重复经颅磁刺激对具有成瘾特征的非自杀性自伤的临床疗效及初步神经机制研究

注册号:

Registration number:

ChiCTR2600118744 

最近更新日期:

Date of Last Refreshed on:

2026-02-10 15:25:51 

注册时间:

Date of Registration:

2026-02-10 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

重复经颅磁刺激对具有成瘾特征的非自杀性自伤的临床疗效及初步神经机制研究

Public title:

A Study on the Clinical Efficacy and Preliminary Neural Mechanisms of Repetitive Transcranial Magnetic Stimulation in Addictive Non-Suicidal Self-Injury

注册题目简写:

English Acronym:

研究课题的正式科学名称:

重复经颅磁刺激对具有成瘾特征的非自杀性自伤的临床疗效及初步神经机制研究

Scientific title:

A Study on the Clinical Efficacy and Preliminary Neural Mechanisms of Repetitive Transcranial Magnetic Stimulation in Addictive Non-Suicidal Self-Injury

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

金海英 

研究负责人:

金海英 

Applicant:

Jin Haiying 

Study leader:

Jin Haiying 

申请注册联系人电话:

Applicant telephone:

+86 572 2290562

研究负责人电话:

Study leader's
telephone:

+86 572 2290542

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

1034167543@qq.com

研究负责人电子邮件:

Study leader's E-mail:

1034167543@qq.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

浙江省湖州市苕溪东路2088号

研究负责人通讯地址:

浙江省湖州市苕溪东路2088号

Applicant address:

No. 2088, Tiaoxi East Road, Huzhou City, Zhejiang

Study leader's address:

No. 2088, Tiaoxi East Road, Huzhou City, Zhejiang

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

湖州市第三人民医院

Applicant's institution:

Huzhou Third Municipal Hospital

研究负责人所在单位:

湖州市第三人民医院

Affiliation of the Leader:

Huzhou Third Municipal Hospital

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

(2025)伦审第(217号)

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

湖州市第三人民医院医学伦理委员会

Name of the ethic committee:

HuZhou Third Municipal Hospital Medical ethics committee

伦理委员会批准日期:

Date of approved by ethic committee:

2025-11-17 00:00:00

伦理委员会联系人:

温秋卿

Contact Name of the ethic committee:

Wen Qiuqing

伦理委员会联系地址:

浙江省湖州市苕溪东路2088号

Contact Address of the ethic committee:

No. 2088, Tiaoxi East Road, Huzhou City, Zhejiang

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 572 2132467

伦理委员会联系人邮箱:

Contact email of the ethic committee:

413156190@qq.com

研究实施负责(组长)单位:

湖州市第三人民医院

Primary sponsor:

Huzhou Third Municipal Hospital

研究实施负责(组长)单位地址:

浙江省湖州市苕溪东路2088号

Primary sponsor's address:

No. 2088, Tiaoxi East Road, Huzhou City, Zhejiang

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

浙江省

市(区县):

Country:

China

Province:

Zhejiang

City:

单位(医院):

湖州市第三人民医院

具体地址:

浙江省湖州市苕溪东路2088号

Institution
hospital:

Huzhou Third Municipal Hospital

Address:

No. 2088, Tiaoxi East Road, Huzhou City, Zhejiang

经费或物资来源:

湖州市科技局公益性应用研究项目

Source(s) of funding:

Public Welfare Applied Research Project of Huzhou Municipal Science and Technology Bureau

研究疾病:

伴有成瘾特征的非自杀性自伤  

Target disease:

Non-suicidal self-injury with addictive features

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

(1) 探索高频 rTMS 刺激左侧 DLPFC 对 NSSI 行为及其成瘾程度的疗效。 (2) 通过联合分析多模态磁共振与量表评估,初步探究高频rTMS 刺激左侧 DLPFC 对具有成瘾特征的 NSSI 的作用机制,包括其对脑区可塑性、跨网络信息交互的调控效应。 (3) 通过分析临床数据和多模态磁共振成像数据,探索具有成瘾特征的非自杀性自伤的神经影像标志物,为后续构建精准干预方法提供数据支持和潜在靶点。  

Objectives of Study:

(1) To investigate the efficacy of high-frequency rTMS targeting the left DLPFC on NSSI behaviors and their addictive severity.(2) To preliminarily explore the mechanisms of high-frequency rTMS targeting the left DLPFC in NSSI with addictive features, including its regulatory effects on brain plasticity and inter-network information interaction, through combined analysis of multimodal MRI and scale assessments.(3) To identify neuroimaging biomarkers of non-suicidal self-injury with addictive features by analyzing clinical data and multimodal MRI data, thereby providing data support and potential targets for developing precise intervention strategies in the future.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

1.患有双相情感障碍、精神分裂症或其它精神病性 障碍,强迫障碍,注意缺陷多动障碍、自闭症等其它神经发育障碍, 边缘人格障碍;
2.带有心脏起搏器或耳蜗植入者;
3.既往有头颅外伤史或癫痫发作史;
4.入组前 3 个月内接受过改良电抽搐治疗或经颅电刺激或经颅磁刺激;
5.伴有严重躯体疾病、酒精或药物依赖者、 精神发育迟滞以及不能完成检查者;
6.妊娠或哺乳期妇女;
7.有严重自杀意念及行为者;

Exclusion criteria:

1.Having diagnoses such as bipolar disorder, schizophrenia or other psychotic disorders, obsessive-compulsive disorder, attention-deficit/hyperactivity disorder, autism spectrum disorder or other neurodevelopmental disorders, or borderline personality disorder; 2.Individuals with a cardiac pacemaker or cochlear implant; 3.History of head trauma or seizure; 4.Have undergone modified electroconvulsive therapy, transcranial electrical stimulation, or transcranial magnetic stimulation within the past 3 months prior to enrollment; 5.Individuals with severe physical illnesses, alcohol or substance dependence, intellectual disability, or those unable to complete the required assessments. 6.Pregnant or breastfeeding women; 7.Individuals with severe suicidal ideation or behaviors.

研究实施时间:

Study execute time:

From 2026-01-01 00:00:00 To 2028-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2026-03-01 00:00:00 To 2027-12-31 00:00:00

干预措施:

Interventions:

组别:

对照组

样本量:

30

Group:

Control group

Sample size:

干预措施:

伪刺激

干预措施代码:

Intervention:

Sham stimulation

Intervention code:

组别:

试验组

样本量:

30

Group:

Intervention group

Sample size:

干预措施:

重复经颅磁刺激

干预措施代码:

Intervention:

Repetitive Transcranial Magnetic Stimulation (rTMS)

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

浙江省 

市(区县):

 

Country:

China

Province:

Zhejiang

City:

单位(医院):

湖州市第三人民医院 

单位级别:

三级甲等 

Institution
hospital:

Huzhou Third Municipal Hospital

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

汉密尔顿抑郁量表评分

指标类型:

次要指标

Outcome:

Hamilton Depression Rating Scale (HAMD) Score

Type:

Secondary indicator

测量时间点:

基线,治疗第4周,治疗第8周

测量方法:

量表评估

Measure time point of outcome:

Baseline, Week 4 of treatment, Week 8 of treatment.

Measure method:

Scale Assessment

指标中文名:

非自杀性自伤

指标类型:

主要指标

Outcome:

Non-Suicidal Self-Injury (NSSI)

Type:

Primary indicator

测量时间点:

基线,治疗第4周,治疗第8周

测量方法:

非自杀性自伤评定问卷(ANSAQ)和渥太华自伤问卷(OSI)成瘾分量表评估

Measure time point of outcome:

Baseline, Week 4 of treatment, Week 8 of treatment.

Measure method:

Non-Suicidal Self-Injury Assessment Questionnaire (ANSAQ) and the Addiction Subscale of the Ottawa Self-Injury Questionnaire (OSI).

指标中文名:

汉密尔顿焦虑量表评分

指标类型:

次要指标

Outcome:

Hamilton Anxiety Rating Scale (HAMA)Score

Type:

Secondary indicator

测量时间点:

基线,治疗第4周,治疗第8周

测量方法:

量表评估

Measure time point of outcome:

Baseline, Week 4 of treatment, Week 8 of treatment.

Measure method:

Scale Assessment

指标中文名:

Barrat 冲动性人格量表评分

指标类型:

次要指标

Outcome:

Barratt Impulsiveness Scale (BIS)Score

Type:

Secondary indicator

测量时间点:

基线,治疗第4周,治疗第8周

测量方法:

量表评估

Measure time point of outcome:

Baseline, Week 4 of treatment, Week 8 of treatment.

Measure method:

Scale Assessment

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

血液

组织:

Sample Name:

Blood

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

征募研究对象情况:

Recruiting status:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 13 years
最大 Max age 23 years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

区组随机化产生随机数列

Randomization Procedure (please state who generates the random number sequence and by what method):

Block randomization generates a random sequence of numbers

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

不公开/Private

盲法:

对研究参与者、研究者设盲

Blinding:

Blinding study participants and researchers

是否共享原始数据:

IPD sharing

否No

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

不公开

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

Not for public release

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

None

数据与安全监察委员会:

Data and Safety Monitoring Committee:

无/No

注册人:

Name of Registration:

 2026-02-10 15:24:57