ORIGINAL RESEARCH article

Front. Psychiatry

Sec. Schizophrenia

Volume 16 - 2025 | doi: 10.3389/fpsyt.2025.1551901

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

Provisionally accepted
Virginie  MoulierVirginie Moulier1*Charlotte  LemonnierCharlotte Lemonnier1Sonia  DollfusSonia Dollfus2Olivier  GuillinOlivier Guillin1Maud  RothärmelMaud Rothärmel1
  • 1Centre Hospitalier du Rouvray, Sotteville les Rouen, France
  • 2Cyceron, Caen, Lower Normandy, France

The final, formatted version of the article will be published soon.

Background. This 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.Methods. In 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.Results. The 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.Conclusion. These data show the clinical interest and the good tolerance of rTMS in daily practice in patients with schizophrenia suffering from auditory verbal hallucinations.

Keywords: Schizophrenia, Hallucinations, repetitive transcranial magnetic stimulation (rTMS), High frequency rTMS, left temporo-parietal junction region

Received: 26 Dec 2024; Accepted: 07 May 2025.

Copyright: © 2025 Moulier, Lemonnier, Dollfus, Guillin and Rothärmel. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Virginie Moulier, Centre Hospitalier du Rouvray, Sotteville les Rouen, France

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