Beiman Noa, Eitan Renana, Todder Doron, Keha Eldad, Kalanthroff Eyal
Department of Psychology, The Hebrew University of Jerusalem, Israel.
Psychiatric Division, Tel Aviv Sourasky Medical Center-Ichilov, Tel Aviv, Israel.
Clin Neuropsychiatry. 2025 Feb;22(1):87-98. doi: 10.36131/cnfioritieditore20250107.
Attention deficit/hyperactivity disorder (ADHD) is among the most prevalent neurodevelopmental disorders in children, often persisting into adulthood. It is characterized by two symptom domains: impulsivity and inattention, both associated with underlying neural and cognitive deficiencies. This study is the first toinvestigate the potential effects of transcranial direct current stimulation (tDCS) targeting the left DLPFC on cognitive functions related to both symptom domains in adults with ADHD compared to typically developed controls.
This pre-registered clinical trial enrolled 55 participants, 25 of whom were diagnosed with ADHD. Participants completed a series of cognitive tasks before and after receiving either tDCS or sham treatment.
In the ADHD group, tDCS treatment improved measures associated with inattention,but not measures related to impulsivity. In the control group, tDCS treatment had no benefits.
The discrepancy in treatment response observed between inattentive and impulsivesymptoms has implications for understanding the neurobiological mechanisms of ADHD. Our findings offer new evidence supporting the positive impact of tDCS on cognitive functions linked to inattention.
注意缺陷多动障碍(ADHD)是儿童中最常见的神经发育障碍之一,常持续至成年期。它由两个症状领域表征:冲动和注意力不集中,两者均与潜在的神经和认知缺陷相关。本研究首次调查了与典型发育的对照组相比,针对左侧背外侧前额叶皮质(DLPFC)的经颅直流电刺激(tDCS)对成人ADHD患者与两个症状领域相关的认知功能的潜在影响。
这项预先注册的临床试验招募了55名参与者,其中25名被诊断患有ADHD。参与者在接受tDCS或假治疗之前和之后完成了一系列认知任务。
在ADHD组中,tDCS治疗改善了与注意力不集中相关的指标,但与冲动相关的指标未得到改善。在对照组中,tDCS治疗没有益处。
在注意力不集中和冲动症状之间观察到的治疗反应差异对理解ADHD的神经生物学机制具有启示意义。我们的研究结果提供了新的证据,支持tDCS对与注意力不集中相关的认知功能的积极影响。