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Inter-Individual Variability in tDCS Effects: A Narrative Review on the Contribution of Stable, Variable, and Contextual Factors.

作者信息

Vergallito Alessandra, Feroldi Sarah, Pisoni Alberto, Romero Lauro Leonor J

机构信息

Department of Psychology & NeuroMi, University of Milano Bicocca, 20126 Milano, Italy.

School of Medicine and Surgery, University of Milano-Bicocca, 20854 Monza, Italy.

出版信息

Brain Sci. 2022 Apr 20;12(5):522. doi: 10.3390/brainsci12050522.


DOI:10.3390/brainsci12050522
PMID:35624908
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9139102/
Abstract

Due to its safety, portability, and cheapness, transcranial direct current stimulation (tDCS) use largely increased in research and clinical settings. Despite tDCS's wide application, previous works pointed out inconsistent and low replicable results, sometimes leading to extreme conclusions about tDCS's ineffectiveness in modulating behavioral performance across cognitive domains. Traditionally, this variability has been linked to significant differences in the stimulation protocols across studies, including stimulation parameters, target regions, and electrodes montage. Here, we reviewed and discussed evidence of heterogeneity emerging at the intra-study level, namely inter-individual differences that may influence the response to tDCS within each study. This source of variability has been largely neglected by literature, being results mainly analyzed at the group level. Previous research, however, highlighted that only a half-or less-of studies' participants could be classified as responders, being affected by tDCS in the expected direction. Stable and variable inter-individual differences, such as morphological and genetic features vs. hormonal/exogenous substance consumption, partially account for this heterogeneity. Moreover, variability comes from experiments' contextual elements, such as participants' engagement/baseline capacity and individual task difficulty. We concluded that increasing knowledge on inter-dividual differences rather than undermining tDCS effectiveness could enhance protocols' efficiency and reproducibility.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2733/9139102/3d60b7a38e58/brainsci-12-00522-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2733/9139102/3d60b7a38e58/brainsci-12-00522-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2733/9139102/3d60b7a38e58/brainsci-12-00522-g001.jpg

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[1]
Inter-Individual Variability in tDCS Effects: A Narrative Review on the Contribution of Stable, Variable, and Contextual Factors.

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[2]
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[7]
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[6]
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[7]
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本文引用的文献

[1]
The Role of Expectation and Beliefs on the Effects of Non-Invasive Brain Stimulation.

Brain Sci. 2021-11-18

[2]
Sex difference in tDCS current mediated by changes in cortical anatomy: A study across young, middle and older adults.

Brain Stimul. 2022

[3]
Initial performance modulates the effects of cathodal transcranial direct current stimulation (tDCS) over the right dorsolateral prefrontal cortex on inhibitory control.

Brain Res. 2022-1-1

[4]
Effectiveness of noninvasive brain stimulation in the treatment of anxiety disorders: a meta-analysis of sham or behaviour-controlled studies.

J Psychiatry Neurosci. 2021

[5]
Transcranial Electrical Stimulation generates electric fields in deep human brain structures.

Brain Stimul. 2022

[6]
Transcranial Direct Current Stimulation (tDCS) for Memory Enhancement.

J Vis Exp. 2021-9-18

[7]
Focality-Oriented Selection of Current Dose for Transcranial Direct Current Stimulation.

J Pers Med. 2021-9-21

[8]
Modulation of Working Memory and Resting-State fMRI by tDCS of the Right Frontoparietal Network.

Neural Plast. 2021

[9]
Large-scale analysis of interindividual variability in single and paired-pulse TMS data.

Clin Neurophysiol. 2021-10

[10]
Cortical current density magnitudes during transcranial direct current stimulation correlate with skull thickness in children, adolescent and young adults.

Prog Brain Res. 2021

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