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Modulation of cortical activity by transcranial direct current stimulation in patients with affective disorder
Transcranial direct current stimulation (tDCS) has been shown to have antidepressant efficacy in patients experiencing a major depressive episode, but little is known about the underlying neurophysiology. The purpose of our study was to investigate the acute effects of tDCS on cortical activity usin...
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Published in: | PloS one 2014-06, Vol.9 (6), p.e98503-e98503 |
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description | Transcranial direct current stimulation (tDCS) has been shown to have antidepressant efficacy in patients experiencing a major depressive episode, but little is known about the underlying neurophysiology. The purpose of our study was to investigate the acute effects of tDCS on cortical activity using electroencephalography (EEG) in patients with an affective disorder. Eighteen patients diagnosed with an affective disorder and experiencing a depressive episode participated in a sham-controlled study of tDCS, each receiving a session of active (2 mA for 20 minutes) and sham tDCS to the left dorsolateral prefrontal cortex (DLPFC). The effects of tDCS on EEG activity were assessed after each session using event-related potentials (ERP) and measurement of spectral activity during a visual working memory (VWM) task. We observed task and intervention dependent effects on both ERPs and task-related alpha and theta activity, where active compared to sham stimulation resulted in a significant reduction in the N2 amplitude and reduced theta activity over frontal areas during memory retrieval. In summary a single session of anodal tDCS stimulation to the left DLPFC during a major depressive episode resulted in modulated brain activity evident in task-related EEG. Effects on the N2 and frontal theta activity likely reflect modulated activity in the medial frontal cortex and hence indicate that the after-effects of tDCS extend beyond the direct focal effects to the left DLPFC. |
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The purpose of our study was to investigate the acute effects of tDCS on cortical activity using electroencephalography (EEG) in patients with an affective disorder. Eighteen patients diagnosed with an affective disorder and experiencing a depressive episode participated in a sham-controlled study of tDCS, each receiving a session of active (2 mA for 20 minutes) and sham tDCS to the left dorsolateral prefrontal cortex (DLPFC). The effects of tDCS on EEG activity were assessed after each session using event-related potentials (ERP) and measurement of spectral activity during a visual working memory (VWM) task. We observed task and intervention dependent effects on both ERPs and task-related alpha and theta activity, where active compared to sham stimulation resulted in a significant reduction in the N2 amplitude and reduced theta activity over frontal areas during memory retrieval. In summary a single session of anodal tDCS stimulation to the left DLPFC during a major depressive episode resulted in modulated brain activity evident in task-related EEG. Effects on the N2 and frontal theta activity likely reflect modulated activity in the medial frontal cortex and hence indicate that the after-effects of tDCS extend beyond the direct focal effects to the left DLPFC.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0098503</identifier><identifier>PMID: 24914953</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Active control ; Acute effects ; Adult ; Antidepressants ; Biology and Life Sciences ; Brain ; Brain research ; Care and treatment ; Cerebral Cortex - physiopathology ; Cortex (frontal) ; Depression (Mood disorder) ; Direct current ; EEG ; Electrical stimulation of the brain ; Electroencephalography ; ESB ; Event-related potentials ; Evoked Potentials ; Female ; Health aspects ; Humans ; Male ; Medical research ; Medicine and Health Sciences ; Memory ; Memory, Short-Term ; Mental depression ; Middle Aged ; Mood Disorders - diagnosis ; Mood Disorders - physiopathology ; Mood Disorders - therapy ; Neurophysiology ; Neurosciences ; Patients ; Prefrontal cortex ; Psychiatry ; Research and Analysis Methods ; Short term memory ; Stimulation ; Studies ; Transcranial Direct Current Stimulation ; Treatment Outcome ; Visual cortex ; Visual observation ; Visual Perception ; Visual tasks</subject><ispartof>PloS one, 2014-06, Vol.9 (6), p.e98503-e98503</ispartof><rights>COPYRIGHT 2014 Public Library of Science</rights><rights>2014 Powell et al. 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Powell, Tamara Y</au><au>Boonstra, Tjeerd W</au><au>Martin, Donel M</au><au>Loo, Colleen K</au><au>Breakspear, Michael</au><au>Antal, Andrea</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Modulation of cortical activity by transcranial direct current stimulation in patients with affective disorder</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2014-06-10</date><risdate>2014</risdate><volume>9</volume><issue>6</issue><spage>e98503</spage><epage>e98503</epage><pages>e98503-e98503</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Transcranial direct current stimulation (tDCS) has been shown to have antidepressant efficacy in patients experiencing a major depressive episode, but little is known about the underlying neurophysiology. The purpose of our study was to investigate the acute effects of tDCS on cortical activity using electroencephalography (EEG) in patients with an affective disorder. Eighteen patients diagnosed with an affective disorder and experiencing a depressive episode participated in a sham-controlled study of tDCS, each receiving a session of active (2 mA for 20 minutes) and sham tDCS to the left dorsolateral prefrontal cortex (DLPFC). The effects of tDCS on EEG activity were assessed after each session using event-related potentials (ERP) and measurement of spectral activity during a visual working memory (VWM) task. We observed task and intervention dependent effects on both ERPs and task-related alpha and theta activity, where active compared to sham stimulation resulted in a significant reduction in the N2 amplitude and reduced theta activity over frontal areas during memory retrieval. In summary a single session of anodal tDCS stimulation to the left DLPFC during a major depressive episode resulted in modulated brain activity evident in task-related EEG. Effects on the N2 and frontal theta activity likely reflect modulated activity in the medial frontal cortex and hence indicate that the after-effects of tDCS extend beyond the direct focal effects to the left DLPFC.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>24914953</pmid><doi>10.1371/journal.pone.0098503</doi><oa>free_for_read</oa></addata></record> |
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subjects | Active control Acute effects Adult Antidepressants Biology and Life Sciences Brain Brain research Care and treatment Cerebral Cortex - physiopathology Cortex (frontal) Depression (Mood disorder) Direct current EEG Electrical stimulation of the brain Electroencephalography ESB Event-related potentials Evoked Potentials Female Health aspects Humans Male Medical research Medicine and Health Sciences Memory Memory, Short-Term Mental depression Middle Aged Mood Disorders - diagnosis Mood Disorders - physiopathology Mood Disorders - therapy Neurophysiology Neurosciences Patients Prefrontal cortex Psychiatry Research and Analysis Methods Short term memory Stimulation Studies Transcranial Direct Current Stimulation Treatment Outcome Visual cortex Visual observation Visual Perception Visual tasks |
title | Modulation of cortical activity by transcranial direct current stimulation in patients with affective disorder |
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