2.5. Assessments
HAMD, Anxiety, OCD, Compulsive Inventory-Revised
ADVERSE EFFECTS
Two trained psychology graduate students administered clinical and neuropsychological assessments. Clinical evaluations included the Y-BOCS, Obsessive–Compulsive Inventory-Revised (OCI-R), HAMD, and Hamilton Anxiety Scale (HAMA), while neuropsychological tests included the trail making test (TMT), Stroop color word test (SCWT), and digit span (DS) test.Tests were conducted at baseline and again after 5 days of treatment. The primary outcome measure was the Y-BOCS, which is the gold standard for assessing the severity of OCD symptoms [Throughout the course of TMS treatment, all participants underwent rigorous monitoring of adverse effects, including the use of self-reporting to record side effects after each treatment session.