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Cognitive control (CC) is an important prerequisite for goal-directed behaviour and often associated with dysfunctional prefrontal activity within the cortex. This can be ameliorated by non-invasive brain stimulation. In this randomised single-blind study we compare effects of transcranial direct current stimulation (tDCS) on CC in healthy subjects. The study includes 162 subjects who undergo a two-week (six sessions) training of cognitive control (adaptive paced auditory serial addition task, PASAT) supported by tDCS. Subjects are randomised to receive either concurrent anodal, cathodal, or sham tDCS with an intensity of 1 mA or 2 mA of their left (F3) or right (F4) PFC, resulting in eight stimulation groups. Stimulation effects on performance changes are compared to a sham control group.Changes in Affective state are measured by the positive and negative affect schedule (PANAS), possible transfer effects are assessed by the Eriksen Flanker task. Stability of effects is measured up to three months after the last intervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Sham | Sham Comparator | Sham tDCS (ramp up and ramp down of electrical current before as well as after task performance to elicit physical sensations similar to verum tDCS) |
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| L1A | Active Comparator | Active tDCS
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| R1A | Active Comparator | Active tDCS
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| L2A | Active Comparator | Active tDCS
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| R2A | Active Comparator | Active tDCS
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Effect of tDCS on cognitive control task performance | Behavioral | Added verum or sham tDCS while working on a cognitive control task. |
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| Measure | Description | Time Frame |
|---|---|---|
| Cognitive performance | Changes in performance in the PASAT (as assessed by number of correct trials within each PASAT session) due to the various tDCS interventions. All eight interventions will be compared to the sham group. Cognitive performance is modified by tDCS, which is applied through a multi-channel stimulator (DC-Stimulator MC, NeuroConn GmbH, Ilmenau, Germany; software version 1.3.8; two rectangular rubber electrodes (5 x 7 cm)). | 2 to 14 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Affective state | Changes in affective state over the course of the experiment (assessed by the positive and negative affect schedule (PANAS) questionnaire). Scores are calculated for negative and positive affect separately, by summing up the respective answers. | 2 weeks |
| Transfer effect |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Christian Plewnia, MD | University of Tübingen, Department of Psychiatry and Psychotherapy | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Tübingen, Department of Psychiatry and Psychotherapy | Tübingen | 72074 | Germany |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37919761 | Derived | Weller S, Derntl B, Plewnia C. Sex matters for the enhancement of cognitive training with transcranial direct current stimulation (tDCS). Biol Sex Differ. 2023 Nov 2;14(1):78. doi: 10.1186/s13293-023-00561-4. | |
| 32687899 | Derived | Weller S, Nitsche MA, Plewnia C. Enhancing cognitive control training with transcranial direct current stimulation: a systematic parameter study. Brain Stimul. 2020 Sep-Oct;13(5):1358-1369. doi: 10.1016/j.brs.2020.07.006. Epub 2020 Jul 18. |
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| L1C | Active Comparator | Active tDCS
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| R1C | Active Comparator | Active tDCS
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| L2C | Active Comparator | Active tDCS
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| R2C | Active Comparator | Active tDCS
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Transfer effects in the Eriksen Flanker task (assessed through mean reaction times). Means are calculated for congruent, incongruent, and neutral trials respectively. |
| 3 weeks |