Does Transcranial Direct Current Stimulation (tDCS) of the brain treat ADHD? скачать в хорошем качестве

Does Transcranial Direct Current Stimulation (tDCS) of the brain treat ADHD?

00:00 Introduction to the topic – The recent ad for Neurode (a tDCS headband) for ADHD 03:19 Review of several meta-analyses and reviews published in 2020-2021 09:31 Review of multiple studies of tDCS for ADHD using randomized controls and sham tDCS as a placebo 16:12 Conclusions Here I examine recent claims that tDCS is an effective treatment for ADHD. This video was inspired by a recent article in the trade media that an Australian company was developing and testing a head band (Neurode) that delivers tDCS to the brain’s prefrontal cortex that if worn 20 minutes per day could effectively treat ADHD symptoms. The story appeared at the website of newatlas.com, shown below, as well in other media: https://newatlas.com/science/adhd-aut... I review the results of four different meta-analyses of the tDCS research on ADHD that were published in the previous 3-4 years. All found some promising evidence that tDCS may improve some aspects of ADHD, either on neuropsychological tests or on ratings of clinical symptoms. But the effects, while significant, were small. All the reviews concluded that this treatment was not yet ready for clinical application for managing ADHD and needed more rigorous studies and with placebo (sham stimulation) controls. I then review some subsequently published specific studies with adults, children, and teens with ADHD that did employ more rigorous methods and that were published in the last few years. These studies found no significant benefits for managing ADHD in children or teens. The one study of adults with ADHD found a small benefit on ratings of attention. All concluded that this treatment approach was not yet ready for routine clinical use in managing ADHD. Research cited in video: Salehinejad, M. A. et al. (2020). Transacranial direct current stimulation in ADHD: A systematic review of efficacy, safety, and protocol-induced electrical field modeling results. Neuroscience Bulletin, 36, 1191-1212. https://link.springer.com/article/10.... Cosmo, C. et al. (2020). A systematic review of transcranial direct current stimulation effects in attention-deficit/hyperactivity disorder. Journal of Affective Disorders, 276, 1-13. https://doi.org/10.1016/j.jad.2020.06... Schroeder, P. A. et al. (2020). Meta-analysis of the effects of transcranial direct current stimulation on inhibitory control. Brain Stimulation, 13(5) 1159-1167. https://doi.org/10.1016/j.brs.2020.05... Westwood, S. J. et al. (2021). Noninvasive brain stimulation in children and adults with attention-deficit/hyperactivity disorder: a systematic review and meta-analysis. Journal of Psychiatry & Neuroscience, 46(1), E14-E33. DOI: https://doi.org/10.1503/jpn.190179 Leffa, D. T. et al. (2022). Transcranial Direct Current Stimulation vs Sham for the Treatment of Inattention in Adults With Attention-Deficit/Hyperactivity DisorderThe TUNED Randomized Clinical Trial. JAMA Psychiatry, 79(9), 847-856. doi:10.1001/jamapsychiatry.2022.2055 Westwood, S. :J. et al. (2021). Transcranial direct current stimulation (tDCS) combined with cognitive training in adolescent boys with ADHD: a double-blind, randomised, sham-controlled trial. Psychological Medicine, 53(2), 497-512. DOI: https://doi.org/10.1017/S003329172100... Schertz, M. et al. (2022). Transcranial Direct Current Stimulation (tDCS) in children with ADHD: A randomized, sham-controlled pilot study. Journal of Psychiatric Research, 155., 302-312. https://doi.org/10.1016/j.jpsychires.... Guimaraesm R. et al. (2023). Efficacy and safety of transcranial direct current stimulation over the left dorsolateral prefrontal cortex in children and adolescents with attention-deficit/hyperactivity disorder: a randomized, triple-blinded, sham-controlled, crossover trial. Frontiers in Psychiatry, 14. https://doi.org/10.3389/fpsyt.2023.12... Wang, Y. et al. (2023). A randomized, sham-controlled trial of high-definition transcranial direct current stimulation on the right orbital frontal cortex in children and adolescents with attention-deficit hyperactivity disorder. Frontiers in Psychiatry, 14. https://doi.org/10.3389/fpsyt.2023.98...