Studying additive effects of combining rTMS with cognitive control training: a pilot investigation

BackgroundRepetitive transcranial magnetic stimulation (rTMS) on the dorsolateral prefrontal cortex (DLPFC) is an effective treatment for depression that has been proposed to work via the enhancement of cognitive control. Cognitive control training (CCT) can also alleviate depression by relying on D...

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Main Authors: Iris Dalhuisen, Céline Schutte, Bob Bramson, Karin Roelofs, Philip van Eijndhoven, Indira Tendolkar
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-07-01
Series:Frontiers in Human Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnhum.2023.1201344/full
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author Iris Dalhuisen
Iris Dalhuisen
Céline Schutte
Bob Bramson
Bob Bramson
Karin Roelofs
Karin Roelofs
Philip van Eijndhoven
Philip van Eijndhoven
Indira Tendolkar
Indira Tendolkar
author_facet Iris Dalhuisen
Iris Dalhuisen
Céline Schutte
Bob Bramson
Bob Bramson
Karin Roelofs
Karin Roelofs
Philip van Eijndhoven
Philip van Eijndhoven
Indira Tendolkar
Indira Tendolkar
author_sort Iris Dalhuisen
collection DOAJ
description BackgroundRepetitive transcranial magnetic stimulation (rTMS) on the dorsolateral prefrontal cortex (DLPFC) is an effective treatment for depression that has been proposed to work via the enhancement of cognitive control. Cognitive control training (CCT) can also alleviate depression by relying on DLPFC activation. As the additive effects of rTMS and CCT are unclear, we set out to conduct a within-subject pilot study in healthy controls.MethodsSeventeen participants received two sessions of individualized resting-state connectivity-guided high-frequency rTMS, while randomly performing CCT or a control task. After each session, a negative mood was induced.ResultsWe found effects on mood and cognitive control after rTMS + CCT as well as rTMS + control, which were indiscriminative between conditions. Based on the statistical evidence for the absence of an additive effect of CCT, we did not perform a full study.ConclusionOur results demonstrate no differential effects of single sessions combining rTMS and CCT in a healthy population, even with the methodological improvement of individualized neuronavigation. The improvement in cognitive control seen in both conditions could indicate that a simple cognitive task is sufficient when studying additive rTMS effects. Future studies should focus on augmenting the effects of various cognitive tasks and compare the present interventions with rTMS or cognitive tasks alone.
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spelling doaj.art-fa5effe1f880438bb83eff664c18e9622023-07-31T13:06:23ZengFrontiers Media S.A.Frontiers in Human Neuroscience1662-51612023-07-011710.3389/fnhum.2023.12013441201344Studying additive effects of combining rTMS with cognitive control training: a pilot investigationIris Dalhuisen0Iris Dalhuisen1Céline Schutte2Bob Bramson3Bob Bramson4Karin Roelofs5Karin Roelofs6Philip van Eijndhoven7Philip van Eijndhoven8Indira Tendolkar9Indira Tendolkar10Department of Psychiatry, Radboud University Medical Center, Nijmegen, NetherlandsDonders Institute for Brain Cognition and Behavior, Radboud University, Nijmegen, NetherlandsDepartment of Psychiatry, Radboud University Medical Center, Nijmegen, NetherlandsDonders Institute for Brain Cognition and Behavior, Radboud University, Nijmegen, NetherlandsBehavioral Science Institute, Radboud University, Nijmegen, NetherlandsDonders Institute for Brain Cognition and Behavior, Radboud University, Nijmegen, NetherlandsBehavioral Science Institute, Radboud University, Nijmegen, NetherlandsDepartment of Psychiatry, Radboud University Medical Center, Nijmegen, NetherlandsDonders Institute for Brain Cognition and Behavior, Radboud University, Nijmegen, NetherlandsDepartment of Psychiatry, Radboud University Medical Center, Nijmegen, NetherlandsDonders Institute for Brain Cognition and Behavior, Radboud University, Nijmegen, NetherlandsBackgroundRepetitive transcranial magnetic stimulation (rTMS) on the dorsolateral prefrontal cortex (DLPFC) is an effective treatment for depression that has been proposed to work via the enhancement of cognitive control. Cognitive control training (CCT) can also alleviate depression by relying on DLPFC activation. As the additive effects of rTMS and CCT are unclear, we set out to conduct a within-subject pilot study in healthy controls.MethodsSeventeen participants received two sessions of individualized resting-state connectivity-guided high-frequency rTMS, while randomly performing CCT or a control task. After each session, a negative mood was induced.ResultsWe found effects on mood and cognitive control after rTMS + CCT as well as rTMS + control, which were indiscriminative between conditions. Based on the statistical evidence for the absence of an additive effect of CCT, we did not perform a full study.ConclusionOur results demonstrate no differential effects of single sessions combining rTMS and CCT in a healthy population, even with the methodological improvement of individualized neuronavigation. The improvement in cognitive control seen in both conditions could indicate that a simple cognitive task is sufficient when studying additive rTMS effects. Future studies should focus on augmenting the effects of various cognitive tasks and compare the present interventions with rTMS or cognitive tasks alone.https://www.frontiersin.org/articles/10.3389/fnhum.2023.1201344/fullrepetitive transcranial magnetic stimulationcognitive control trainingdepressionneuronavigationmood induction
spellingShingle Iris Dalhuisen
Iris Dalhuisen
Céline Schutte
Bob Bramson
Bob Bramson
Karin Roelofs
Karin Roelofs
Philip van Eijndhoven
Philip van Eijndhoven
Indira Tendolkar
Indira Tendolkar
Studying additive effects of combining rTMS with cognitive control training: a pilot investigation
Frontiers in Human Neuroscience
repetitive transcranial magnetic stimulation
cognitive control training
depression
neuronavigation
mood induction
title Studying additive effects of combining rTMS with cognitive control training: a pilot investigation
title_full Studying additive effects of combining rTMS with cognitive control training: a pilot investigation
title_fullStr Studying additive effects of combining rTMS with cognitive control training: a pilot investigation
title_full_unstemmed Studying additive effects of combining rTMS with cognitive control training: a pilot investigation
title_short Studying additive effects of combining rTMS with cognitive control training: a pilot investigation
title_sort studying additive effects of combining rtms with cognitive control training a pilot investigation
topic repetitive transcranial magnetic stimulation
cognitive control training
depression
neuronavigation
mood induction
url https://www.frontiersin.org/articles/10.3389/fnhum.2023.1201344/full
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