Repetitive transcranial magnetic stimulation for insomnia: an overview of systematic reviews_West China Medical Journal

Authors：

ZHENG Ruwen ¹ ,  WANG Dongyan ² , DONG Xu ² , ZHANG Hongyan ¹ , ZHENG Yingkang ¹ , WANG Tianyi ¹

1. The Second Clinical Medical School, Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang 150040, P. R. China;
2. The Third Ward of Acupuncture and Moxibustion, the Second Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang 150001, P. R. China;

Corresponding author：

WANG Dongyan, Email: 305873033@qq.com

Keywords：

Repetitive transcranial magnetic stimulation; insomnia; systematic review

DOI：

10.7507/1002-0179.202109202

Video：

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Objective To evaluate the systematic reviews of repetitive transcranial magnetic stimulation (rTMS) for insomnia, to provide supporting evidence for clinical practice. Methods PubMed, Embase, Web of Science, Cochrane Library, Elsevier Science Direct, China National Knowledge Infrastructure, SinoMed, Wanfang and Chongqing VIP were searched from databases establishment to May 30, 2022, to find systematic reviews on the treatment of insomnia with rTMS as the main method. The methodological quality, reporting quality and evidence quality of outcome indicators were evaluated by AMSTAR 2, PRISMA 2020 and GRADE. Results A total of 4 systematic reviews published between 2018 and 2021 were included. Further analysis showed that one of the systematic reviews had a low AMSTAR 2 quality rating and the remaining systematic reviews were very low. The average PRISMA 2020 score of these 4 systematic reviews was (20.75±3.27) points, of which 3 systematic reviews had some defects in their reports, and the other one had relatively complete reports. The GRADE evidence quality assessment showed that there were 40 outcome indicators in the included literature, of which 3 outcome indicators (sleep quality, the percentage of S2 sleep in total sleep time, and S3 sleep in percentage of total sleep time) were rated as moderate, 17 were rated as low and 20 were rated as very low. Conclusions The treatment of insomnia by rTMS has achieved certain effects in clinical practice, but the systematic review of rTMS as the main intervention measure for insomnia needs to further improve the quality and standardize related research. The clinical application of rTMS for insomnia should be treated as appropriate.

Citation： ZHENG Ruwen, WANG Dongyan, DONG Xu, ZHANG Hongyan, ZHENG Yingkang, WANG Tianyi. Repetitive transcranial magnetic stimulation for insomnia: an overview of systematic reviews. West China Medical Journal, 2022, 37(7): 1059-1065. doi: 10.7507/1002-0179.202109202 Copy

1.	顾平, 何金彩, 刘艳骄, 等. 中国失眠障碍诊断和治疗指南//中国失眠障碍诊断和治疗指南编写组. 中国睡眠研究会东北睡眠工作委员会首届学术年会暨黑龙江省中西医结合学会睡眠分会第二届学术年会会议手册. 哈尔滨: 中国睡眠研究会, 2019: 77-86.
2.	American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington District of Columbia: American Psychiatric Association, 1994.
3.	van Straten A, van der Zweerde T, Kleiboer A, et al. Cognitive and behavioral therapies in the treatment of insomnia: a meta-analysis. Sleep Med Rev, 2018, 38: 3-16.
4.	师乐, 陆林. 我国睡眠医学的现状与展望. 中华精神科杂志, 2017, 50(1): 5-7.
5.	Pavlova MK, Latreille V, Puri N, et al. Novel non-pharmacological insomnia treatment - a pilot study. Nat Sci Sleep, 2019, 11: 189-195.
6.	Wickwire EM, Shaya FT, Scharf SM. Health economics of insomnia treatments: the return on investment for a good night’s sleep. Sleep Med Rev, 2016, 30: 72-82.
7.	王东岩. 中西医结合睡眠医学概要. 北京: 人民卫生出版社, 2020: 155-158.
8.	何倩柠, 王雪丁, 黄民, 等. 慢性失眠的药物治疗研究进展. 中国临床药理学杂志, 2018, 34(15): 1932-1936.
9.	Cohrs S, Tergau F, Riech S, et al. High-frequency repetitive transcranial magnetic stimulation delays rapid eye movement sleep. Neuroreport, 1998, 9(15): 3439-3443.
10.	Shea BJ, Reeves BC, Wells G, et al. AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. BMJ, 2017, 358: j4008.
11.	Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Int J Surg, 2021, 88: 105906.
12.	Sun N, He Y, Wang Z, et al. The effect of repetitive transcranial magnetic stimulation for insomnia: a systematic review and meta-analysis. Sleep Med, 2021, 77: 226-237.
13.	Jiang B, He D, Guo Z, et al. Efficacy and placebo response of repetitive transcranial magnetic stimulation for primary insomnia. Sleep Med, 2019, 63: 9-13.
14.	边云, 马泊涛, 王智雄, 等. 重复经颅磁刺激改善失眠患者主观睡眠质量的 Meta 分析. 四川精神卫生, 2019, 32(3): 216-222.
15.	高毅东, 黄俊山, 张瑜, 等. 重复经颅磁刺激对失眠患者睡眠参数影响的 Meta 分析. 中国中医基础医学杂志, 2018, 24(4): 503-506.
16.	谢足勇, 何冬梅, 郭达, 等. 重复经颅磁刺激治疗原发性失眠的安慰剂效应. 西部医学, 2020, 32(4): 540-544.
17.	Herrero Babiloni A, Bellemare A, Beetz G, et al. The effects of non-invasive brain stimulation on sleep disturbances among different neurological and neuropsychiatric conditions: a systematic review. Sleep Med Rev, 2021, 55: 101381.
18.	He Y, Sun N, Wang Z, et al. Effect of repetitive transcranial magnetic stimulation (rTMS) for insomnia: a protocol for a systematic review. BMJ Open, 2019, 9(7): e029206.
19.	张阳普. 通任调督针法配合重复经颅磁刺激对原发性失眠的影响. 武汉: 武汉大学, 2019.
20.	Jiang B, He D, Gao Z. Efficacy and placebo response of multimodal treatments for primary insomnia: a network meta-analysis. Clin Neuropharmacol, 2019, 42(6): 197-202.
21.	崔璐莹, 丁明星. 针刺耐受中枢机制的研究进展. 针刺研究, 2016, 41(6): 550-555.
22.	李江涛, 郑敏军, 曹辉. 经颅磁刺激技术的研究进展. 高电压技术, 2016, 42(4): 1168-1178.
23.	Massimini M, Ferrarelli F, Esser SK, et al. Triggering sleep slow waves by transcranial magnetic stimulation. Proc Natl Acad Sci U S A, 2007, 104(20): 8496-8501.
24.	戴悦, 张宝泉, 李映兰, 等. 中国老年人睡眠质量与抑郁、焦虑相关性的 Meta 分析. 中华护理杂志, 2016, 51(4): 488-493.
25.	Rossini D, Lucca A, Zanardi R, et al. Transcranial magnetic stimulation in treatment-resistant depressed patients: a double-blind, placebo-controlled trial. Psychiatry Res, 2005, 137(1/2): 1-10.
26.	Rollnik JD, Düsterhöft A, Däuper J, et al. Decrease of middle cerebral artery blood flow velocity after low-frequency repetitive transcranial magnetic stimulation of the dorsolateral prefrontal cortex. Clin Neurophysiol, 2002, 113(6): 951-955.
27.	胡树罡, 沈滢, 莫非, 等. 低频重复经颅磁刺激部位对老年慢性失眠症患者的影响. 中国康复医学杂志, 2019, 34(4): 433-439.

1. 顾平, 何金彩, 刘艳骄, 等. 中国失眠障碍诊断和治疗指南//中国失眠障碍诊断和治疗指南编写组. 中国睡眠研究会东北睡眠工作委员会首届学术年会暨黑龙江省中西医结合学会睡眠分会第二届学术年会会议手册. 哈尔滨: 中国睡眠研究会, 2019: 77-86.
2. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington District of Columbia: American Psychiatric Association, 1994.
3. van Straten A, van der Zweerde T, Kleiboer A, et al. Cognitive and behavioral therapies in the treatment of insomnia: a meta-analysis. Sleep Med Rev, 2018, 38: 3-16.
4. 师乐, 陆林. 我国睡眠医学的现状与展望. 中华精神科杂志, 2017, 50(1): 5-7.
5. Pavlova MK, Latreille V, Puri N, et al. Novel non-pharmacological insomnia treatment - a pilot study. Nat Sci Sleep, 2019, 11: 189-195.
6. Wickwire EM, Shaya FT, Scharf SM. Health economics of insomnia treatments: the return on investment for a good night’s sleep. Sleep Med Rev, 2016, 30: 72-82.
7. 王东岩. 中西医结合睡眠医学概要. 北京: 人民卫生出版社, 2020: 155-158.
8. 何倩柠, 王雪丁, 黄民, 等. 慢性失眠的药物治疗研究进展. 中国临床药理学杂志, 2018, 34(15): 1932-1936.
9. Cohrs S, Tergau F, Riech S, et al. High-frequency repetitive transcranial magnetic stimulation delays rapid eye movement sleep. Neuroreport, 1998, 9(15): 3439-3443.
10. Shea BJ, Reeves BC, Wells G, et al. AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. BMJ, 2017, 358: j4008.
11. Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Int J Surg, 2021, 88: 105906.
12. Sun N, He Y, Wang Z, et al. The effect of repetitive transcranial magnetic stimulation for insomnia: a systematic review and meta-analysis. Sleep Med, 2021, 77: 226-237.
13. Jiang B, He D, Guo Z, et al. Efficacy and placebo response of repetitive transcranial magnetic stimulation for primary insomnia. Sleep Med, 2019, 63: 9-13.
14. 边云, 马泊涛, 王智雄, 等. 重复经颅磁刺激改善失眠患者主观睡眠质量的 Meta 分析. 四川精神卫生, 2019, 32(3): 216-222.
15. 高毅东, 黄俊山, 张瑜, 等. 重复经颅磁刺激对失眠患者睡眠参数影响的 Meta 分析. 中国中医基础医学杂志, 2018, 24(4): 503-506.
16. 谢足勇, 何冬梅, 郭达, 等. 重复经颅磁刺激治疗原发性失眠的安慰剂效应. 西部医学, 2020, 32(4): 540-544.
17. Herrero Babiloni A, Bellemare A, Beetz G, et al. The effects of non-invasive brain stimulation on sleep disturbances among different neurological and neuropsychiatric conditions: a systematic review. Sleep Med Rev, 2021, 55: 101381.
18. He Y, Sun N, Wang Z, et al. Effect of repetitive transcranial magnetic stimulation (rTMS) for insomnia: a protocol for a systematic review. BMJ Open, 2019, 9(7): e029206.
19. 张阳普. 通任调督针法配合重复经颅磁刺激对原发性失眠的影响. 武汉: 武汉大学, 2019.
20. Jiang B, He D, Gao Z. Efficacy and placebo response of multimodal treatments for primary insomnia: a network meta-analysis. Clin Neuropharmacol, 2019, 42(6): 197-202.
21. 崔璐莹, 丁明星. 针刺耐受中枢机制的研究进展. 针刺研究, 2016, 41(6): 550-555.
22. 李江涛, 郑敏军, 曹辉. 经颅磁刺激技术的研究进展. 高电压技术, 2016, 42(4): 1168-1178.
23. Massimini M, Ferrarelli F, Esser SK, et al. Triggering sleep slow waves by transcranial magnetic stimulation. Proc Natl Acad Sci U S A, 2007, 104(20): 8496-8501.
24. 戴悦, 张宝泉, 李映兰, 等. 中国老年人睡眠质量与抑郁、焦虑相关性的 Meta 分析. 中华护理杂志, 2016, 51(4): 488-493.
25. Rossini D, Lucca A, Zanardi R, et al. Transcranial magnetic stimulation in treatment-resistant depressed patients: a double-blind, placebo-controlled trial. Psychiatry Res, 2005, 137(1/2): 1-10.
26. Rollnik JD, Düsterhöft A, Däuper J, et al. Decrease of middle cerebral artery blood flow velocity after low-frequency repetitive transcranial magnetic stimulation of the dorsolateral prefrontal cortex. Clin Neurophysiol, 2002, 113(6): 951-955.
27. 胡树罡, 沈滢, 莫非, 等. 低频重复经颅磁刺激部位对老年慢性失眠症患者的影响. 中国康复医学杂志, 2019, 34(4): 433-439.

West China Medical Journal

Repetitive transcranial magnetic stimulation for insomnia: an overview of systematic reviews

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