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.	顧平, 何金彩, 劉艷驕, 等. 中國失眠障礙診斷和治療指南//中國失眠障礙診斷和治療指南編寫組. 中國睡眠研究會東北睡眠工作委員會首屆學術年會暨黑龍江省中西醫結合學會睡眠分會第二屆學術年會會議手冊. 哈爾濱: 中國睡眠研究會, 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.	師樂, 陸林. 我國睡眠醫學的現狀與展望. 中華精神科雜志, 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.	王東巖. 中西醫結合睡眠醫學概要. 北京: 人民衛生出版社, 2020: 155-158.
8.	何倩檸, 王雪丁, 黃民, 等. 慢性失眠的藥物治療研究進展. 中國臨床藥理學雜志, 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.	邊云, 馬泊濤, 王智雄, 等. 重復經顱磁刺激改善失眠患者主觀睡眠質量的 Meta 分析. 四川精神衛生, 2019, 32(3): 216-222.
15.	高毅東, 黃俊山, 張瑜, 等. 重復經顱磁刺激對失眠患者睡眠參數影響的 Meta 分析. 中國中醫基礎醫學雜志, 2018, 24(4): 503-506.
16.	謝足勇, 何冬梅, 郭達, 等. 重復經顱磁刺激治療原發性失眠的安慰劑效應. 西部醫學, 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.	張陽普. 通任調督針法配合重復經顱磁刺激對原發性失眠的影響. 武漢: 武漢大學, 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.	崔璐瑩, 丁明星. 針刺耐受中樞機制的研究進展. 針刺研究, 2016, 41(6): 550-555.
22.	李江濤, 鄭敏軍, 曹輝. 經顱磁刺激技術的研究進展. 高電壓技術, 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.	戴悅, 張寶泉, 李映蘭, 等. 中國老年人睡眠質量與抑郁、焦慮相關性的 Meta 分析. 中華護理雜志, 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, Düsterh?ft A, D?uper 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.	胡樹罡, 沈瀅, 莫非, 等. 低頻重復經顱磁刺激部位對老年慢性失眠癥患者的影響. 中國康復醫學雜志, 2019, 34(4): 433-439.

1. 顧平, 何金彩, 劉艷驕, 等. 中國失眠障礙診斷和治療指南//中國失眠障礙診斷和治療指南編寫組. 中國睡眠研究會東北睡眠工作委員會首屆學術年會暨黑龍江省中西醫結合學會睡眠分會第二屆學術年會會議手冊. 哈爾濱: 中國睡眠研究會, 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. 師樂, 陸林. 我國睡眠醫學的現狀與展望. 中華精神科雜志, 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. 王東巖. 中西醫結合睡眠醫學概要. 北京: 人民衛生出版社, 2020: 155-158.
8. 何倩檸, 王雪丁, 黃民, 等. 慢性失眠的藥物治療研究進展. 中國臨床藥理學雜志, 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. 邊云, 馬泊濤, 王智雄, 等. 重復經顱磁刺激改善失眠患者主觀睡眠質量的 Meta 分析. 四川精神衛生, 2019, 32(3): 216-222.
15. 高毅東, 黃俊山, 張瑜, 等. 重復經顱磁刺激對失眠患者睡眠參數影響的 Meta 分析. 中國中醫基礎醫學雜志, 2018, 24(4): 503-506.
16. 謝足勇, 何冬梅, 郭達, 等. 重復經顱磁刺激治療原發性失眠的安慰劑效應. 西部醫學, 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. 張陽普. 通任調督針法配合重復經顱磁刺激對原發性失眠的影響. 武漢: 武漢大學, 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. 崔璐瑩, 丁明星. 針刺耐受中樞機制的研究進展. 針刺研究, 2016, 41(6): 550-555.
22. 李江濤, 鄭敏軍, 曹輝. 經顱磁刺激技術的研究進展. 高電壓技術, 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. 戴悅, 張寶泉, 李映蘭, 等. 中國老年人睡眠質量與抑郁、焦慮相關性的 Meta 分析. 中華護理雜志, 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, Düsterh?ft A, D?uper 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. 胡樹罡, 沈瀅, 莫非, 等. 低頻重復經顱磁刺激部位對老年慢性失眠癥患者的影響. 中國康復醫學雜志, 2019, 34(4): 433-439.

West China Medical Journal

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

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