Neurocognitive effects of 3 mA prefrontal electrical stimulation in schizophrenia: A randomized sham-controlled tDCS-fMRI study protocol

PLoS One. 2024 Aug 16;19(8):e0306422. doi: 10.1371/journal.pone.0306422. eCollection 2024.

Abstract

Background: Schizophrenia (SCZ) is characterized by cognitive deficits that are linked to prefrontal cortex dysfunction. While transcranial direct current stimulation (tDCS) shows promise for improving cognition, the effects of intensified 3mA tDCS protocols on brain physiology are unknown. This project aims to elucidate the neurophysiological and cognitive effects of an intensified prefrontal tDCS protocol in SCZ.

Methods: The study is designed as a randomized, double-blind, 2-arm parallel-group, sham-controlled, trial. Forty-eight participants with SCZ and cognitive impairment (measured via a set of executive functions tests) will be randomly allocated to receive either a single session of active (n = 24) or sham (n = 24) tDCS (20-min, 3-mA). The anodal and cathodal electrodes are positioned over the left and right DLPFC respectively. The stimulation occurs concurrently with the working memory task, which is initiated precisely 5 minutes after the onset of tDCS. Structural and resting-state (rs-fMRI) scans are conducted immediately before and after both active and sham tDCS using a 3 Tesla scanner (Siemens Prisma model) equipped with a 64-channel head coil. The primary outcome will be changes in brain activation (measures vis BOLD response) and working memory performance (accuracy, reaction time).

Discussion: The results of this study are helpful in optimizing tDCS protocols in SCZ and inform us of neurocognitive mechanisms underlying 3 mA stimulation. This study will additionally provide initial safety and efficacy data on a 3 mA tDCS protocol to support larger clinical trials. Positive results could lead to rapid and broader testing of a promising tool for debilitating symptoms that affect the majority of patients with SCZ. The results will be made available through publications in peer-reviewed journals and presentations at national and international conferences.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Cognition* / physiology
  • Double-Blind Method
  • Female
  • Humans
  • Magnetic Resonance Imaging*
  • Male
  • Memory, Short-Term / physiology
  • Middle Aged
  • Prefrontal Cortex* / diagnostic imaging
  • Prefrontal Cortex* / physiopathology
  • Schizophrenia* / physiopathology
  • Schizophrenia* / therapy
  • Transcranial Direct Current Stimulation* / methods
  • Young Adult

Grants and funding

This study is supported by the Ruhr-University of Bochum Research School via the Gateway fellowship granted to MA Salehinejad (grant number: 2021_01_GF16). The funding source had no role in the design of this study and will not have any role during its execution, analyses, interpretation of the data, or decision to submit results.