Evidence map›Paper›PMID 31494070›Full record

Trial reportBrain stimulation

Dopamine depletion effects on cognitive flexibility as modulated by tDCS of the dlPFC.

Ciara Borwick, Reece Lal, Lee Wei Lim, Charlotte J Stagg, Luca Aquili

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Brain stimulation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07141979 (Effects of tDCS on Cognitive Flexibility and EEG Oscillations in Orthorexia Nervosa), which is not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% of its field
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.

NCT07141979 narecruitingnot on this map

Effects of tDCS on Cognitive Flexibility and EEG Oscillations in Orthorexia Nervosa

TypeinterventionalSponsorIstanbul Medipol University HospitalRan2025 to 2027Enrolled48ConditionsOrthorexia NervosaArmsActive tDCS, Sham tDCS
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

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  8. Foods (Basel, Switzerland) · 2025
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  9. Research progress of tDCS in the treatment of ADHD.Journal of neural transmission (Vienna, Austria : 1996) · 2025
    Review
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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

5 authors at 3 institutions in 2 countries.

Ciara BorwickDepartment of Psychology, Sociology and Politics, Sheffield Hallam University, Sheffield, UK.
Reece LalDepartment of Psychology, Sociology and Politics, Sheffield Hallam University, Sheffield, UK.
Lee Wei LimSchool of Biomedical Sciences, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong, SAR, China.
Charlotte J StaggOxford Centre for Human Brain Activity, Wellcome Centre for Integrative Neuroimaging, Department of Psychiatry, University of Oxford, Oxford, UK; MRC Brain Network Dynamics Unit, University of Oxford, Oxford, UK.
Luca AquiliDepartment of Psychology, Sociology and Politics, Sheffield Hallam University, Sheffield, UK. Electronic address: luca.aquili@shu.ac.uk.
Sheffield Hallam University · GBUniversity of Hong Kong · HKUniversity of Oxford · GB

Funding

Wellcome Trust 102584Wellcome Trust 102584/Z/13/Z
6 · The paper itself

Abstract

backgroundRecent evidence suggests that transcranial direct current stimulation (tDCS) may interact with the dopaminergic system to affect cognitive flexibility. Objective/hypotheses: We examined whether putative reduction of dopamine levels through the acute phenylalanine/tyrosine depletion (APTD) procedure and excitatory anodal tDCS of the dorsolateral prefrontal cortex (dlPFC) are causally related to cognitive flexibility as measured by task switching and reversal learning.

methodA double-blind, sham-controlled, randomised trial was conducted to test the effects of combining anodal tDCS and depletion of catecholaminergic precursor tyrosine on cognitive flexibility.

resultsAnodal tDCS and tyrosine depletion had a significant effect on task switching, but not reversal learning. Whilst perseverative errors were significantly improved by anodal tDCS, the APTD impaired reaction times. Importantly, the combination of APTD and anodal tDCS resulted in cognitive performance which did not statistically differ to that of the control condition.

conclusionsOur results suggest that the effects of tDCS on cognitive flexibility are modulated by dopaminergic tone.

Indexed as

CognitionTranscranial Direct Current StimulationDopamineFemaleHumansMalePrefrontal CortexReaction TimeReversal LearningTyrosineYoung AdultDopamineTyrosineDopamine depletionFlexibilityLearningtDCSTranscranial direct current stimulation

Identifiers

PMID31494070
PMCPMC7116421
OpenAlexW2914396470

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.