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Transcranial Direct Current Stimulation in ADHD:A Systematic Review of Efficacy,Safety,and Protocol-induced Electrical Field Modeling Results

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Neuroscience Bulletin 2020年第10期36卷 1191-1212页

作者： Mohammad Ali Salehinejad Vahid Nejati Mohsen Mosayebi-Samani Ali Mohammadi Miles Wischnewski Min-Fang Kuo alessio avenanti Carmelo M・Vicario Michael A.Nitsche Department of Psychology and Neurosciences Leibniz Research Centre for Working Environment and Human Factors44139 DortmundGermany International Graduate School of Neuroscience Ruhr-University Bochum44801 BochumGermany Institute for Cognitive and Brain Sciences Shahid Beheshti UniversityTehran ***Iran Department of Psychology Shahid Beheshti UniversityTehran ***Iran Institute of Biomedical Engineering and Informatics Ilmenau University of Technology98693 IlmenauGermany Donders Institute for Brain Cognition and BehaviourRadboud University6525 HR NijmegenThe Netherlands Centro studi e ricerche in Neuroscienze Cognitive Dipartimento di PsicologiaAlma Mater StudiormUniversita di Bologna47521 CesenaItaly Centro de Investigacion en Neuropsicologia y Neurociencias Cognitivas Universidad Catolica del Maule3605 TalcaChile Dipartimento di Scienze Cognitive PsicologichePedagogiche e degli studi culturaliUniversita di Messina98121 MessinaItaly Department of Neurology University Medical Hospital Bergmannsheil44789 BochumGermany

Transcranial direct current stimulation(tDCS)is a promising method for altering cortical excitability with clinical *** has been increasingly used in neurodevelopmental disorders,especially attention-deficit hyperactivity disorder(ADHD),but its efficacy(based on effect size calculations),safety,and stimulation parameters have not been systematically *** this systematic review,we aimed to(1)explore the effectiveness of tDCS on the clinical symptoms and neuropsychological deficits of ADHD patients,(2)evaluate the safety of tDCS application,especially in children with ADHD,(3)model the electrical field intensity in the target regions based on the commonly-applied and effective versus less-effective protocols,and(4)discuss and propose advanced tDCS *** the Preferred Reporting Items for Systematic Reviews and Meta-Analyses approach,a literature search identified 14 empirical experiments investigating tDCS effects in *** improving effects of tDCS on cognitive deficits(response inhibition,working memory,attention,and cognitive flexibility)or clinical symptoms(e.g.,impulsivity and inattention)are reported in10 *** serious adverse effects are reported in 747 sessions of *** left and right dorsolateral prefrontal cortex are the regions most often targeted,and anodal tDCS the protocol most often *** intensity of 2 mA induced stronger electrical fields than 1 mA in adults with ADHD and was associated with significant behavioral *** ADHD children,however,the electrical field induced by 1 mA,which is likely larger than the electrical field induced by 1 mA in adults due to the smaller head size of children,was sufficient to result in significant behavioral ***,tDCS seems to be a promising method for improving ADHD ***,the clinical utility of tDCS in ADHD cannot yet be concluded and requires further systematic investigation in larger sample *** regions involved in ADHD pathophysio

关键词： Transcranial direct current stimulation Attention-deficit hyperactivity disorder Dorsolateral prefrontal cortex Executive function Systematic review Brain modeling Non-invasive brain stimulation Pediatric

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