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Combined EEG-tDCS approach in resting state to reduce comorbid anxiety and depressive symptoms in affective disorders: A sham-controlled pilot study
Couto, Tania A.1,2; Gao, Fei1,3; Lak, Davis C.4,5; Yuan, Zhen1
2024-06-01
Source PublicationIBRO Neuroscience Reports
ISSN2667-2421
Volume16Pages:571-581
Abstract

Continuous challenges have been imposed on mental health science by Anxiety and Depression disorders as the most prevalent and debilitating psychiatric conditions worldwide. Pharmacologic and cognitive behavioral therapies, either alone or in combination, have been considered as the first-line therapies, however, resistant symptomatology is prevalent in comorbid conditions with symptoms remaining after interventions. The demand for new therapeutic solutions has given space to the development of non-invasive brain stimulation techniques (NIBS), and the transmagnetic direct current stimulation (tDCS) has been reported as a safe and well-tolerated technique for the treatment of several mental health conditions, including Anxiety and Depression disorders. Relying on quantitative electroencephalography(qEEG)- tDCS approach, the current study aims to inspect the effect of tDCS intervention on patients who suffer from anxiety-depression comorbidity, in particular, the impact of tDCS intervention on qEEG spectral power activity and resting-state connectivity organization during eyes closed and eyes open protocols. QEEG data were acquired from eight patients suffering from moderate to severe anxiety-depression comorbid symptoms along with poor coping skills to manage stress and negative affect. Twelve control subjects allocated in the control group exhibiting low to moderate symptoms in both anxiety and depression conditions went also through the qEEG data acquisition. In addition, a sham-controlled study was conducted, and the patient group went through resting-state qEEG-tDCS neuromodulation once a week for ten weeks. Various-stage qEEG recordings were performed to inspect the efficacy of tDCS treatment during the modulation of brain regions involved in the regulation of affective responses. Our results demonstrated that after tDCS neuromodulation, the patients' groups exhibited decreased absolute power abnormalities over the left anterior cingulate cortex and reduced abnormal activity in the alpha band over posterior regions; improved functional connectivity indexes; decreased anxiety and depressive scores while positive affect score was improved. Besides the promising improvements, our study did not find a significant tDCS effect on perceived stress and negative affect scores. Consistently, significant differences in absolute spectral power over the left anterior cingulate cortex were detected among the patient group, as compared to the controls, as expected. Therefore, our study offers preliminary data to understand the neuroplasticity changes that potentially result from the manipulation of cortical excitability during affective regulation protocols followed by the consequent decrease of comorbid anxiety and depressive symptomatology. The pilot study was followed by prospective registration with ChiCTR2200062142.

KeywordAffective Disorders Comorbidity Neural Plasticity Qeeg Sham Tdcs
DOI10.1016/j.ibneur.2024.04.007
URLView the original
Indexed ByESCI
Language英語English
WOS Research AreaNeurosciences & Neurology
WOS SubjectNeurosciences
WOS IDWOS:001240863900001
PublisherELSEVIER, RADARWEG 29, 1043 NX AMSTERDAM, NETHERLANDS
Scopus ID2-s2.0-85192754451
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Document TypeJournal article
CollectionINSTITUTE OF COLLABORATIVE INNOVATION
DEPARTMENT OF PUBLIC HEALTH AND MEDICINAL ADMINISTRATION
Corresponding AuthorYuan, Zhen
Affiliation1.Faculty of Health Sciences. Centre for Cognitive and Brain Sciences. University of Macau, Taipa, 999078, Macao
2.Brain, Language and Computation Laboratory. University Research Facility in Behavioural and Systems Neuroscience. The Hong Kong Polytechnic University, Hong Kong
3.Fudan University, Shanghai, China
4.Alpha Positive Limited, Central, 999077, Hong Kong
5.Department of Psychology. The University of Hong Kong, Hong Kong
First Author AffilicationFaculty of Health Sciences
Corresponding Author AffilicationFaculty of Health Sciences
Recommended Citation
GB/T 7714
Couto, Tania A.,Gao, Fei,Lak, Davis C.,et al. Combined EEG-tDCS approach in resting state to reduce comorbid anxiety and depressive symptoms in affective disorders: A sham-controlled pilot study[J]. IBRO Neuroscience Reports, 2024, 16, 571-581.
APA Couto, Tania A.., Gao, Fei., Lak, Davis C.., & Yuan, Zhen (2024). Combined EEG-tDCS approach in resting state to reduce comorbid anxiety and depressive symptoms in affective disorders: A sham-controlled pilot study. IBRO Neuroscience Reports, 16, 571-581.
MLA Couto, Tania A.,et al."Combined EEG-tDCS approach in resting state to reduce comorbid anxiety and depressive symptoms in affective disorders: A sham-controlled pilot study".IBRO Neuroscience Reports 16(2024):571-581.
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