{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T10:34:58Z","timestamp":1786444498793,"version":"build-2736575974"},"reference-count":9,"publisher":"Royal College of Psychiatrists","issue":"6","license":[{"start":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T00:00:00Z","timestamp":1755820800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych Bull"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>Repetitive transcranial magnetic stimulation (rTMS) has gained regulatory approval as an adjunctive treatment for obsessive\u2013compulsive disorder (OCD) in adults. However, its application in adolescents remains largely untested. This editorial examines the limited evidence available, focusing on choice of target, stimulation depth and methodological variation. Ethical challenges surrounding the use of rTMS in vulnerable populations, including informed consent and the unknown long-term effects on neurodevelopment, are also discussed. Although rTMS holds promise for treatment-resistant adolescent OCD, a cautious and ethically rigorous approach is essential before wider clinical adoption can be considered.<\/jats:p>","DOI":"10.1192\/bjb.2025.10138","type":"journal-article","created":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T11:14:49Z","timestamp":1755861289000},"page":"359-361","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":2,"title":["Limited evidence and ethical considerations in rTMS trials for adolescents with obsessive\u2013compulsive disorder"],"prefix":"10.1192","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1373-3230","authenticated-orcid":false,"given":"Raphael J.","family":"Leo","sequence":"first","affiliation":[{"name":"University at Buffalo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8647-7592","authenticated-orcid":false,"given":"Brandon L.","family":"Mariotti","sequence":"additional","affiliation":[{"name":"University at Buffalo"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2025,8,22]]},"reference":[{"key":"S2056469425101381_ref2","doi-asserted-by":"publisher","DOI":"10.1038\/s41398-021-01453-0"},{"key":"S2056469425101381_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2012.01.049"},{"key":"S2056469425101381_ref6","doi-asserted-by":"publisher","DOI":"10.1097\/YCT.0000000000000291"},{"key":"S2056469425101381_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajp.2023.103510"},{"key":"S2056469425101381_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2011.09.019"},{"key":"S2056469425101381_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.brs.2021.10.388"},{"key":"S2056469425101381_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.pscychresns.2015.07.020"},{"key":"S2056469425101381_ref8","doi-asserted-by":"publisher","DOI":"10.1097\/YCT.0000000000001017"},{"key":"S2056469425101381_ref4","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.14828"}],"container-title":["BJPsych Bulletin"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S2056469425101381","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T10:03:19Z","timestamp":1786442599000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S2056469425101381\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,22]]},"references-count":9,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["S2056469425101381"],"URL":"https:\/\/doi.org\/10.1192\/bjb.2025.10138","relation":{},"ISSN":["2056-4694","2056-4708"],"issn-type":[{"value":"2056-4694","type":"print"},{"value":"2056-4708","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,22]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press on behalf of Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}