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Transcranial direct current stimulation versus intermittent theta-burst stimulation for the improvement of working memory performance

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Abstract
Non-invasive brain stimulation (NIBS) techniques have been increasingly used over the dorsolateral prefrontal cortex (DLPFC) to enhance working memory (WM) performance. Not-withstanding, NIBS protocols have shown either small or inconclusive cognitive effects on healthy and neuropsychiatric samples. Therefore, we assessed working memory performance and safety of transcranial direct current stimulation (tDCS), intermittent theta-burst stimulation (iTBS), and both therapies combined vs placebo over the neuronavigated left DLPFC of healthy participants. Twenty-four subjects were included to randomly undergo four sessions of NIBS, once a week: tDCS alone, iTBS alone, combined protocol and placebo. The 2-back task and an adverse effect scale were applied after each NIBS session. Results revealed a significantly faster response for iTBS (b=-21.49, p= 0.04), but not for tDCS and for the interaction tDCS vs. iTBS (b= 13.67, p= 0.26 and b= 40.5, p= 0.20, respectively). No changes were observed for accuracy and no serious adverse effects were found among protocols. Although tolerable, an absence of syner-gistic effects for the combined protocol was seen. Nonetheless, future trials accessing different outcomes for the combined protocols, as well as studies investigating iTBS over the left DLPFC for cognition and exploring sources of variability for tDCS are encouraged. (c) 2022 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY-NC -ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Keywords
Clinical Psychology, Non-invasive brain stimulation, Working memory, Synergistic effects, Prefrontal cortex, Combined interventions, DORSOLATERAL PREFRONTAL CORTEX, MAGNETIC STIMULATION, BRAIN, DEPRESSION, EFFICACY, HEALTHY, TDCS

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MLA
Boralli Razza, Laís, et al. “Transcranial Direct Current Stimulation versus Intermittent Theta-Burst Stimulation for the Improvement of Working Memory Performance.” INTERNATIONAL JOURNAL OF CLINICAL AND HEALTH PSYCHOLOGY, vol. 23, no. 1, 2023, doi:10.1016/j.ijchp.2022.100334.
APA
Boralli Razza, L., Luethi, M. S., Zanão, T., De Smet, S., Buchpiguel, C., Busatto, G., … Brunoni, A. R. (2023). Transcranial direct current stimulation versus intermittent theta-burst stimulation for the improvement of working memory performance. INTERNATIONAL JOURNAL OF CLINICAL AND HEALTH PSYCHOLOGY, 23(1). https://doi.org/10.1016/j.ijchp.2022.100334
Chicago author-date
Boralli Razza, Laís, Matthias S. Luethi, Tamires Zanão, Stefanie De Smet, Carlos Buchpiguel, Geraldo Busatto, Juliana Pereira, et al. 2023. “Transcranial Direct Current Stimulation versus Intermittent Theta-Burst Stimulation for the Improvement of Working Memory Performance.” INTERNATIONAL JOURNAL OF CLINICAL AND HEALTH PSYCHOLOGY 23 (1). https://doi.org/10.1016/j.ijchp.2022.100334.
Chicago author-date (all authors)
Boralli Razza, Laís, Matthias S. Luethi, Tamires Zanão, Stefanie De Smet, Carlos Buchpiguel, Geraldo Busatto, Juliana Pereira, Izio Klein, Mitchel Kappen, Marina Moreno, Chris Baeken, Marie-Anne Vanderhasselt, and André R. Brunoni. 2023. “Transcranial Direct Current Stimulation versus Intermittent Theta-Burst Stimulation for the Improvement of Working Memory Performance.” INTERNATIONAL JOURNAL OF CLINICAL AND HEALTH PSYCHOLOGY 23 (1). doi:10.1016/j.ijchp.2022.100334.
Vancouver
1.
Boralli Razza L, Luethi MS, Zanão T, De Smet S, Buchpiguel C, Busatto G, et al. Transcranial direct current stimulation versus intermittent theta-burst stimulation for the improvement of working memory performance. INTERNATIONAL JOURNAL OF CLINICAL AND HEALTH PSYCHOLOGY. 2023;23(1).
IEEE
[1]
L. Boralli Razza et al., “Transcranial direct current stimulation versus intermittent theta-burst stimulation for the improvement of working memory performance,” INTERNATIONAL JOURNAL OF CLINICAL AND HEALTH PSYCHOLOGY, vol. 23, no. 1, 2023.
@article{8766333,
  abstract     = {{Non-invasive brain stimulation (NIBS) techniques have been increasingly used over the dorsolateral prefrontal cortex (DLPFC) to enhance working memory (WM) performance. Not-withstanding, NIBS protocols have shown either small or inconclusive cognitive effects on healthy and neuropsychiatric samples. Therefore, we assessed working memory performance and safety of transcranial direct current stimulation (tDCS), intermittent theta-burst stimulation (iTBS), and both therapies combined vs placebo over the neuronavigated left DLPFC of healthy participants. Twenty-four subjects were included to randomly undergo four sessions of NIBS, once a week: tDCS alone, iTBS alone, combined protocol and placebo. The 2-back task and an adverse effect scale were applied after each NIBS session. Results revealed a significantly faster response for iTBS (b=-21.49, p= 0.04), but not for tDCS and for the interaction tDCS vs. iTBS (b= 13.67, p= 0.26 and b= 40.5, p= 0.20, respectively). No changes were observed for accuracy and no serious adverse effects were found among protocols. Although tolerable, an absence of syner-gistic effects for the combined protocol was seen. Nonetheless, future trials accessing different outcomes for the combined protocols, as well as studies investigating iTBS over the left DLPFC for cognition and exploring sources of variability for tDCS are encouraged. (c) 2022 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY-NC -ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).}},
  articleno    = {{100334}},
  author       = {{Boralli Razza, Laís and Luethi, Matthias S. and Zanão, Tamires and De Smet, Stefanie and Buchpiguel, Carlos and Busatto, Geraldo and Pereira, Juliana and Klein, Izio and Kappen, Mitchel and Moreno, Marina and Baeken, Chris and Vanderhasselt, Marie-Anne and Brunoni, André R.}},
  issn         = {{1697-2600}},
  journal      = {{INTERNATIONAL JOURNAL OF CLINICAL AND HEALTH PSYCHOLOGY}},
  keywords     = {{Clinical Psychology,Non-invasive brain stimulation,Working memory,Synergistic effects,Prefrontal cortex,Combined interventions,DORSOLATERAL PREFRONTAL CORTEX,MAGNETIC STIMULATION,BRAIN,DEPRESSION,EFFICACY,HEALTHY,TDCS}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{8}},
  title        = {{Transcranial direct current stimulation versus intermittent theta-burst stimulation for the improvement of working memory performance}},
  url          = {{http://doi.org/10.1016/j.ijchp.2022.100334}},
  volume       = {{23}},
  year         = {{2023}},
}

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