Adjunctive intermittent theta-burst stimulation for first-episode schizophrenia: A randomized clinical trial.
Kun Zhang, Hua Xue, Chaomin Wang et al.
✦ AI-curated · Sources linked
In 30 seconds
This randomized controlled trial evaluated the efficacy of adjunctive intermittent theta-burst stimulation (iTBS) in 100 first-episode schizophrenia patients receiving risperidone and cognitive behavioral therapy (CBT). The iTBS group demonstrated a significant reduction in PANSS total scores compared to controls, with a mean difference of -13.3 at 3 months and a responder rate of 76% versus 48%.
Key findings
- iTBS group had a mean PANSS reduction of -13.3 at 3 months compared to controls.
- Responder rate was significantly higher in the iTBS group at 76% versus 48%.
- Cognitive function improvements were significant across all domains in the iTBS group.
- Post-treatment, iTBS group showed higher GDNF and lower cortisol and DHEA-S levels.
Why it matters
The findings suggest that adjunctive iTBS may enhance treatment outcomes in first-episode schizophrenia, potentially leading to improved symptom management and cognitive function. Understanding the role of biomarkers could also inform future treatment strategies.