The Gonda Brain Research Center and Psychology Department, Bar Ilan University, Ramat Gan, Israel.
Exp Brain Res. 2023 Sep;241(9):2381-2392. doi: 10.1007/s00221-023-06695-6. Epub 2023 Aug 25.
Cognitive control, which has been localized to the right inferior frontal gyrus (rIFG) based on functional imaging and brain lesion studies, is impaired in patients with ADHD. The present study aims to investigate whether transcranial direct current stimulation (tDCS) over the rIFG might improve cognitive control in ADHD subjects. We hypothesized poorer performance in a cognitive control task, but not in a control language task, in the ADHD subjects. Crucially, following tDCS, we expected the ADHD group to improve their cognitive control. In a double-blind randomized control trial, 42 participants performed the stop signal task (SST) to index their cognitive control level and the language task. Half of them were randomly assigned to the anodal stimulation condition and half to the sham stimulation. The anodal or sham stimulation was applied over the right IFG. Following the stimulation, the participants reset the two tasks to see whether stimulation improved the (predicted) weaker performance in the ADHD group. Stimulation significantly enhanced cognitive control for both groups, with or without ADHD, in the SST task, but no significant stimulation effects were found for the control task. tDCS seems as a promising tool to improve cognitive control in the general population.
基于功能成像和脑损伤研究,认知控制被定位于右侧下额叶(rIFG),在 ADHD 患者中存在损伤。本研究旨在探讨 rIFG 的经颅直流电刺激(tDCS)是否可以改善 ADHD 患者的认知控制。我们假设 ADHD 患者在认知控制任务中的表现较差,但在控制语言任务中表现不差。至关重要的是,在 tDCS 之后,我们预计 ADHD 组将改善他们的认知控制。在一项双盲随机对照试验中,42 名参与者进行了停止信号任务(SST),以评估他们的认知控制水平和语言任务。他们中的一半被随机分配到阳极刺激条件,另一半被分配到假刺激条件。阳极或假刺激被施加于右侧 IFG。刺激后,参与者重置了这两个任务,以观察刺激是否改善了 ADHD 组(预期的)较弱的表现。刺激显著增强了两组(包括 ADHD 组和非 ADHD 组)在 SST 任务中的认知控制,但在控制任务中没有发现显著的刺激效应。tDCS 似乎是一种有前途的工具,可以改善普通人群的认知控制。