One left dorsolateral prefrontal cortical HF-rTMS session attenuates HPA-system sensitivity to critical feedback in healthy females
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Objective Although left dorsolateral prefrontal cortical (DLPFC) repetitive Transcranial Magnetic Stimulation (rTMS) is used to treat major depression, its underlying neurophysiological working mechanism remains to be determined. Prior research suggested that the clinical effects could be mediated by affecting the hypothalamic-pituitary-adrenal (HPA) system, but experimental studies in healthy individuals did not yield clear results. However, in healthy individuals, the influence of HF-rTMS on the HPA-system may only be detected when it is challenged.Methods In 30 rTMS naïve healthy females we evaluated the effect of one sham-controlled high frequency (HF)-rTMS session applied to the left DLPFC on the stress hormone cortisol by collecting salivary cortisol samples. In order to increase stress levels, 5min after stimulation, all participants performed the Critical Feedback Task (CFT), during which they were criticized on their performance. To take possible mood influences into account, all participants were also assessed with Visual Analogue Scales (VAS).Results The experimental procedure did not affect mood differently in the real or sham stimulation. Area under the curve (AUCi) analysis showed that one real HF-rTMS session significantly influenced HPA-system sensitivity, as demonstrated by a decrease in cortisol concentrations. The sham procedure yielded no effects.Conclusions In line with former observations in major depression, one real left DLPFC HF-rTMS session significantly influenced HPA-system sensitivity in experimentally stressed females, resulting in decreases in cortisol levels.
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An increase in DLPFC activity may reduce the HPA axis response to stress through indirect and inhibitory connections with the amygdala.
“As proposed by several authors, an increase in DLPFC activity may reduce the HPA axis response to stress through indirect and inhibitory connections with the amygdala (Baeken et al., 2010(Baeken et al., , 2014;;Herman et al., 2005).”
From Cortisol Response to Stress: The Role of Expectancy and Anticipatory Stress Regulation (2020) · cites this paper as Baeken et al., 2014
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- Authors
- Baeken, C., Vanderhasselt, M. A., Remue, J., Rossi, V., Schiettecatte, J., Anckaert, E., & De Raedt, R.
- Affiliations
- Ghent University (BE)
- Universitair Ziekenhuis Brussel (BE)
- Corresponding author
- Baeken, C.
- Venue
- Neuropsychologia
- Publisher
- Elsevier BV
- Published
- 2014-05
- Volume
- 57
- Pages
- 112-121
- ISSN
- 0028-3932 (ISSN-L)
- OpenAlex
- W2019922563
- Cited by
- 63
- References
- 80
- Citations by year
- 2026: 3 · 2025: 8 · 2024: 1 · 2023: 7 · 2022: 5 · 2021: 5 · 2020: 12 · 2019: 5 · 2018: 1 · 2017: 3 · 2016: 8 · 2015: 3 · 2014: 2
- FWCI
- 2.77
- Type
- journal article
- Language
- en
- Open access
- green
- biblio.ugent.be
- Licence
- Locations
- Neuropsychologia (publishedVersion)
- PubMed (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion, other-oa)
- VUBIR (Vrije Universiteit Brussel) (submittedVersion)
- Topics
- Life Sciences › Neuroscience › Neurology › Transcranial Magnetic Stimulation Studies
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Health Sciences › Medicine › Psychiatry and Mental health › Electroconvulsive Therapy Studies
- Keywords
- high-frequency repetitive transcranial magnetic stimulation, left dorsolateral prefrontal cortex, hypothalamic-pituitary-adrenal axis, cortisol, stress response, critical feedback, social stress, major depressive disorder, mood, healthy women
- MeSH terms
- Adolescent, Adult, Affect, Analysis of Variance, Female, Humans, Hydrocortisone, Functional Laterality, Saliva, Prefrontal Cortex, Area Under Curve, Feedback, Physiological, Transcranial Magnetic Stimulation, Young Adult, Visual Analog Scale
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