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. 2023 May 12;2023(5):CD002892. doi: 10.1002/14651858.CD002892.pub6

Kim 2016.

Study characteristics
Methods Study design: randomised controlled trial
Study grouping: parallel group
Participants Baseline Characteristics
Repetitive transcranial magnetic stimulation (rTMS)
  • Age (mean ± SD): 28 ± 3

  • Sex (N (% female)): 12 (50%)

  • Sample size: 12

  • Years of experience (mean ± SD): NR


Control (placebo)
  • Age (mean ± SD): 32 ± 7

  • Sex (N (% female)): 12 (50%)

  • Sample size: 12

  • Years of experience (mean ± SD): NR


Overall
  • Age (mean ± SD): NR

  • Sex (N (% female)): 28 (100%)

  • Sample size: 24

  • Years of experience (mean ± SD): NR


Included criteria: NR
Excluded criteria: individuals with 1) past or current diagnosis of any axis I psychiatric disorder based on the Structured Clinical Interview for DSM‐IV‐TR Axis I Disorders, Patient Edition (SCID‐I/P),19 2) severe medical illness, 3) organic mental disorder, seizure disorder, or mental retardation, 4) pregnancy, 5) current psychotropic medication use, 6) surgical treatment of intracranial lesions, or 7) a magnetic substance in their brain or orbital area.
Pretreatment: at baseline, there were no significant differences between the intervention group and the control group with regard to age, duration of employment, working hours per week, marital status, occupation, socio‐economic status, all
Compliance rate: among the 28 enroled participants, data from four participants were dropped because they did not complete the TMS sessions or QEEG assessment: one participant from the active‐TMS group and one participant from the sham‐TMS group discontinued the TMS sessions due to headache and one participant from the active‐TMS group and one participant from the sham‐TMS group missed their QEEG appointments without giving notification. Ultimately, 24 participants completed all TMS sessions and QEEG assessments
Response rate: NR
Type of healthcare worker: various HCWs
Interventions Intervention characteristics
Repetitive transcranial magnetic stimulation (rTMS)
  • Type of the intervention: Intervention type 2 ‐ to focus one’s attention away from the experience of stress

  • Description of the intervention : Repetitive transcranial magnetic stimulation (rTMS) is a therapeutic technique for applying stimulation to the cerebral cortex in a non‐invasive manner

  • The number of sessions: 12

  • Duration of each session on average: NR

  • Duration of the entire intervention: 4 weeks

  • Duration of the entire intervention short vs long: short

  • Intervention deliverer: NR

  • Intervention form: individual


Control (sham TMS)
  • Type of the intervention: NA

  • Description of the intervention: NA

  • The number of sessions: NA

  • Duration of each session on average: NA

  • Duration of the entire intervention: NA

  • Duration of the entire intervention short vs long: NA

  • Intervention deliverer: NA

  • Intervention form: NA

Outcomes Psychological strain
  • Outcome type: ContinuousOutcome


Beck’s depression inventory
  • Outcome type: ContinuousOutcome


Beck’s anxiety inventory
  • Outcome type: ContinuousOutcome

Identification Sponsorship source: NR
Country: South‐Korea
Setting: Hospital
Comments: NR
Authors name: Young In Kim
Institution: Department of Psychiatry, Chung‐Ang University Hospital, Seoul, Republic of Korea
Email: sunmikim706@gmail.com
Address: Sun Mi Kim, MD, PhD Department of Psychiatry, Chung‐Ang University Hospital, 102 Heukseok‐ro, Dongjak‐gu, Seoul 06973, Republic of Korea Tel: +82‐2‐6299‐1519, Fax: +82‐2‐6298‐1508
Time period: NR
Notes PSY included in analysis 2.1
Beck’s depression inventory included in analysis 2.3
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "Participants were randomly divided into two groups: the active‐TMS group and the sham‐TMS group. "
Sequence generation process insufficiently described
Allocation concealment (selection bias) Unclear risk Difficult to judge whether participants and/or investigators could possibly foresee assignment
Blinding of participants and personnel (performance bias)
All outcomes Low risk Participants were randomly divided into two groups: the active‐TMS group and the sham‐TMS group.
Blinding of outcome assessment (detection bias)
All outcomes Low risk Participants were blinded and outcomes are self‐reported. 
Incomplete outcome data (attrition bias)
All outcomes Low risk No intention to treat analysis. Among the 28 enroled participants, data from four participants were dropped because they did not complete the TMS sessions or QEEG assessment (14%): one participant from the active‐TMS group and one participant from the sham‐TMS group discontinued the TMS sessions due to headache and one participant from the active‐TMS group and one participant from the sham‐TMS group missed their QEEG appointments without giving notification. Ultimately, 24 participants completed all TMS sessions and QEEG assessments.
Missing not at random however below our pre‐defined cut‐off value. 
Selective reporting (reporting bias) Unclear risk No trial registration or no study protocol reported, nor did we find one online. No indication of selective reporting.
Other bias Unclear risk Not able to assess response rate.