Changes in motor cortical excitability in schizophrenia following transcranial direct current stimulation.

Abstract:

:Schizophrenia is a disorder associated with cortical inhibition deficits. Transcranial direct current stimulation (tDCS) induces changes in cortical excitability in healthy subjects and individuals with neuropsychiatric disorders depending on the stimulation parameters. Our aim was to investigate whether a previously published tDCS protocol associated with symptomatic improvement in schizophrenia would induce changes in motor cortical excitability, assessed by transcranial magnetic stimulation paradigms, i.e., short-interval intracortical inhibition (SICI) and intra-cortical facilitation (ICF). We assessed cortical excitability measurements in 48 subjects with schizophrenia before and after a single session of active tDCS (20 min, 2 mA, anode over left dorsolateral prefrontal cortex, cathode over left temporoparietal cortex) or sham. Those who received active tDCS had a significant increase of SICI in the left motor cortex compared to those who received sham stimulation (Cohen's d = 0.54, p = .019). No changes were observed for ICF. In addition, lower SICI was associated with higher age (β = -0.448, p < .01). Increase in intracortical inhibition may indicate a mechanism of action of tDCS in this population. Future studies should investigate whether this finding is a biomarker of treatment response for schizophrenia.

authors

Gordon PC,Valiengo LDCL,de Paula VJR,Galhardoni R,Ziemann U,de Andrade DC,Brunoni AR

doi

10.1016/j.pnpbp.2018.11.004

subject

Has Abstract

pub_date

2019-03-02 00:00:00

pages

43-48

eissn

0278-5846

issn

1878-4216

pii

S0278-5846(18)30537-2

journal_volume

90

pub_type

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