Efficacy and influencing factors of repetitive transcranial magnetic stimulation in the treatment of chronic insomnia
10.11886/scjsws20231113005
- VernacularTitle:重复经颅磁刺激治疗慢性失眠障碍的效果及影响因素
- Author:
Xiaoya CHEN
1
;
Jiawei HE
1
;
Yan LIU
1
;
Yi WANG
2
;
Jing YAO
1
;
Xiaoqi HUANG
3
Author Information
1. School of Mental Health， North Sichuan Medical College， Nanchong 637000， China
2. Sichuan Mental Health Center· The Third Hospital of Mianyang， Mianyang 621000， China
3. West China Hospital， Sichuan University， Chengdu 610000， China
- Publication Type:Journal Article
- Keywords:
repetitive Transcranial Magnetic Stimulation;
Insomnia;
Personality trait
- From:
Sichuan Mental Health
2024;37(1):16-20
- CountryChina
- Language:Chinese
-
Abstract:
BackgroundChronic 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. ObjectiveTo explore the efficacy and influencing factors of rTMS in the treatment of chronic insomnia， and to provide insights into its therapeutic potential. MethodA 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. ResultsAt 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）. ConclusionrTMS 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）］
