Enhancement of Affective Processing Induced by Bifrontal Transcranial Direct Current Stimulation in Patients With Major Depression
Open accessAbstract
Objective Our aim was to evaluate whether one single section of transcranial direct current stimulation (tDCS), a neuromodulatory technique that noninvasively modifies cortical excitability, could induce acute changes in the negative attentional bias in patients with major depression.Subjects and methods Randomized, double-blind, sham-controlled, parallel design enrolling 24 age-, gender-matched, drug-free, depressed subjects. Anode and cathode were placed over the left and right dorsolateral prefrontal cortex. We performed a word Emotional Stroop Task collecting the response times (RTs) for positive-, negative-, and neutral-related words. The emotional Stroop effect for negative vs. neutral and vs. positive words was used as the measure of attentional bias.Results At baseline, RTs were significantly slower for negative vs. positive words. We found that active but not sham tDCS significantly modified the negative attentional bias, abolishing slower RT for negative words.Conclusion Active but not sham tDCS significantly modified the negative attentional bias. These findings add evidence that a single tDCS session transiently induces potent changes in affective processing, which might be one of the mechanisms of tDCS underlying mood changes.
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A single session of tDCS modulated emotional processing in both healthy and depressed individuals, in the absence of mood changes.
“A single session of tDCS was shown to modulate emotional processing in both healthy and depressed individuals, in the absence of mood changes (Nitsche et al., 2012, Brunoni et al. 2014, Ironside et al. 2016).”
From Cognitive neuropsychological theory of antidepressant action: a modern-day approach to depression and its treatment (2021) · cites this paper as Brunoni et al. 2014
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Ironside, M., O’Shea, J., Cowen, P. J., & Harmer, C. J. (2016) · Biological Psychiatry · doi:10.1016/j.biopsych.2015.06.012 · Cited by 125 · see citing works
Godlewska, B. R., & Harmer, C. J. (2021) · Psychopharmacology · doi:10.1007/s00213-019-05448-0 · Cited by 123 · see citing works
- Authors
- Brunoni, A. R., Zanao, T. A., Vanderhasselt, M.-A., Valiengo, L., de Oliveira, J. F., Boggio, P. S., Lotufo, P. A., Benseñor, I. M., & Fregni, F.
- Affiliations
- Universidade de São Paulo (BR)
- Ghent University (BE)
- Universidade Presbiteriana Mackenzie (BR)
- Harvard University (US)
- ORCID
- Venue
- Neuromodulation: Technology at the Neural Interface
- Publisher
- Elsevier BV
- Published
- 2014-02
- Volume
- 17
- Issue
- 2
- Pages
- 138-142
- ISSN
- 1094-7159 (ISSN-L)
- OpenAlex
- W1486457304
- Cited by
- 85
- References
- 20
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 4 · 2023: 3 · 2022: 7 · 2021: 12 · 2020: 8 · 2019: 4 · 2018: 6 · 2017: 9 · 2016: 6 · 2015: 12 · 2014: 7 · 2013: 1
- FWCI
- 4.85
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Neuromodulation Technology at the Neural Interface (publishedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
- PubMed (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion, other-oa)
- Funders
- Fundação de Amparo à Pesquisa do Estado de São Paulo (2009/0572807, 2011/00212-2, 2011/)
- Topics
- Life Sciences › Neuroscience › Neurology › Transcranial Magnetic Stimulation Studies
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Health Sciences › Medicine › Psychiatry and Mental health › Electroconvulsive Therapy Studies
- Keywords
- transcranial direct current stimulation, major depressive disorder, negative attentional bias, emotional processing, dorsolateral prefrontal cortex, Stroop task, neuromodulation, mood changes, sham stimulation
- MeSH terms
- Adolescent, Adult, Aged, Attention, Major Depressive Disorder, Double-Blind Method, Female, Humans, Male, Middle Aged, Photic Stimulation, Reaction Time, Prefrontal Cortex, Transcranial Magnetic Stimulation, Young Adult
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