Evidence map›Paper›PMID 39925871›Full record

ArticleCurrent opinion in behavioral sciences2025

Neurostimulation to Improve Cognitive Flexibility.

Elizabeth M Sachse, Alik S Widge

Abstract read
In one paragraph

Article in Current opinion in behavioral sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Task-guided accelerated cTBS simultaneously treats depression and social dysfunction in patients with major depressive disorder: a randomized clinical trial.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Trial
  2. Review
  3. Sex-biased computations underlying differential set shift performance in mice.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  4. Article
  5. Article
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

2 authors.

Elizabeth M SachseUniversity of Minnesota, Department of Psychiatry, 2312 6 Street South, Floor 2, Suite F-275, Minneapolis+, MN 55454.
Alik S WidgeUniversity of Minnesota, Department of Psychiatry, 2312 6 Street South, Floor 2, Suite F-275, Minneapolis+, MN 55454.

Funding

NEUROSCIENCE TRAINING IN DRUG ABUSE RESEARCHT32DA007234 · NIDA · UNIVERSITY OF MINNESOTA TWIN CITIES · PI Paul G Mermelstein, Jocelyn M Richard · 1986 to 2026
$10.9M
Circuit and Cognitive Mechanisms of Striatal Deep Brain StimulationR01NS120851 · NINDS · UNIVERSITY OF MINNESOTA · PI WIDGE, ALIK S. · 2021 to 2025
$3.0M
NIDA NIH HHS T32 DA007234NINDS NIH HHS R01 NS120851
6 · The paper itself

Abstract

Cognitive flexibility, the capacity to adapt behaviors in response to changing environments, is impaired across mental illnesses, including depression, anxiety, addiction, and obsessive-compulsive disorder. Cortico-striatal-cortical circuits are integral to cognition and goal-directed behavior and disruptions in these circuits are linked to cognitive inflexibility in mental illnesses. We review evidence that neurostimulation of these circuits can improve cognitive flexibility and ameliorate symptoms, and that this may be a mechanism of action of current clinical therapies. Further, we discuss how animal models can offer insights into the mechanisms underlying cognitive flexibility and effects of neurostimulation. We review research from animal studies that may, if translated, yield better approaches to modulating flexibility. Future research should focus on refining definitions of cognitive flexibility, improving detection of impaired flexibility, and developing new methods for optimizing neurostimulation parameters. This could enhance neurostimulation therapies through more personalized treatments that leverage cognitive flexibility to improve patient outcomes.

Indexed as

Cognitive FlexibilityCortico-striato-thalamo-cortical (CSTC) circuitsDecision-makingDeep Brain Stimulation (DBS)Non-invasive Neurostimulation

Identifiers

PMID39925871
PMCPMC11804887

What OpenQuestion holds

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Registered trials

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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.