Evaluation of the Efficacy of Transcranial Magnetic Stimulation on Resistant Auditory Hallucinations in Schizophrenia
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: The rTMS method, The cTBS method.
- Кому может быть актуально
- Состояния в реестре: Schizophrenia, Transcranial Magnetic Stimulation, Hallucinations, Verbal Auditory. Базовые параметры: от 18 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Франция
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
Treatment of Resistant Auditory Hallucinations in Schizophrenia by Repetitive Transcranial Magnetic Stimulation. Naturalistic Study
Обзор
This open naturalistic study aims to evaluate the efficacy of rTMS in routine practice on auditory resistant hallucinations (AHR) of patients with schizophrenia. To this end, two stimulation methods will be offered to patients: the rTMS stimulation method and the cTBS stimulation method.We principally use the AHRS scale to evaluate the effectiveness of rTMS on RAH in patients with schizophrenia. Our main hypothesis is that rTMS used under naturalistic conditions, in addition to antipsychotics, would allow a relative improvement of resistant auditory hallucinations assessed by the AHRS scale between baseline and end of treatment in patients with schizophrenia.
Вмешательства
- Другое The rTMS method
The patient receives treatment under naturalistic conditions in routine practice. - Другое The cTBS method
The patient receives the treatment under naturalistic conditions in routine practice.
Первичные конечные точки
- The evolution will be evaluated mainly with the AHRS (Auditory Hallucinations Rating Scale) [Срок оценки: Baseline and at the end of the treatment, also at 1 month and 3 months after the end of the treatment]
Вторичные конечные точки (7)
- Response rate: a response is defined as a decrease greater than or equal to 30% of total AHRS score from baseline to end of treatment. [Срок оценки: Baseline and at the end of the treatment]
- Rate of patients with an end-of-treatment score < 3 on the Positive And Negative Syndrome Scale (PANSS) "Hallucinatory Behavior" item [Срок оценки: Baseline and at the end of the treatment]
- Cognitive symptoms: Montreal Cognitive Assessment (MOCA), Stroop [Срок оценки: Baseline and 1 month after the end of treatment]
- Addictive attitudes: number of cigarettes/d (tobacco), The Cannabis Abuse Screening Test (CAST), Marijuana Craving Questionnaire (MCQ) [Срок оценки: Baseline and at the end of the treatment]
- Mood: Calgary Depression Scale for Schizophrenia (CDSS) [Срок оценки: Baseline and the end of the treatment]
- Quality of life: The Subjective Quality of Life Scale (S-QoL) [Срок оценки: Baseline and end of treatment, also at 1 month and 3 months after the end of the treatment]
- Clinical Global Impressions (CGI) Scale [Срок оценки: Baseline and end of treatment, also at 1 month and 3 months after the end of the treatment]
Критерии участия
Критерии включения
- Patient over 18 years of age
- Patient diagnosed with schizophrenia according to DSM-V criteria (Diagnostic and Statistical Manual of Mental Disorder V5, 2013)
- Presence of auditory hallucinations: Resistant auditory hallucinations: resistance to treatment with 2 different well-conducted antipsychotics.
- Patient agreeing to participate in the study and having signed an informed consent
- Patient with French language skills
- Affiliation to a social security system
- Women of childbearing age must be on contraception and have a negative pregnancy test (βHCG)
Критерии исключения
- Have a contraindication to MST: intracranial foreign body, unstabilized epilepsy, cochlear implant
- Presence of an unstabilized medical condition
- Pregnant woman (Women of childbearing age without effective contraception)
- Current or less than one month old engagement in another research protocol
- A person who is subject to a safeguard of justice measure
- An adult under curatorship
- Minor patients with mental health problems
- Pregnant or breastfeeding women
- A person in a social fragility (Persons deprived of liberty by a judicial or administrative decision, hospitalized persons)
- Persons incapable or unable to give consent
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Нерандомизированное
- Модель
- Параллельные группы
- Маскирование
- Тройное слепое
- Основная цель
- Лечение
Центры проведения
Франция · 1 центр
- Etablissement Public de Santé de Ville-Evrard — Neuilly-sur-Marne
Идентификаторы
NCT: NCT06599372 · 2021-A02698-33