{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T11:50:02Z","timestamp":1785757802954,"version":"3.56.0"},"reference-count":50,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["neuromodulationjournal.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Neuromodulation: Technology at the Neural Interface"],"published-print":{"date-parts":[[2026,7]]},"DOI":"10.1016\/j.neurom.2026.06.473","type":"journal-article","created":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T06:46:55Z","timestamp":1783147615000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effects of 10-Hz rTMS, iTBS, and Sham Stimulation on Pain in Fibromyalgia: A Randomized Sham-Controlled Trial"],"prefix":"10.1016","author":[{"given":"Fl\u00e1vio Ant\u00f4nio Duboc","family":"Flutt","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo\u00e3o Pedro de Melo","family":"Cortez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Fernandes","given":"Orlando","family":"J\u00fanior","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diogo Goulart","family":"Corr\u00eaa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula Cristina Leit\u00e3o","family":"de Assun\u00e7\u00e3o","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5947-9189","authenticated-orcid":false,"given":"Nivaldo Ribeiro","family":"Villela","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.neurom.2026.06.473_bib1","first-page":"1141","article-title":"Fibromyalgia: one year","volume":"42","author":"Di Carlo","year":"2024","journal-title":"Clin Exp Rheumatol"},{"key":"10.1016\/j.neurom.2026.06.473_bib2","first-page":"957","article-title":"Fibromyalgia: one year","volume":"43","author":"Iannuccelli","year":"2025","journal-title":"Clin Exp Rheumatol"},{"key":"10.1016\/j.neurom.2026.06.473_bib3","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1038\/s41584-020-00506-w","article-title":"Fibromyalgia: an update on clinical characteristics, aetiopathogenesis and treatment","volume":"16","author":"Sarzi-Puttini","year":"2020","journal-title":"Nat Rev Rheumatol"},{"key":"10.1016\/j.neurom.2026.06.473_bib4","doi-asserted-by":"crossref","first-page":"2098","DOI":"10.1016\/S0140-6736(21)00392-5","article-title":"Nociplastic pain: towards an understanding of prevalent pain conditions","volume":"397","author":"Fitzcharles","year":"2021","journal-title":"Lancet"},{"key":"10.1016\/j.neurom.2026.06.473_bib5","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1186\/s12888-025-06708-4","article-title":"Assessing comorbid PTSD, depression, and anxiety in fibromyalgia patients: a retrospective observational study","volume":"25","author":"Rahangdale","year":"2025","journal-title":"BMC Psychiatry"},{"key":"10.1016\/j.neurom.2026.06.473_bib6","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1002\/ejp.2064","article-title":"The relationship of alexithymia to pain and other symptoms in fibromyalgia: a systematic review and meta-analysis","volume":"27","author":"Habibi Asgarabad","year":"2023","journal-title":"Eur J Pain"},{"key":"10.1016\/j.neurom.2026.06.473_bib7","doi-asserted-by":"crossref","first-page":"117","DOI":"10.2147\/PRBM.S178240","article-title":"Psychological impact of fibromyalgia: current perspectives","volume":"12","author":"Galvez-S\u00e1nchez","year":"2019","journal-title":"Psychol Res Behav Manag"},{"key":"10.1016\/j.neurom.2026.06.473_bib8","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1097\/NMD.0000000000001836","article-title":"Psychiatric comorbidities in fibromyalgia: a comparison with chronic conditions and healthy controls","volume":"213","author":"Avni","year":"2025","journal-title":"J Nerv Ment Dis"},{"key":"10.1016\/j.neurom.2026.06.473_bib9","doi-asserted-by":"crossref","first-page":"474","DOI":"10.1016\/j.clinph.2019.11.002","article-title":"Evidence-based guidelines on the therapeutic use of repetitive transcranial magnetic stimulation (rTMS): an update (2014\u20132018)","volume":"131","author":"Lefaucheur","year":"2020","journal-title":"Clin Neurophysiol"},{"key":"10.1016\/j.neurom.2026.06.473_bib10","doi-asserted-by":"crossref","first-page":"1272","DOI":"10.1093\/pm\/pnab354","article-title":"Effectiveness of repetitive transcranial magnetic stimulation on managing fibromyalgia: a systematic meta-analysis","volume":"23","author":"Choo","year":"2022","journal-title":"Pain Med"},{"key":"10.1016\/j.neurom.2026.06.473_bib11","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1097\/PSY.0000000000001062","article-title":"Repetitive transcranial magnetic stimulation for fibromyalgia: an updated systematic review and meta-analysis","volume":"84","author":"Toh","year":"2022","journal-title":"Psychosom Med"},{"key":"10.1016\/j.neurom.2026.06.473_bib12","doi-asserted-by":"crossref","first-page":"6126","DOI":"10.1038\/s41598-021-85409-w","article-title":"Repetitive transcranial magnetic stimulation restores altered functional connectivity of central poststroke pain model monkeys","volume":"11","author":"Kadono","year":"2021","journal-title":"Sci Rep"},{"key":"10.1016\/j.neurom.2026.06.473_bib13","article-title":"Brain stimulation targets for chronic pain: insights from meta-analysis, functional connectivity and literature review","volume":"21","author":"Kong","year":"2023","journal-title":"Neurotherapeutics"},{"key":"10.1016\/j.neurom.2026.06.473_bib14","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1016\/j.jpain.2021.11.001","article-title":"Clinical effects of repetitive transcranial magnetic stimulation of the motor cortex are associated with changes in resting-state functional connectivity in patients with fibromyalgia syndrome","volume":"23","author":"Argaman","year":"2022","journal-title":"J Pain"},{"issue":"suppl 4","key":"10.1016\/j.neurom.2026.06.473_bib15","doi-asserted-by":"crossref","first-page":"S156","DOI":"10.1016\/j.apmr.2014.11.010","article-title":"Repetitive transcranial magnetic stimulation in chronic pain: a review of the literature","volume":"96","author":"Galhardoni","year":"2015","journal-title":"Arch Phys Med Rehabil"},{"key":"10.1016\/j.neurom.2026.06.473_bib16","doi-asserted-by":"crossref","first-page":"598","DOI":"10.1016\/j.pain.2013.12.022","article-title":"Repetitive transcranial magnetic stimulation induced analgesia depends on N-methyl-D-aspartate glutamate receptors","volume":"155","author":"Ciampi De Andrade","year":"2014","journal-title":"Pain"},{"key":"10.1016\/j.neurom.2026.06.473_bib17","doi-asserted-by":"crossref","first-page":"E59","DOI":"10.1503\/jpn.230090","article-title":"Pharmacological adjuncts and transcranial magnetic stimulation-induced synaptic plasticity: a systematic review","volume":"49","author":"Sohn","year":"2024","journal-title":"J Psychiatry Neurosci"},{"key":"10.1016\/j.neurom.2026.06.473_bib18","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1038\/s44220-024-00235-z","article-title":"Neurocircuitry basis of motor cortex-related analgesia as an emerging approach for chronic pain management","volume":"2","author":"Bai","year":"2024","journal-title":"Nat Ment Health"},{"key":"10.1016\/j.neurom.2026.06.473_bib19","doi-asserted-by":"crossref","first-page":"1158","DOI":"10.3390\/cells10051158","article-title":"Motor cortex stimulation reversed hypernociception, increased serotonin in raphe neurons, and caused inhibition of spinal astrocytes in a Parkinson\u2019s disease rat model","volume":"10","author":"Campos","year":"2021","journal-title":"Cells"},{"key":"10.1016\/j.neurom.2026.06.473_bib20","doi-asserted-by":"crossref","first-page":"1009","DOI":"10.1162\/jocn_a_02288","article-title":"Debunking the myth of excitatory and inhibitory repetitive transcranial magnetic stimulation in cognitive neuroscience research","volume":"37","author":"Hussain","year":"2025","journal-title":"J Cogn Neurosci"},{"key":"10.1016\/j.neurom.2026.06.473_bib21","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1016\/j.neubiorev.2017.10.006","article-title":"Transcranial magnetic stimulation in basic and clinical neuroscience: a comprehensive review of fundamental principles and novel insights","volume":"83","author":"Valero-Cabr\u00e9","year":"2017","journal-title":"Neurosci Biobehav Rev"},{"key":"10.1016\/j.neurom.2026.06.473_bib22","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/j.pneurobio.2010.10.003","article-title":"Modulation of cortical excitability induced by repetitive transcranial magnetic stimulation: influence of timing and geometrical parameters and underlying mechanisms","volume":"93","author":"Pell","year":"2011","journal-title":"Prog Neurobiol"},{"key":"10.1016\/j.neurom.2026.06.473_bib23","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1016\/j.neuron.2004.12.033","article-title":"Theta burst stimulation of the human motor cortex","volume":"45","author":"Huang","year":"2005","journal-title":"Neuron"},{"key":"10.1016\/j.neurom.2026.06.473_bib24","doi-asserted-by":"crossref","first-page":"1683","DOI":"10.1016\/S0140-6736(18)30295-2","article-title":"Effectiveness of theta burst versus high-frequency repetitive transcranial magnetic stimulation in patients with depression (THREE-D): a randomised non-inferiority trial","volume":"391","author":"Blumberger","year":"2018","journal-title":"Lancet"},{"key":"10.1016\/j.neurom.2026.06.473_bib25","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1097\/SPC.0000000000000591","article-title":"New updates on transcranial magnetic stimulation in chronic pain","volume":"16","author":"Fernandes","year":"2022","journal-title":"Curr Opin Support Palliat Care"},{"key":"10.1016\/j.neurom.2026.06.473_bib26","doi-asserted-by":"crossref","first-page":"3893","DOI":"10.1038\/s41380-024-02630-5","article-title":"Theta burst stimulation for depression: a systematic review and network and pairwise meta-analysis","volume":"29","author":"Kishi","year":"2024","journal-title":"Mol Psychiatry"},{"key":"10.1016\/j.neurom.2026.06.473_bib27","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1002\/da.22335","article-title":"Theta-burst stimulation: a new form of TMS treatment for depression?","volume":"32","author":"Chung","year":"2015","journal-title":"Depress Anxiety"},{"key":"10.1016\/j.neurom.2026.06.473_bib28","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1016\/j.semarthrit.2016.08.012","article-title":"2016 Revisions to the 2010\/2011 fibromyalgia diagnostic criteria","volume":"46","author":"Wolfe","year":"2016","journal-title":"Semin Arthritis Rheum"},{"key":"10.1016\/j.neurom.2026.06.473_bib29","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1016\/j.cct.2003.10.016","article-title":"Assessment of blinding in clinical trials","volume":"25","author":"Bang","year":"2004","journal-title":"Control Clin Trials"},{"key":"10.1016\/j.neurom.2026.06.473_bib30","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1023\/B:BRAT.0000006333.93597.9d","article-title":"Using the international 10\u201320 EEG system for positioning of transcranial magnetic stimulation","volume":"16","author":"Herwig","year":"2003","journal-title":"Brain Topogr"},{"key":"10.1016\/j.neurom.2026.06.473_bib31","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1097\/00124509-199803000-00004","article-title":"Motor threshold in transcranial magnetic stimulation: A comparison of a neurophysiological method and a visualization of movement method","volume":"14","author":"Pridmore","year":"1998","journal-title":"J ECT"},{"key":"10.1016\/j.neurom.2026.06.473_bib32","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1016\/j.neucli.2019.07.014","article-title":"A practical algorithm for using rTMS to treat patients with chronic pain","volume":"49","author":"Lefaucheur","year":"2019","journal-title":"Neurophysiol Clin"},{"key":"10.1016\/j.neurom.2026.06.473_bib33","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1016\/j.pain.2009.08.019","article-title":"Interpreting the clinical importance of group differences in chronic pain clinical trials: IMMPACT recommendations","volume":"146","author":"Dworkin","year":"2009","journal-title":"Pain"},{"key":"10.1016\/j.neurom.2026.06.473_bib34","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1016\/j.ejpain.2003.09.004","article-title":"Minimal clinically important changes in chronic musculoskeletal pain intensity measured on a numerical rating scale","volume":"8","author":"Salaffi","year":"2004","journal-title":"Eur J Pain"},{"key":"10.1016\/j.neurom.2026.06.473_bib35","doi-asserted-by":"crossref","first-page":"1378","DOI":"10.1097\/j.pain.0000000000002501","article-title":"Association of sensory phenotype with quality of life, functionality, and emotional well-being in patients suffering from neuropathic pain","volume":"163","author":"Gierthm\u00fchlen","year":"2022","journal-title":"Pain"},{"key":"10.1016\/j.neurom.2026.06.473_bib36","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1016\/j.jpainsymman.2013.03.023","article-title":"One, two, or three? constructs of the brief pain inventory among patients with non-cancer pain in the outpatient setting","volume":"47","author":"Lapane","year":"2014","journal-title":"J Pain Symptom Manage"},{"key":"10.1016\/j.neurom.2026.06.473_bib37","doi-asserted-by":"crossref","first-page":"558","DOI":"10.1016\/j.jpainsymman.2010.05.008","article-title":"Using confirmatory factor analysis to evaluate construct validity of the brief pain inventory (BPI)","volume":"41","author":"Atkinson","year":"2011","journal-title":"J Pain Symptom Manage"},{"key":"10.1016\/j.neurom.2026.06.473_bib38","first-page":"728","article-title":"The fibromyalgia impact questionnaire: development and validation","volume":"18","author":"Burckhardt","year":"1991","journal-title":"J Rheumatol"},{"key":"10.1016\/j.neurom.2026.06.473_bib39","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1590\/S0482-50042006000100006","article-title":"Valida\u00e7\u00e3o da vers\u00e3o brasileira do Fibromyalgia Impact Questionnaire (FIQ)","volume":"46","author":"Marques","year":"2006","journal-title":"Rev Bras Reumatol"},{"key":"10.1016\/j.neurom.2026.06.473_bib40","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1089\/brain.2012.0073","article-title":"Conn: a functional connectivity toolbox for correlated and anticorrelated brain networks","volume":"2","author":"Whitfield-Gabrieli","year":"2012","journal-title":"Brain Connect"},{"key":"10.1016\/j.neurom.2026.06.473_bib41","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1016\/j.neuroimage.2007.04.042","article-title":"A component based noise correction method (CompCor) for BOLD and perfusion based fMRI","volume":"37","author":"Behzadi","year":"2007","journal-title":"Neuroimage"},{"key":"10.1016\/j.neurom.2026.06.473_bib42","doi-asserted-by":"crossref","first-page":"662","DOI":"10.3390\/jpm14060662","article-title":"Repetitive transcranial magnetic stimulation in fibromyalgia: exploring the necessity of neuronavigation for targeting new brain regions","volume":"14","author":"Velickovic","year":"2024","journal-title":"J Pers Med"},{"issue":"suppl 11","key":"10.1016\/j.neurom.2026.06.473_bib43","first-page":"S86","article-title":"Measures applied to the assessment of fibromyalgia: Fibromyalgia Impact Questionnaire (FIQ), Brief Pain Inventory (BPI), the multidimensional fatigue inventory (MFI-20), the MOS sleep scale, and the multiple ability self-report questionnaire","volume":"63","author":"Williams","year":"2011","journal-title":"Arthritis Care Res (Hoboken)"},{"key":"10.1016\/j.neurom.2026.06.473_bib44","doi-asserted-by":"crossref","first-page":"2545","DOI":"10.1002\/art.27497","article-title":"Intrinsic brain connectivity in fibromyalgia is associated with chronic pain intensity","volume":"62","author":"Napadow","year":"2010","journal-title":"Arthritis Rheum"},{"issue":"suppl 96","key":"10.1016\/j.neurom.2026.06.473_bib45","first-page":"S129","article-title":"Abnormal resting state functional connectivity of the periaqueductal grey in patients with fibromyalgia","volume":"34","author":"Truini","year":"2016","journal-title":"Clin Exp Rheumatol"},{"key":"10.1016\/j.neurom.2026.06.473_bib46","doi-asserted-by":"crossref","DOI":"10.1038\/s41598-024-60993-9","article-title":"Functional connectivity associated with attention networks differs among subgroups of fibromyalgia patients: an observational case\u2013control study","volume":"14","author":"Aoe","year":"2024","journal-title":"Sci Rep"},{"key":"10.1016\/j.neurom.2026.06.473_bib47","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1097\/PSY.0b013e3182408f04","article-title":"Disrupted functional connectivity of the pain network in fibromyalgia","volume":"74","author":"Cifre","year":"2012","journal-title":"Psychosom Med"},{"key":"10.1016\/j.neurom.2026.06.473_bib48","doi-asserted-by":"crossref","DOI":"10.1016\/j.clinph.2026.2111711","article-title":"Reduced alpha-band phase coherence and cortical complexity in fibromyalgia: a tms-eeg exploratory study","volume":"185","author":"Jakobsen","year":"2026","journal-title":"Clin Neurophysiol"},{"key":"10.1016\/j.neurom.2026.06.473_bib49","doi-asserted-by":"crossref","DOI":"10.1016\/j.neuroimage.2020.116877","article-title":"Default mode network changes in fibromyalgia patients are largely dependent on current clinical pain","volume":"216","author":"\u010ceko","year":"2020","journal-title":"Neuroimage"},{"key":"10.1016\/j.neurom.2026.06.473_bib50","doi-asserted-by":"crossref","first-page":"815","DOI":"10.1016\/j.jpain.2014.04.007","article-title":"Altered resting state connectivity of the insular cortex in individuals with fibromyalgia","volume":"15","author":"Ichesco","year":"2014","journal-title":"J Pain"}],"container-title":["Neuromodulation: Technology at the Neural Interface"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1094715926006343?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1094715926006343?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T11:34:22Z","timestamp":1785756862000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1094715926006343"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":50,"alternative-id":["S1094715926006343"],"URL":"https:\/\/doi.org\/10.1016\/j.neurom.2026.06.473","relation":{},"ISSN":["1094-7159"],"issn-type":[{"value":"1094-7159","type":"print"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Effects of 10-Hz rTMS, iTBS, and Sham Stimulation on Pain in Fibromyalgia: A Randomized Sham-Controlled Trial","name":"articletitle","label":"Article Title"},{"value":"Neuromodulation: Technology at the Neural Interface","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.neurom.2026.06.473","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier Inc. on behalf of the International Neuromodulation Society.","name":"copyright","label":"Copyright"}]}}