1- Institute for Cognitive Science Studies, Tehran, Iran.
2- Faculty of Humanities, Tarbiat Modares University, Tehran, Iran.
3- Department of Brain and Cognitive Science, Cell Science Research Center, Royan Institute for Stem Cell Biology and Technology, ACECR, Tehran, Iran.
Abstract:
Introduction: Obsessive-Compulsive Disorder (OCD) is one of the most common debilitating mental disorders with a prevalence rate of 2% to 3% in the general population. Previous studies have indicated abnormalities in the dorsolateral prefrontal cortex (DLPFC) of OCD patients; thus, we decided to use transcranial Direct Current Stimulation (tDCS) to decline these patients’ symptoms.
Methods: A total of 24 patients with OCD participated in this study with the hope of improvement after the application of tDCS. The subjects were randomly assigned to three groups of Sham, Right DLPFC, and Left DLPFC. tDCS was applied for five consecutive days and in each session, patients were subjected to 2 mA current flow for two 15 minutes followed by a 10-minute rest in between (every session lasted for 40 minutes).
Results: Subsequently, the changes in obsessive-compulsive level and cognitive functions were evaluated via Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) and Depression, Anxiety, and Stress Scale 21 (DASS-21) by comparing the results before (pre-test) and after (post-test) tDCS treatment.
Conclusion: Ultimately, the scores of the Yale-Brown scale in the Left DLPFC group showed significant changes after treatment with tDCS (mean difference compared to the sham group: -6.18 and P≤0.05). Hereupon, this study demonstrated that transcranial direct current stimulation may cause improvements in symptoms of OCD.
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● OCD is one of the most common debilitating mental disorders.
● tDCS was applied for enhancing cortical excitability and spontaneous neuronal activity.
● Psychopharmacologic and psychotherapeutic interventions or a combination of them are common treatments for OCD.
Plain Language Summary
OCD is a rather common psychiatric disorder. Psychopharmacologic and psychotherapeutic interventions or a combination of them are common treatments for OCD, thus, rTMS, and tDCS) are mostly suggested for treatment. tDCS is an available method enhancing cortical excitability and spontaneous neuronal activity; thus, it could be effective in improving the symptoms of psychiatric disorders. DLPFC is a promising approach for OCD treatment and we aimed at utilizing that in this study.
Type of Study:
Original |
Subject:
Cognitive Neuroscience Received: 2019/07/29 | Accepted: 2020/08/10 | Published: 2021/09/1