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Individualized rTMS Treatment for Depression using an fMRI-Based Targeting Method
Published on: August 2, 2021
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Transcranial direct current stimulation over the right parietal cortex improves the depressive disorder: A
Xin Guo1,2,3, Qilin Zhou4,5, Yueying Lu6
1Department of Neurology, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Brain and Behavior
|August 5, 2024
Summary
Transcranial direct current stimulation (tDCS) of the right posterior parietal cortex significantly improved major depressive disorder symptoms. This non-invasive brain stimulation offers a promising new target for treating depression and anxiety.
Area of Science:
- Neuroscience
- Psychiatry
- Neuromodulation
Background:
- The right posterior parietal cortex is crucial for emotional processing and executive control.
- Dysfunction in this region is observed in major depressive disorder (MDD).
- Current treatments for MDD have limitations, necessitating novel therapeutic approaches.
Purpose of the Study:
- To investigate the efficacy of transcranial direct current stimulation (tDCS) targeting the right posterior parietal cortex in MDD patients.
- To assess the impact of tDCS on clinical symptoms of depression and anxiety.
Main Methods:
- A sample of 12 MDD patients received tDCS targeting the right parietal cortex (anode) and left mastoid (cathode).
- Stimulation parameters included 2.0 mA intensity for 20 minutes, twice daily for 14 consecutive days.
- Symptom severity was measured using the Hamilton Depression Rating Scale-17 (HDRS-17) and Hamilton Anxiety Rating Scale (HARS) pre- and post-treatment.
Main Results:
- Significant reductions in HDRS-17 scores were observed post-tDCS treatment (p < .001).
- Specific symptom clusters including anxiety/somatization, cognitive deficits, retardation, and sleep disturbances showed significant improvement (p < .05).
- A significant decrease in HARS scores indicated reduced anxiety levels (p < .01).
Conclusions:
- The right posterior parietal cortex is a viable target for tDCS in treating major depressive disorder.
- tDCS applied to this region shows potential for improving both depressive and anxiety symptoms.
- Further research is warranted to optimize tDCS protocols for MDD treatment efficacy.

