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Transcranial Direct Current Stimulation as a Therapeutic Approach for Anxiety and Related Markers: Comprehensive
Flávia de Moraes1, Nathali Dalzochio2, Filipe Reis Teodoro Andrade2
1Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
This review examined transcranial electrical stimulation (tES) for anxiety, finding mixed results. More standardized research is needed to confirm tES efficacy for anxiety treatment.
Area of Science:
- Neuroscience
- Psychiatry
- Medical Technology
Background:
- Anxiety disorders represent a significant global health burden.
- Transcranial electrical stimulation (tES) is an emerging neuromodulation technique.
- Existing research on tES for anxiety lacks consistent findings.
Purpose of the Study:
- To systematically review the effects of tES on anxiety symptoms in adults.
- To evaluate physiological markers (HRV, EEG, cortisol, IL-6) and rating scales.
- To assess the methodological quality and identify research gaps.
Main Methods:
- Systematic literature search across major databases (PubMed, Scopus, etc.) following PRISMA guidelines.
- Inclusion of 34 studies with 1567 participants (aged 18-65).
- Risk of bias and study quality assessed using JADAD scale.
Main Results:
- 19 studies reported reduced anxiety symptoms with tES.
- 10 studies found no significant difference in anxiety levels.
- Two studies yielded inconclusive results regarding tES efficacy.
Conclusions:
- Evidence for tES in anxiety treatment is currently mixed and inconclusive.
- Significant heterogeneity exists in tES protocols and methodologies.
- Low methodological quality and lack of standardization impede definitive conclusions.
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