A Systematic Review and Meta-Analysis of the Effects of Transcranial Direct Current Stimulation (tDCS) Over the Dorsolateral Prefrontal Cortex in Healthy and Neuropsychiatric Samples: Influence of Stimulation Parameters

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorDEDONCKER, Josefien
dc.contributor.authorBRUNONI, Andre R.
dc.contributor.authorBAEKEN, Chris
dc.contributor.authorVANDERHASSELT, Marie-Anne
dc.date.accessioned2016-10-17T16:46:27Z
dc.date.available2016-10-17T16:46:27Z
dc.date.issued2016
dc.description.abstractBackground: Research into the effects of transcranial direct current stimulation of the dorsolateral prefrontal cortex on cognitive functioning is increasing rapidly. However, methodological heterogeneity in prefrontal tDCS research is also increasing, particularly in technical stimulation parameters that might influence tDCS effects. Objective: To systematically examine the influence of technical stimulation parameters on DLPFC-tDCS effects. Methods: We performed a systematic review and meta-analysis of tDCS studies targeting the DLPFC published from the first data available to February 2016. Only single-session, sham-controlled, within-subject studies reporting the effects of tDCS on cognition in healthy controls and neuropsychiatric patients were included. Results: Evaluation of 61 studies showed that after single-session a-tDCS, but not c-tDCS, participants responded faster and more accurately on cognitive tasks. Sub-analyses specified that following a-tDCS, healthy subjects responded faster, while neuropsychiatric patients responded more accurately. Importantly, different stimulation parameters affected a-tDCS effects, but not c-tDCS effects, on accuracy in healthy samples vs. patients: increased current density and density charge resulted in improved accuracy in healthy samples, most prominently in females; for neuropsychiatric patients, task performance during a-tDCS resulted in stronger increases in accuracy rates compared to task performance following a-tDCS. Conclusions: Healthy participants respond faster, but not more accurate on cognitive tasks after a-tDCS. However, increasing the current density and/or charge might be able to enhance response accuracy, particularly in females. In contrast, online task performance leads to greater increases in response accuracy than offline task performance in neuropsychiatric patients. Possible implications and practical recommendations are discussed.
dc.description.indexMEDLINE
dc.description.sponsorshipBrain & Behavior Research Foundation [20493]
dc.description.sponsorshipSao Paulo State Foundation [20911-5]
dc.description.sponsorshipNational Council for Scientific and Technological Development (CNPq) [470904]
dc.description.sponsorshipGhent University
dc.identifier.citationBRAIN STIMULATION, v.9, n.4, p.501-517, 2016
dc.identifier.doi10.1016/j.brs.2016.04.006
dc.identifier.eissn1876-4754
dc.identifier.issn1935-861X
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/16488
dc.language.isoeng
dc.publisherELSEVIER SCIENCE INC
dc.relation.ispartofBrain Stimulation
dc.rightsrestrictedAccess
dc.rights.holderCopyright ELSEVIER SCIENCE INC
dc.subjectCognition
dc.subjectDorsolateral prefrontal cortex
dc.subjectMeta-analysis
dc.subjectNoninvasive brain stimulation
dc.subjectStimulation parameters
dc.subjectTranscranial direct current stimulation
dc.subject.othernoninvasive brain-stimulation
dc.subject.otherimproving working-memory
dc.subject.otherrandom noise stimulation
dc.subject.otherhuman motor cortex
dc.subject.othercortical excitability
dc.subject.otherexecutive functions
dc.subject.othercognitive control
dc.subject.otherolder-adults
dc.subject.otheranodal tdcs
dc.subject.othertask
dc.subject.wosClinical Neurology
dc.subject.wosNeurosciences
dc.titleA Systematic Review and Meta-Analysis of the Effects of Transcranial Direct Current Stimulation (tDCS) Over the Dorsolateral Prefrontal Cortex in Healthy and Neuropsychiatric Samples: Influence of Stimulation Parameters
dc.typearticle
dc.type.categoryreview
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.affiliation.countryBélgica
hcfmusp.affiliation.countryisobe
hcfmusp.author.externalDEDONCKER, Josefien:Univ Ghent, Univ Hosp Ghent UZ Ghent, Dept Psychiat & Med Psychol, B-9000 Ghent, Belgium; Univ Ghent, Ghent Expt Psychiat GHEP Lab, B-9000 Ghent, Belgium
hcfmusp.author.externalBAEKEN, Chris:Univ Ghent, Univ Hosp Ghent UZ Ghent, Dept Psychiat & Med Psychol, B-9000 Ghent, Belgium; Univ Ghent, Ghent Expt Psychiat GHEP Lab, B-9000 Ghent, Belgium; Vrije Univ Brussel, Dept Psychiat, Univ Hosp Brussel UZ Brussel, Fac Med & Pharm, Brussels, Belgium
hcfmusp.author.externalVANDERHASSELT, Marie-Anne:Univ Ghent, Univ Hosp Ghent UZ Ghent, Dept Psychiat & Med Psychol, B-9000 Ghent, Belgium; Univ Ghent, Ghent Expt Psychiat GHEP Lab, B-9000 Ghent, Belgium; Vrije Univ Brussel, Dept Psychiat, Univ Hosp Brussel UZ Brussel, Fac Med & Pharm, Brussels, Belgium; Univ Ghent, Dept Expt Clin & Hlth Psychol, B-9000 Ghent, Belgium
hcfmusp.citation.scopus371
hcfmusp.contributor.author-fmusphcANDRE RUSSOWSKY BRUNONI
hcfmusp.description.beginpage501
hcfmusp.description.endpage517
hcfmusp.description.issue4
hcfmusp.description.volume9
hcfmusp.origemWOS
hcfmusp.origem.pubmed27160468
hcfmusp.origem.scopus2-s2.0-84964950963
hcfmusp.origem.wosWOS:000378063000003
hcfmusp.publisher.cityNEW YORK
hcfmusp.publisher.countryUSA
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