Knowledge and attitudes about transcranial magnetic stimulation among psychiatrists in China

Abstract Background Repetitive transcranial magnetic stimulation (rTMS) is a noninvasive form of brain stimulation. It has been used in many mental health institutions to treat mental disorders worldwide. However, comprehensive knowledge about rTMS is not yet widespread among psychiatrists. The pres...

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Main Authors: Jiahui Deng, Yimiao Gong, Xiao Lin, Yanping Bao, Hongqiang Sun, Lin Lu
Format: Article
Language:English
Published: BMC 2020-08-01
Series:BMC Psychiatry
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12888-020-02817-4
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author Jiahui Deng
Yimiao Gong
Xiao Lin
Yanping Bao
Hongqiang Sun
Lin Lu
author_facet Jiahui Deng
Yimiao Gong
Xiao Lin
Yanping Bao
Hongqiang Sun
Lin Lu
author_sort Jiahui Deng
collection DOAJ
description Abstract Background Repetitive transcranial magnetic stimulation (rTMS) is a noninvasive form of brain stimulation. It has been used in many mental health institutions to treat mental disorders worldwide. However, comprehensive knowledge about rTMS is not yet widespread among psychiatrists. The present study assessed psychiatrists’ knowledge and attitudes about rTMS in China and investigated related factors. Methods A quantitative observational cross-sectional study was conducted using an online survey. The sample consisted of 522 psychiatrists. Multinomial logistic regression and multiple linear regression analyses were used to explore factors that contributed to psychiatrists’ knowledge about rTMS. We also ascertained psychiatrists’ attitudes about rTMS and provide recommendations for the more widespread use of rTMS. Results The majority of respondents (86.4%) reported having access to rTMS at their institution. A total of 379 psychiatrists (72.6%) knew that rTMS was approved by the United States Food and Drug Administration for treatment-resistant depression. Univariate logistic regression indicated that psychiatrists who were older, had a senior professional title, worked more years, had an onsite clinical rTMS program in their hospital, and received formal training in theory and application (all p <  0.05) were more likely to know that rTMS was approved by the Food and Drug Administration for the treatment of depression. The percentages of respondents who knew most or all indications, the mechanism of action, parameter settings, adverse reactions were 51.9, 40.2, 27.4, and 41.4%. Linear regression showed that formal training in rTMS theory and practice were associated with higher knowledge scores (all p <  0.05). Most of the subjects had negative attitudes about using rTMS to treat mental disorders. When asked about their attitudes about continuing rTMS education, nearly all of the respondents indicated that they were willing to pursue continuing training in rTMS in the future. Conclusions Many psychiatrists had an insufficient level of knowledge about rTMS and negative attitudes about rTMS. Psychiatrists who had formal rTMS training experience had higher levels of rTMS knowledge. rTMS training and relevant policy making should be strengthened.
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spelling doaj.art-86e33c53ab0245f399ab2956fbd9a2aa2022-12-21T17:59:52ZengBMCBMC Psychiatry1471-244X2020-08-012011810.1186/s12888-020-02817-4Knowledge and attitudes about transcranial magnetic stimulation among psychiatrists in ChinaJiahui Deng0Yimiao Gong1Xiao Lin2Yanping Bao3Hongqiang Sun4Lin Lu5Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Chinese Academy of Medical Sciences Research Unit (No.2018RU006), Peking UniversityPeking-Tsinghua Center for Life Sciences and PKU-IDG/McGovern Institute for Brain Research, Peking UniversityPeking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Chinese Academy of Medical Sciences Research Unit (No.2018RU006), Peking UniversityNational Institute on Drug Dependence and Beijing Key Laboratory on Drug Dependence Research, Peking UniversityPeking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Chinese Academy of Medical Sciences Research Unit (No.2018RU006), Peking UniversityPeking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Chinese Academy of Medical Sciences Research Unit (No.2018RU006), Peking UniversityAbstract Background Repetitive transcranial magnetic stimulation (rTMS) is a noninvasive form of brain stimulation. It has been used in many mental health institutions to treat mental disorders worldwide. However, comprehensive knowledge about rTMS is not yet widespread among psychiatrists. The present study assessed psychiatrists’ knowledge and attitudes about rTMS in China and investigated related factors. Methods A quantitative observational cross-sectional study was conducted using an online survey. The sample consisted of 522 psychiatrists. Multinomial logistic regression and multiple linear regression analyses were used to explore factors that contributed to psychiatrists’ knowledge about rTMS. We also ascertained psychiatrists’ attitudes about rTMS and provide recommendations for the more widespread use of rTMS. Results The majority of respondents (86.4%) reported having access to rTMS at their institution. A total of 379 psychiatrists (72.6%) knew that rTMS was approved by the United States Food and Drug Administration for treatment-resistant depression. Univariate logistic regression indicated that psychiatrists who were older, had a senior professional title, worked more years, had an onsite clinical rTMS program in their hospital, and received formal training in theory and application (all p <  0.05) were more likely to know that rTMS was approved by the Food and Drug Administration for the treatment of depression. The percentages of respondents who knew most or all indications, the mechanism of action, parameter settings, adverse reactions were 51.9, 40.2, 27.4, and 41.4%. Linear regression showed that formal training in rTMS theory and practice were associated with higher knowledge scores (all p <  0.05). Most of the subjects had negative attitudes about using rTMS to treat mental disorders. When asked about their attitudes about continuing rTMS education, nearly all of the respondents indicated that they were willing to pursue continuing training in rTMS in the future. Conclusions Many psychiatrists had an insufficient level of knowledge about rTMS and negative attitudes about rTMS. Psychiatrists who had formal rTMS training experience had higher levels of rTMS knowledge. rTMS training and relevant policy making should be strengthened.http://link.springer.com/article/10.1186/s12888-020-02817-4Repetitive transcranial magnetic stimulationPsychiatristsKnowledgeAttitudeFormal training
spellingShingle Jiahui Deng
Yimiao Gong
Xiao Lin
Yanping Bao
Hongqiang Sun
Lin Lu
Knowledge and attitudes about transcranial magnetic stimulation among psychiatrists in China
BMC Psychiatry
Repetitive transcranial magnetic stimulation
Psychiatrists
Knowledge
Attitude
Formal training
title Knowledge and attitudes about transcranial magnetic stimulation among psychiatrists in China
title_full Knowledge and attitudes about transcranial magnetic stimulation among psychiatrists in China
title_fullStr Knowledge and attitudes about transcranial magnetic stimulation among psychiatrists in China
title_full_unstemmed Knowledge and attitudes about transcranial magnetic stimulation among psychiatrists in China
title_short Knowledge and attitudes about transcranial magnetic stimulation among psychiatrists in China
title_sort knowledge and attitudes about transcranial magnetic stimulation among psychiatrists in china
topic Repetitive transcranial magnetic stimulation
Psychiatrists
Knowledge
Attitude
Formal training
url http://link.springer.com/article/10.1186/s12888-020-02817-4
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