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Therapeutic effects of non-invasive brain stimulation with direct currents (tDCS) in neuropsychiatric diseases
Abstract
Neuroplasticity, which is the dynamic structural and functional reorganization of central nervous system connectivity due to environmental and internal demands, is recognized as a major physiological basis for adaption of cognition, and behavior, and thus of utmost importance for normal brain function. Pathological alterations of plasticity are increasingly explored as pathophysiological foundation of diverse neurological and psychiatric diseases. Non-invasive brain stimulation techniques (NIBS), such as repetitive transcranial magnetic stimulation (rTMS), and transcranial direct current stimulation (tDCS), are able to induce and modulate neuroplasticity in humans. Therefore, they have potential to alter pathological plasticity on the one hand, and foster physiological plasticity on the other, in neuropsychiatric diseases to reduce symptoms, and enhance rehabilitation. tDCS is an emerging NIBS tool, which induces glutamatergic plasticity via application of relatively weak currents through the scalp in humans. In the last years its efficacy to treat neuropsychiatric diseases has been explored increasingly. In this review, we will give an overview of pathological alterations of plasticity in neuropsychiatric diseases, gather clinical studies involving tDCS to ameliorate symptoms, and discuss future directions of application, with an emphasis on optimizing stimulation effects.
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“Cognitive training effects with tDCS in other disorders and healthy subjects have been shown to last up to 6 months (Boggio et al., 2012; Kuo et al., 2014) and even 1 year (Katz et al., 2017).”
From Cognitive Neuroscience of Attention Deficit Hyperactivity Disorder (ADHD) and Its Clinical Translation (2018) · cites this paper as Kuo et al., 2014
In the citing paper
“Moreover, our stimulation method did not follow the usual tDCS protocols for the treatment of clinical symptoms during daytime as reviewed by [48,49]: a) in comparison to most other studies, we applied DC only in one single stimulation session; b) the applied current strength in our study was significantly lower than in other studies (0.25 mA vs. 1e2 mA); and c) DC stimulation in our study was not”
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Dedoncker, J., Brunoni, A. R., Baeken, C., & Vanderhasselt, M. (2016) · Brain stimulation · doi:10.1016/j.brs.2016.04.006 · Cited by 555
“Nonetheless, although some studies showed that tDCS over the DLPFC is able to improve cognitive performance in both healthy and neuropsychiatric samples [10,11], recent meta-analyses revealed that the results are mixed – e.”
Applications of transcranial direct current stimulation for understanding brain function
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“variety of psychiatric and neurological conditions [3, 4], including depression [3, 5], stroke [4], and altered states of consciousness [6].”
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“Lang et al. (2003) suggested that the effect of tDCS on motor sequence learning is primarily related to its effects on consolidation (the stabilization of amemory trace after acquisition), as opposed to acquisition (the initial attainment) of motor memories. In a similar study, Reis et al. (2009) examined the specific…”
Hill, A. T., Fitzgerald, P. B., & Hoy, K. E. (2015) · Brain stimulation · doi:10.1016/j.brs.2015.10.006 · Cited by 446
“Importantly, the effects of tDCS have been shown to persist for over an hour beyond the period of stimulation [28,30].”
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“Generally, any interaction between brain activity and the efficacy of tDCS modulation (Kim and Ko, 2013; Pirulli et al., 2013) suggests “tDCS can be highly focal when guided by a behavioral task” (Lapenta et al., 2013).”
Background
Metadata
- Authors
- Kuo, M.-F., Paulus, W., & Nitsche, M. A.
- Affiliations
- Universitätsmedizin Göttingen (DE)
- Corresponding author
- Nitsche, Michael A.
- Venue
- NeuroImage
- Publisher
- Elsevier BV
- Published
- 2014-01
- Volume
- 85
- Pages
- 948-960
- ISSN
- 1053-8119 (ISSN-L)
- OpenAlex
- W2057070604
- Cited by
- 415
- References
- 149
- Citations by year
- 2026: 12 · 2025: 18 · 2024: 18 · 2023: 16 · 2022: 22 · 2021: 32 · 2020: 27 · 2019: 29 · 2018: 40 · 2017: 50 · 2016: 55 · 2015: 51 · 2014: 31
- FWCI
- 4.85
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- NeuroImage (publishedVersion)
- PubMed (publishedVersion)
- GRO (submittedVersion)
- Funders
- German Research Society (Ni 683/4-2, Ni 683/6-1)
- German Ministry for Education and Research (03IPT605E)
- Topics
- Life Sciences › Neuroscience › Neurology › Transcranial Magnetic Stimulation Studies
- Health Sciences › Medicine › Psychiatry and Mental health › Electroconvulsive Therapy Studies
- Health Sciences › Medicine › Clinical Neurology › Deep Brain Stimulation and Movement Disorders
- Keywords
- transcranial direct current stimulation, non-invasive brain stimulation, neuroplasticity, neuropsychiatric disorders, stimulation optimization
- MeSH terms
- Mental Disorders, Electric Stimulation Therapy, Humans, Neuronal Plasticity, Tinnitus, Pain Management
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