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A pooled analysis of the side effects of non-invasive Transcutaneous Auricular Vagus Nerve Stimulation (taVNS).

作者信息

Giraudier Manon, Ventura-Bort Carlos, Szeska Christoph, Weymar Mathias

机构信息

Department of Biological Psychology and Affective Science, Faculty of Human Sciences, University of Potsdam, Potsdam, Germany.

Faculty of Health Sciences Brandenburg, University of Potsdam, Potsdam, Germany.

出版信息

Front Hum Neurosci. 2025 Feb 5;19:1539416. doi: 10.3389/fnhum.2025.1539416. eCollection 2025.


DOI:10.3389/fnhum.2025.1539416
PMID:39981126
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11841445/
Abstract

INTRODUCTION: Transcutaneous auricular vagus nerve stimulation (taVNS) is a promising technique for modulating vagal afferent fibers non-invasively and has shown therapeutic potential in neurological, cognitive, and affective disorders. While previous research highlights its efficacy, the safety profile of taVNS has been less extensively examined. METHODS: This study therefore aimed to systematically investigate side effects of taVNS in a large pooled dataset consisting of = 488 participants, utilizing a standardized questionnaire to assess ten reported side effects. Analyses included effects of stimulation type (interval vs. continuous), stimulation duration, stimulation intensity and participant characteristics (age and gender) as potential modulators. RESULTS: The findings support the safety of taVNS, with minimal and mild side effects reported across participants ( = 1.86, = 1.36). Although participants receiving sham stimulation were 32.4% less likely to report unpleasant feelings compared to participants receiving taVNS, this effect was driven primarily by low-end ratings (specifically, a rating of 1, indicating when experiencing the corresponding side effect), thus suggesting limited clinical relevance. Interval stimulation notably reduced the likelihood of some side effects, particularly for neck pain, dizziness and unpleasant feelings, suggesting potential for optimizing taVNS protocols. Stimulation intensity and duration showed few statistically significant, but clinically minimal (i.e., very small) effects. CONCLUSION: Overall, these findings demonstrate a favorable safety profile of taVNS, with mostly mild and transient effects, supporting its use as a suitable non-invasive tool in both research and clinical applications.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cee/11841445/083f1a23096e/fnhum-19-1539416-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cee/11841445/1850df2d278e/fnhum-19-1539416-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cee/11841445/083f1a23096e/fnhum-19-1539416-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cee/11841445/1850df2d278e/fnhum-19-1539416-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cee/11841445/083f1a23096e/fnhum-19-1539416-g0002.jpg

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本文引用的文献

[1]
Effects of Transcutaneous Auricular Vagus Nerve Stimulation on the P300: Do Stimulation Duration and Stimulation Type Matter?

Brain Sci. 2024-7-10

[2]
Transcutaneous auricular vagus nerve stimulation modulates the processing of interoceptive prediction error signals and their role in allostatic regulation.

Hum Brain Mapp. 2024-2-15

[3]
Auricular Transcutaneous Vagus Nerve Stimulation Specifically Enhances Working Memory Gate Closing Mechanism: A System Neurophysiological Study.

J Neurosci. 2023-6-21

[4]
Safety of transcutaneous auricular vagus nerve stimulation (taVNS): a systematic review and meta-analysis.

Sci Rep. 2022-12-21

[5]
Vagus nerve stimulation for conservative therapy-refractive epilepsy and depression.

Laryngorhinootologie. 2022-5

[6]
Transcutaneous Vagal Nerve Stimulation in Treatment-Resistant Depression: A Feasibility Study.

Neuromodulation. 2022-4

[7]
Establishment of Emotional Memories Is Mediated by Vagal Nerve Activation: Evidence from Noninvasive taVNS.

J Neurosci. 2021-9-8

[8]
Transcutaneous Vagus Nerve Stimulation (t-VNS) and epilepsy: A systematic review of the literature.

Seizure. 2021-10

[9]
When symptoms become side effects: Development of the side effect attribution scale (SEAS).

J Psychosom Res. 2021-2

[10]
Behavioral and neurophysiological signatures of interoceptive enhancements following vagus nerve stimulation.

Hum Brain Mapp. 2021-4-1

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