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调控的调节:经颅直流电刺激背侧前扣带回能否降低冲动性?

Modulation of control: Can HD-tDCS targeting the dACC reduce impulsivity?

作者信息

Verveer Ilse, Hill Aron T, Franken Ingmar H A, Yücel Murat, van Dongen Josanne D M, Segrave Rebecca

机构信息

Department of Psychology, Education and Child Studies, Erasmus School of Social and Behavioural Sciences, Erasmus University, Rotterdam, The Netherlands.

Cognitive Neuroscience Unit, School of Psychology, Deakin University, Melbourne, Victoria, Australia.

出版信息

Brain Res. 2021 Apr 1;1756:147282. doi: 10.1016/j.brainres.2021.147282. Epub 2021 Jan 28.

Abstract

BACKGROUND

The dorsal anterior cingulate cortex (dACC) and its neurocircuits are central in impulsivity, and maladaptive dACC activity has been implicated in psychological disorders characterized by high trait impulsivity. High-Definition transcranial Direct Current Stimulation (HD-tDCS) is a non-invasive neuromodulation tool that, with certain electrode configurations, can be optimized for targeting deeper subcorticalbrainstructures, such as the dACC.

OBJECTIVES

Using behavioural and electrophysiological measures we investigated whether HD-tDCS targeting the dACC could modulate two key components of impulsivity, inhibitory control and error processing.

METHODS

Twenty-three healthy adults with high trait impulsivity participated in two experimental sessions. Participants received active or sham HD-tDCS in counterbalanced order with a wash-out period of at least 3 days, as part of a single-blind, cross-over design. EEG was recorded during the Go-NoGo task before, directly after, and 30 min after HD-tDCS.

RESULTS

HD-tDCS targeting the dACC did not affect inhibitory control performance on the Go-NoGo task, but there was evidence for a delayed change in underlying neurophysiological components of motor inhibition (NoGo P3) and error processing (error related negativity; ERN) after one session of HD-tDCS.

CONCLUSION

HD-tDCS has potential to modulate underlying neurophysiological components of impulsivity. Future studies should further explore to what degree the dACC was affected and whether multi-session HD-tDCS has the capacity to also induce behavioural changes, particularly in clinical samples characterized by high trait impulsivity.

摘要

背景

背侧前扣带回皮质(dACC)及其神经回路在冲动性中起核心作用,dACC的适应不良活动与以高特质冲动性为特征的心理障碍有关。高清经颅直流电刺激(HD-tDCS)是一种非侵入性神经调节工具,通过特定的电极配置,可优化用于靶向更深层的皮质下脑结构,如dACC。

目的

我们使用行为和电生理测量方法,研究靶向dACC的HD-tDCS是否能调节冲动性的两个关键组成部分,即抑制控制和错误处理。

方法

23名具有高特质冲动性的健康成年人参加了两个实验环节。作为单盲交叉设计的一部分,参与者以平衡顺序接受主动或假HD-tDCS,洗脱期至少为3天。在HD-tDCS之前、之后及之后30分钟的Go-NoGo任务期间记录脑电图。

结果

靶向dACC的HD-tDCS不影响Go-NoGo任务中的抑制控制表现,但有证据表明,在一次HD-tDCS后,运动抑制(NoGo P3)和错误处理(错误相关负波;ERN)的潜在神经生理成分发生了延迟变化。

结论

HD-tDCS有调节冲动性潜在神经生理成分的潜力。未来的研究应进一步探索dACC受影响的程度,以及多疗程HD-tDCS是否也有能力诱发行为改变,特别是在以高特质冲动性为特征的临床样本中。

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