High frequency repetitive transcranial magnetic stimulation for auditory verbal hallucinations in schizophrenia-spectrum disorders: a naturalistic study

BackgroundThis study investigates the efficacy of high frequency repetitive transcranial magnetic stimulation (rTMS) for auditory verbal hallucinations in patients with schizophrenia spectrum disorders in routine clinical practice.MethodsIn this monocentric study, data were collected on patients wit...

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Main Authors: Virginie Moulier, Charlotte Lemonnier, Sonia Dollfus, Olivier Guillin, Maud Rothärmel
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1551901/full
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author Virginie Moulier
Virginie Moulier
Charlotte Lemonnier
Sonia Dollfus
Sonia Dollfus
Sonia Dollfus
Sonia Dollfus
Olivier Guillin
Olivier Guillin
Olivier Guillin
Olivier Guillin
Olivier Guillin
Maud Rothärmel
Maud Rothärmel
Maud Rothärmel
author_facet Virginie Moulier
Virginie Moulier
Charlotte Lemonnier
Sonia Dollfus
Sonia Dollfus
Sonia Dollfus
Sonia Dollfus
Olivier Guillin
Olivier Guillin
Olivier Guillin
Olivier Guillin
Olivier Guillin
Maud Rothärmel
Maud Rothärmel
Maud Rothärmel
author_sort Virginie Moulier
collection DOAJ
description BackgroundThis study investigates the efficacy of high frequency repetitive transcranial magnetic stimulation (rTMS) for auditory verbal hallucinations in patients with schizophrenia spectrum disorders in routine clinical practice.MethodsIn this monocentric study, data were collected on patients with schizophrenia treated by rTMS for resistant auditory verbal hallucinations from May 2020 to May 2024. Treatment efficacy was regularly assessed.ResultsThe data of 65 patients were collected. There was a significant improvement in the Auditory Hallucination Rating Scale (AHRS, p<0.001), in the Brief psychiatric Rating scale (BPRS, p<0.001) and in the Clinical Global Impression-Improvement (p<0.001) scores over time (from baseline up to six months). The maximum response rate (40%) was obtained after nine weeks of rTMS (on average (SD), after 30.6 (7.8) rTMS sessions). The responders were significantly younger than non-responders (p=0.002). The good tolerance of the rTMS treatment allowed excellent compliance: only seven patients (10.8%) asked to stop rTMS or were non-compliant.ConclusionThese data show the clinical interest and the good tolerance of rTMS in daily practice in patients with schizophrenia suffering from auditory verbal hallucinations.
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spelling doaj-art-6a6c343e43f74ef8bed17f81bc59c9502025-08-20T03:07:51ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-06-011610.3389/fpsyt.2025.15519011551901High frequency repetitive transcranial magnetic stimulation for auditory verbal hallucinations in schizophrenia-spectrum disorders: a naturalistic studyVirginie Moulier0Virginie Moulier1Charlotte Lemonnier2Sonia Dollfus3Sonia Dollfus4Sonia Dollfus5Sonia Dollfus6Olivier Guillin7Olivier Guillin8Olivier Guillin9Olivier Guillin10Olivier Guillin11Maud Rothärmel12Maud Rothärmel13Maud Rothärmel14Centre Hospitalier du Rouvray, Service Hospitalo-Universitaire de Psychiatrie, Centre d’Excellence Thérapeutique, Sotteville-lès-Rouen, FranceEtablissement Public de Santé (EPS) Ville Evrard, Centre de Recherche Clinique, Neuilly-sur-Marne, FranceCentre Hospitalier du Rouvray, Service Hospitalo-Universitaire de Psychiatrie, Centre d’Excellence Thérapeutique, Sotteville-lès-Rouen, FranceInserm UMR-S 1237 PhIND, Presage team, GIP Cyceron, Caen, FranceNormandie Univ, Université de Caen Normandie (UNICAEN), UFR de Médecine, Caen, FranceCHU de Caen, Service de Psychiatrie, Caen, FranceFédération Hospitalo-Universitaire (FHU) A2M2P- CHU, Caen, FranceCentre Hospitalier du Rouvray, Service Hospitalo-Universitaire de Psychiatrie, Centre d’Excellence Thérapeutique, Sotteville-lès-Rouen, FranceFédération Hospitalo-Universitaire (FHU) A2M2P- CHU, Caen, FranceDepartment of Psychiatry, Rouen University Hospital, Rouen, FranceFaculté de Médecine, Normandie University, Rouen, FranceINSERM U 1245, University of Rouen, Rouen, FranceCentre Hospitalier du Rouvray, Service Hospitalo-Universitaire de Psychiatrie, Centre d’Excellence Thérapeutique, Sotteville-lès-Rouen, FranceFédération Hospitalo-Universitaire (FHU) A2M2P- CHU, Caen, FranceINSERM U 1245, University of Rouen, Rouen, FranceBackgroundThis study investigates the efficacy of high frequency repetitive transcranial magnetic stimulation (rTMS) for auditory verbal hallucinations in patients with schizophrenia spectrum disorders in routine clinical practice.MethodsIn this monocentric study, data were collected on patients with schizophrenia treated by rTMS for resistant auditory verbal hallucinations from May 2020 to May 2024. Treatment efficacy was regularly assessed.ResultsThe data of 65 patients were collected. There was a significant improvement in the Auditory Hallucination Rating Scale (AHRS, p<0.001), in the Brief psychiatric Rating scale (BPRS, p<0.001) and in the Clinical Global Impression-Improvement (p<0.001) scores over time (from baseline up to six months). The maximum response rate (40%) was obtained after nine weeks of rTMS (on average (SD), after 30.6 (7.8) rTMS sessions). The responders were significantly younger than non-responders (p=0.002). The good tolerance of the rTMS treatment allowed excellent compliance: only seven patients (10.8%) asked to stop rTMS or were non-compliant.ConclusionThese data show the clinical interest and the good tolerance of rTMS in daily practice in patients with schizophrenia suffering from auditory verbal hallucinations.https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1551901/fullschizophreniahallucinationsrepetitive transcranial magnetic stimulation (rTMS)high frequency rTMSleft temporo-parietal junction region
spellingShingle Virginie Moulier
Virginie Moulier
Charlotte Lemonnier
Sonia Dollfus
Sonia Dollfus
Sonia Dollfus
Sonia Dollfus
Olivier Guillin
Olivier Guillin
Olivier Guillin
Olivier Guillin
Olivier Guillin
Maud Rothärmel
Maud Rothärmel
Maud Rothärmel
High frequency repetitive transcranial magnetic stimulation for auditory verbal hallucinations in schizophrenia-spectrum disorders: a naturalistic study
Frontiers in Psychiatry
schizophrenia
hallucinations
repetitive transcranial magnetic stimulation (rTMS)
high frequency rTMS
left temporo-parietal junction region
title High frequency repetitive transcranial magnetic stimulation for auditory verbal hallucinations in schizophrenia-spectrum disorders: a naturalistic study
title_full High frequency repetitive transcranial magnetic stimulation for auditory verbal hallucinations in schizophrenia-spectrum disorders: a naturalistic study
title_fullStr High frequency repetitive transcranial magnetic stimulation for auditory verbal hallucinations in schizophrenia-spectrum disorders: a naturalistic study
title_full_unstemmed High frequency repetitive transcranial magnetic stimulation for auditory verbal hallucinations in schizophrenia-spectrum disorders: a naturalistic study
title_short High frequency repetitive transcranial magnetic stimulation for auditory verbal hallucinations in schizophrenia-spectrum disorders: a naturalistic study
title_sort high frequency repetitive transcranial magnetic stimulation for auditory verbal hallucinations in schizophrenia spectrum disorders a naturalistic study
topic schizophrenia
hallucinations
repetitive transcranial magnetic stimulation (rTMS)
high frequency rTMS
left temporo-parietal junction region
url https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1551901/full
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