| Chen Xiaoya,He Jiawei,Liu Yan,Wang Yi,Yao Jing,Huang Xiaoqi,Efficacy and influencing factors of repetitive transcranial magnetic stimulation in the treatment of chronic insomnia[J].SICHUAN MENTAL HEALTH,2024,(1):16-20 |
| Efficacy and influencing factors of repetitive transcranial magnetic stimulation in the treatment of chronic insomnia |
DOI：10.11886/scjsws20231113005 |
| English keywords:repetitive Transcranial Magnetic Stimulation Insomnia Personality trait |
| Fund projects:国家自然科学基金项目（项目名称：基于同步TMS-MRI技术研究神经调控治疗抑郁症的脑机制，项目编号：82372080） |
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| Background Chronic insomnia is characterized by a prolonged and recurrent course. The efficacy of repeated transcranial magnetic stimulation （rTMS） as a physical therapy method to improve sleep quality remains inadequately supported by evidence， particularly regarding its relationship with personality traits.Objective To explore the efficacy and influencing factors of rTMS in the treatment of chronic insomnia， and to provide insights into its therapeutic potential.Method A total of 46 patients who met the diagnostic criteria for chronic insomnia according to the Diagnostic and Statistical Manual of Mental Disorders， fifth edition （DSM-5）， and were treated at the Third Hospital of Mianyang from September 2022 to September 2023 were selected. Prior to treatment， participants underwent assessments using the Eysenck Personality Questionnaire （EPQ）， Hamilton Depression Scale-17 item （HAMD-17） and Hamilton Anxiety Scale （HAMA）. The Pittsburgh Sleep Quality Index （PSQI） was used to assess sleep quality before treatment， at the end of the second week of treatment and one week post-treatment.Results At the end of the second week of treatment， patients exhibited significantly improved total PSQI score and subscale scores related to subjective sleep quality， sleep latency， sleep duration， sleep efficiency， sleep disturbance and daytime dysfunction （t=4.755~13.361， P<0.01）， with 24 cases （54.35%） showing effective treatment outcomes. Multiple linear regression analysis showed that introverted and extroverted personality traits contributed significantly to the regression equation （B=0.317， P<0.01）， explaining 29.90% of the total variation （R2=0.299）.Conclusion rTMS treatment may effectively improve the sleep quality of patients with chronic insomnia， with its therapeutic effect appearing to associated with introverted and extroverted personality traits. ［Funded by National Natural Science Project of China （number， 82372080）］ |
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