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High-definition Transcranial Direct Current Stimulation over Right Dorsolateral Prefrontal Cortex to Enhance Metacognitive Sensitivity
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Transcranial Direct Current Stimulation Improves Executive Dysfunctions in ADHD: Implications for Inhibitory Control,
Vahid Nejati1, Mohammad Ali Salehinejad2,3, Michael A Nitsche3,4
1Department of Psychology, Shahid Beheshti University, Tehran, Iran.
Journal of Attention Disorders
|September 24, 2017
Summary
Transcranial direct current stimulation (tDCS) can improve executive functions in ADHD. Specific protocols targeting the dorsolateral prefrontal cortex (DLPFC) and orbitofrontal cortex (OFC) enhance different cognitive skills.
Area of Science:
- Neuroscience
- Cognitive Psychology
- Psychiatry
Background:
- Attention-Deficit/Hyperactivity Disorder (ADHD) is characterized by deficits in executive functions (EFs).
- Non-invasive brain stimulation techniques like tDCS offer potential therapeutic avenues for ADHD-related cognitive impairments.
Purpose of the Study:
- To investigate the effects of tDCS targeting the DLPFC and OFC on key EFs in children with ADHD.
- To determine if specific tDCS protocols can differentially modulate response inhibition, executive control, working memory, and cognitive flexibility.
Main Methods:
- Two experiments were conducted using tDCS on children with ADHD.
- Experiment 1 involved left anodal/right cathodal DLPFC tDCS versus sham. Experiment 2 involved left anodal/right cathodal OFC tDCS, left cathodal/right anodal OFC tDCS, versus sham.
- Cognitive performance was assessed using the Go/No-Go task, N-back test, WCST, and Stroop task.
Main Results:
- Anodal left DLPFC tDCS significantly improved executive control functions, including working memory and interference inhibition.
- Cathodal left DLPFC tDCS enhanced response inhibition.
- Combined DLPFC-OFC stimulation, but not DLPFC alone, improved cognitive flexibility and task switching.
Conclusions:
- Task-specific tDCS protocols can effectively enhance distinct executive functions in individuals with ADHD.
- Targeting specific prefrontal cortex regions with tDCS presents a promising strategy for improving cognitive deficits associated with ADHD.

