Depression
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Meets the diagnostic criteria for depression in the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5), without psychotic symptoms, as confirmed by two or more attending psychiatrists. 2. Aged 18–65 years, regardless of gender. 3. Hamilton Depression Rating Scale 17-item (HAMD-17) score > 17. 4. Patients currently receiving stable treatment with SSRIs, with no changes in medication during the 4 weeks prior to this study and throughout the treatment and evaluation periods. 5. Right-handed. 6. Willing to actively cooperate with treatment after fully understanding the safety of iTBS therapy and signing an informed consent form.
Exclusion criteria
Exclusion criteria: 1. Patients with contraindications to rTMS treatment or fMRI scanning. 2. Patients with a lifetime or current diagnosis of other mental disorders based on the DSM-5. 3. Depression caused by other psychoactive substances or non-addictive substances. 4. Conditions or medications that significantly affect inflammation levels: such as active autoimmune diseases (rheumatoid arthritis, systemic lupus erythematosus), active infections (within the past 4 weeks), active tumors, recent surgery or trauma (within the past 3 months), or obesity (BMI >= 30 kg/m²). 5. Participants who have received Stanford Neurostimulation Therapy prior to enrollment, have undergone electroconvulsive therapy within the past six months, or have been unresponsive to the aforementioned treatment methods. 6. Pregnant or breastfeeding women.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Levels of Inflammatory factors in the blood;Montgomery-?sberg Depression Rating Scale;Hamilton Depression Rating Scale, 17-item version;Clinical Global Impression Scale; | — |
Countries
China
Contacts
Hebei Provincial Mental Health Center