Repeated Transcranial Magnetic Stimulation Relieves Maternal Care Impairment

NCT ID: NCT06743724

Last Updated: 2024-12-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-06-14

Study Completion Date

2026-01-30

Brief Summary

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Objective: To evaluate the overall efficacy of repetitive transcranial magnetic stimulation (rTMS) in the treatment of maternal care impairment and to explore the central mechanism of rTMS for maternal care impairment.

Methods: Fifty participants meeting the inclusion criteria were divided into high-score and low-score groups based on the Maternal Care Rating Scale (MCRS). Participants in the low-score group received rTMS treatment (1 Hz, 20 minutes per session, once daily) for two weeks. Functional magnetic resonance imaging (fMRI) and MCRS assessments were conducted both before and after the treatment to evaluate changes. Additionally, in the high-score group, fMRI was used to assess functional changes in specific brain regions.

Detailed Description

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A substantial body of literature has reported that repetitive transcranial magnetic stimulation (rTMS) can alleviate negative emotions. The underlying mechanisms include its ability to modulate cortical excitability, enhance cerebral blood flow and metabolism, regulate neurotransmitter and gene expression, and promote neuroplastic changes in the nervous system.

Methods:

1. Fifty recruited volunteers were divided into high-score and low-score groups based on the Maternal Care Rating Scale (MCRS). Functional magnetic resonance imaging (fMRI) was used to assess differences in brain function between the two groups.
2. The low-score group underwent a two-week intervention with repetitive transcranial magnetic stimulation (rTMS) (1 Hz, 20 minutes per session, once daily). The MCRS served as the primary outcome measure to evaluate treatment efficacy. Additionally, fMRI was performed to compare pre- and post-treatment changes in brain function. The functional magnetic resonance data of both the high-score and low-score groups were analyzed using the amplitude of low-frequency fluctuation (ALFF) method and the regional homogeneity (ReHo) method to identify differences in brain function. For the low-score group, changes in ALFF and ReHo values in specific brain regions before and after treatment were compared. These changes were correlated with the improvement values of the clinical observation index to identify target brain areas that mediate the effects of rTMS.

Conditions

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Maternal Care Patterns Repetitive Transcranial Magnetic Stimulation (rTMS) Functional Magnetic Resonance Imaging

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Low-score group

The low-score group received rTMS at 1 Hz for 20 minutes per session, once daily, for a duration of 2 weeks.

Group Type EXPERIMENTAL

repeated transcranial magnetic stimulation treatment

Intervention Type DEVICE

Patients with low score of Maternal Care Rating Scale received repetitive transcranial magnetic stimulation at 1 Hz/s for 20 minutes for 2 week.

Interventions

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repeated transcranial magnetic stimulation treatment

Patients with low score of Maternal Care Rating Scale received repetitive transcranial magnetic stimulation at 1 Hz/s for 20 minutes for 2 week.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Healthy mothers.
* Aged between 18 and 45 years.
* No pharmacological treatment (excluding emergency treatment) for at least 2 weeks prior to the start of treatment; cannot be enrolled in other clinical trials simultaneously.
* Voluntarily sign the informed consent form and willingly participate in the clinical study.

Exclusion Criteria

* Age below 18 years or above 45 years.
* Unmarried, nulliparous women.
* Individuals with severe liver, kidney, hematological diseases, cardiovascular diseases, or other conditions that significantly affect cognitive function.
* Participants with a clear history of organic diseases, or systemic conditions such as diabetes, hyperthyroidism, etc.
* Participants undergoing other treatments or taking medications that may interfere with the outcome assessment.
* Pregnant women, breastfeeding women, or women within six months postpartum.
* Individuals with severe needle phobia, metal allergies, or allergic conditions, or those with a cardiac pacemaker.
* Participants who do not comply with random group assignment or have unstable tendencies such as poor adherence.
* Individuals currently participating in other research studies.
* Individuals unwilling to sign the informed consent form.
Minimum Eligible Age

15 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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The First Affiliated Hospital of Soochow University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Guangyin Xu

Role: PRINCIPAL_INVESTIGATOR

The First Affiliated Hospital of Soochow University

Locations

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The First Affiliated Hospital of Soochow University

Suzhou, Jiangsu, China, China

Site Status

Countries

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China

Other Identifiers

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No.2024-117

Identifier Type: -

Identifier Source: org_study_id