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Improving Interference Control in ADHD Patients with Transcranial Direct Current Stimulation (tDCS)

机译:改善经颅直流电刺激(tDCS)对ADHD患者的干扰控制

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摘要

The use of transcranial direct current stimulation (tDCS) in patients with attention deficit hyperactivity disorder (ADHD) has been suggested as a promising alternative to psychopharmacological treatment approaches due to its local and network effects on brain activation. In the current study, we investigated the impact of tDCS over the right inferior frontal gyrus (rIFG) on interference control in 21 male adolescents with ADHD and 21 age matched healthy controls aged 13–17 years, who underwent three separate sessions of tDCS (anodal, cathodal, and sham) while completing a Flanker task. Even though anodal stimulation appeared to diminish commission errors in the ADHD group, the overall analysis revealed no significant effect of tDCS. Since participants showed a considerable learning effect from the first to the second session, performance in the first session was separately analyzed. ADHD patients receiving sham stimulation in the first session showed impaired interference control compared to healthy control participants whereas ADHD patients who were exposed to anodal stimulation, showed comparable performance levels (commission errors, reaction time variability) to the control group. These results suggest that anodal tDCS of the right inferior frontal gyrus could improve interference control in patients with ADHD.
机译:已建议在注意力缺陷多动障碍(ADHD)患者中使用经颅直流电刺激(tDCS)作为心理药物治疗方法的一种有前途的替代方法,这是由于其对大脑激活的局部和网络影响。在本研究中,我们调查了tDCS对右下额回(rIFG)的影响,对21例多动症男性青少年和21例年龄在13-17岁的健康对照者的干扰控制进行了干预,他们分别接受了三期tDCS(阳极,阴极和伪造),同时完成“侧卫”任务。尽管阳极刺激似乎减少了多动症组的佣金错误,但总体分析显示,tDCS没有显着影响。由于参与者从第一届到第二届会议都表现出了相当可观的学习效果,因此对第一届会议的表现进行了单独分析。与健康对照组相比,在第一阶段接受假刺激的ADHD患者显示出干扰控制受损,而暴露于阳极刺激下的ADHD患者表现出与对照组相当的性能水平(佣金误差,反应时间可变性)。这些结果表明右下额回的阳极tDCS可以改善ADHD患者的干扰控制。

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