivery of more than 9900 pulses across over 10 sessions, and use of a stimulation intensity at 80% of the motor threshold. The follow-up results indicated that the iTBS group exhibited greater efficacy than the sham group only at the 6-month mark (standardized mean difference = -0.56, 95% confidence interval: -1.10 to -0.02). iTBS also reduced Positive and Negative Syndrome Scale general and total scores, whereas no significant effect was observed for positive symptoms. Our meta-analysis suggests that iTBS may alleviate negative symptoms in schizophrenia, with preliminary evidence of long-term benefits observed at the 6-month follow-up.

Indexed as

left dorsolateral prefrontal cortexlong-term effectsnegative symptomsschizophreniatheta burst stimulation

Identifiers

PMID41704822
PMCPMC12906989

What Socratic 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 Socratic graph.