Evidence map›Paper›PMID 29495298›Full record

ReviewBrain sciences2018

Transcranial Direct Current Stimulation for Obsessive-Compulsive Disorder: A Systematic Review.

Jérôme Brunelin, Marine Mondino, Rémy Bation, Ulrich Palm, Mohamed Saoud, Emmanuel Poulet

Abstract readReview
In one paragraph

Review in Brain sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jérôme BrunelinINSERM, U1028, Lyon Neuroscience Research Center, PSY-R2 team, F-69000 Lyon, France. jerome.brunelin@ch-le-vinatier.fr.
Marine MondinoINSERM, U1028, Lyon Neuroscience Research Center, PSY-R2 team, F-69000 Lyon, France. marine.mondino@ch-le-vinatier.fr.ORCID 0000-0003-3175-8503
Rémy BationINSERM, U1028, Lyon Neuroscience Research Center, PSY-R2 team, F-69000 Lyon, France. remy.bation@chu-lyon.fr.
Ulrich PalmDepartment of Psychiatry and Psychotherapy, Klinikum der Universität München, D-80336 Munich, Germany. Ulrich.Palm@med.uni-muenchen.de.ORCID 0000-0002-5446-8237
Mohamed SaoudINSERM, U1028, Lyon Neuroscience Research Center, PSY-R2 team, F-69000 Lyon, France. mohamed.saoud@chu-lyon.fr.
Emmanuel PouletINSERM, U1028, Lyon Neuroscience Research Center, PSY-R2 team, F-69000 Lyon, France. emmanuel.poulet@chu-lyon.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite the advances in psychopharmacology and established psychotherapeutic interventions, more than 40% of patients with obsessive-compulsive disorder (OCD) do not respond to conventional treatment approaches. Transcranial direct current stimulation (tDCS) has been recently proposed as a therapeutic tool to alleviate treatment-resistant symptoms in patients with OCD. The aim of this review was to provide a comprehensive overview of the current state of the art and future clinical applications of tDCS in patients with OCD. A literature search conducted on the PubMed database following PRISMA guidelines and completed by a manual search yielded 12 results: eight case reports, three open-label studies (with 5, 8, and 42 participants), and one randomized trial with two active conditions (12 patients). There was no sham-controlled study. A total of 77 patients received active tDCS with a large diversity of electrode montages mainly targeting the dorsolateral prefrontal cortex, the orbitofrontal cortex or the (pre-) supplementary motor area. Despite methodological limitations and the heterogeneity of stimulation parameters, tDCS appears to be a promising tool to decrease obsessive-compulsive symptoms as well as comorbid depression and anxiety in patients with treatment-resistant OCD. Further sham-controlled studies are needed to confirm these preliminary results.

Indexed as

brain stimulationcompulsionneuromodulationobsessionOCDtDCS

Identifiers

PMID29495298
PMCPMC5836056

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.