Working memory improvement with non-invasive brain stimulation of the dorsolateral prefrontal cortex: A systematic review and meta-analysis

dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorBRUNONI, Andre Russowsky
dc.contributor.authorVANDERHASSELT, Marie-Anne
dc.date.accessioned2014-09-30T14:57:08Z
dc.date.available2014-09-30T14:57:08Z
dc.date.issued2014
dc.description.abstractRecent studies have used non-invasive brain stimulation (NIBS) techniques, such as repetitive transcranial magnetic stimulation (rTMS) and transcranial direct current stimulation (tDCS), to increase dorsolateral prefrontal cortex (DLPFC) activity and, consequently, working memory (WM) performance. However, such experiments have yielded mixed results, possibly due to small sample sizes and heterogeneity of outcomes. Therefore, our aim was to perform a systematic review and meta-analyses on NIBS studies assessing the n-back task, which is a reliable index for WM. From the first data available to February 2013, we looked for sham-controlled, randomized studies that used NIBS over the DLPFC using the n-back task in PubMed/MEDLINE and other databases. Twelve studies (describing 33 experiments) matched our eligibility criteria. Active vs. sham NIBS was significantly associated with faster response times (RTs), higher percentage of correct responses and lower percentage of error responses. However, meta-regressions showed that tDCS (vs. rTMS) presented only an improvement in RT, and not in accuracy. This could have occurred in part because almost all tDCS studies employed a crossover design, possibly due to the reliable tDCS blinding. Study design was also associated with no improvement in correct responses in the active vs. sham groups. To conclude, rTMS of the DLPFC significantly improved all measures of WM performance whereas tDCS significantly improved RT, but not the percentage of correct and error responses. Mechanistic insights on the role of DLPFC in WM are further discussed, as well as how NIBS techniques could be used in neuropsychiatric samples presenting WM deficits, such as major depression, dementia and schizophrenia.
dc.description.indexMEDLINE
dc.identifier.citationBRAIN AND COGNITION, v.86, p.1-9, 2014
dc.identifier.doi10.1016/j.bandc.2014.01.008
dc.identifier.eissn1090-2147
dc.identifier.issn0278-2626
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/7839
dc.language.isoeng
dc.publisherACADEMIC PRESS INC ELSEVIER SCIENCE
dc.relation.ispartofBrain and Cognition
dc.rightsrestrictedAccess
dc.rights.holderCopyright ACADEMIC PRESS INC ELSEVIER SCIENCE
dc.subjectNon-invasive brain stimulation
dc.subjectRepetitive transcranial magnetic
dc.subjectstimulation
dc.subjectTranscranial direct current stimulation
dc.subjectWorking memory
dc.subjectN-back task
dc.subjectPrefrontal cortex
dc.subject.othertranscranial magnetic stimulation
dc.subject.othermotor cortex
dc.subject.othercortical excitability
dc.subject.otherexecutive functions
dc.subject.otherparkinsons-disease
dc.subject.othercognitive control
dc.subject.othervisual-cortex
dc.subject.othertdcs
dc.subject.otherschizophrenia
dc.subject.otherdepression
dc.subject.wosNeurosciences
dc.subject.wosPsychology, Experimental
dc.titleWorking memory improvement with non-invasive brain stimulation of the dorsolateral prefrontal cortex: A systematic review and meta-analysis
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.affiliation.countryBélgica
hcfmusp.affiliation.countryisobe
hcfmusp.author.externalVANDERHASSELT, Marie-Anne:Univ Ghent, Fac Psychol, Dept Expt Clin & Hlth Psychol, Psychopathol & Affect Neurosci Lab, B-9000 Ghent, Belgium
hcfmusp.citation.scopus482
hcfmusp.contributor.author-fmusphcANDRE RUSSOWSKY BRUNONI
hcfmusp.description.beginpage1
hcfmusp.description.endpage9
hcfmusp.description.volume86
hcfmusp.origemWOS
hcfmusp.origem.pubmed24514153
hcfmusp.origem.scopus2-s2.0-84893668353
hcfmusp.origem.wosWOS:000334570900001
hcfmusp.publisher.citySAN DIEGO
hcfmusp.publisher.countryUSA
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