Kim 2016.
Study characteristics | ||
Methods |
Study design: randomised controlled trial Study grouping: parallel group |
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Participants |
Baseline Characteristics Repetitive transcranial magnetic stimulation (rTMS)
Control (placebo)
Overall
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 |
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Interventions |
Intervention characteristics Repetitive transcranial magnetic stimulation (rTMS)
Control (sham TMS)
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Outcomes |
Psychological strain
Beck’s depression inventory
Beck’s anxiety inventory
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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 |
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Notes | PSY included in analysis 2.1 Beck’s depression inventory included in analysis 2.3 |
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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. |