TIS for Improving Cognitive Impairment Associated With Schizophrenia

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-50
SponsorCentral South University

About this trial

This study aims to evaluate the efficacy and safety of TIS targeting the hippocampus in ameliorating cognitive impairment associated with schizophrenia (CIAS). Participants will receive TIS twice a day for 2 weeks. Their clinical data, including the baseline clinical symptom scale score, cognitive function, and MRI data, will be collected at baseline and at the end of the 2-week intervention.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age 18-50 years old;

meet the Diagnostic and Statistical Manual of Mental Disorders, Fifth edition (DSM-5) diagnostic criteria;

the diagnosis of schizophrenia is confirmed by the Structured Clinical Interview for DSM-5 (SCID-5);

the disease duration does not exceed 8 years;

Disqualifiers

Presence of other psychiatric comorbidities, intellectual disability, obvious mood symptoms, or substance use disorders (other than caffeine and/or tobacco);

with clear drug-induced extrapyramidal reaction;

A history of seizures, meningitis, or encephalitis;

with contraindications to transcranial electrical stimulation;

Trial design

Design model

Single group

Treatments tested in this trial

  • temporal interference stimulation

    Device

    TIS will use 2 pairs of electrodes placed according to a 10-10 EEG system and fixed with conductive paste to produce a theta burst stimulation pattern. Electric field modeling will be performed utilizing MRI T1 images to optimize the individualized electrode configuration to generate electric field intensities above 0.4 V/m in the hippocampus of each patient. Each session of stimulation lasts 30 minutes.

Treatment groups

10 Participants
are divided into 1 treatment group
Group A: TIExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

changes on MCCB scores

The MATRICS Consensus Cognitive Battery (MCCB) can be used for cognitive assessment of schizophrenia, bipolar disorder, and other neuropsychiatric diseases. The MCCB covers nine cognitive domains, including attention, information processing speed, verbal learning and memory, visual learning and memory, spatial working memory, reasoning, problem solving, social cognition, executive function, and fine motor skills. The working memory domain does not include verbal working memory because the Chinese language would not make feasible the inclusion of the LNS test.

Time frame
Baseline, after 2-week intervention

Secondary outcomes

1

Changes in Positive and Negative Symptom Scale (PANSS) scores

Range from 30 to 210, higher score indicates more severe positive and negative symptoms.

Time frame
Baseline, after 2-week intervention
2

Change in Scale for Assessment of Negative Symptoms (SANS) score

The score range is 0-120; the higher the score, the more severe the negative symptoms are.

Time frame
Baseline, after 2-week intervention
3

Changes in Psychotic symptom rating scales (PSYRATS) score

The Psychotic Symptom Rating Scales (PSYRATS) is a clinician-rated instrument that assesses the multidimensional severity of auditory hallucinations and delusions. It consists of two subscales: an 11-item Hallucinations subscale (total score range 0-44) and a 6-item Delusions subscale (total score range 0-24), with each item rated from 0 to 4. A higher score indicates more severe auditory hallucinations and delusions.

Time frame
Baseline, after 2-week intervention
4

Changes in brain function

Functional MRI (fMRI) is based on the blood oxygen level dependent (BOLD) contrast that can detect changes in blood oxygenation to analyze the change of brain function after intervention.

Time frame
Baseline, after 2-week intervention

Other outcomes

Sponsors and contacts

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