Evidence map›Paper›PMID 40384048›Full record

ArticleBrain and behavior2025

A Single Session of tDCS Stimulation Can Modulate an EEG Microstate Associated With Anxiety in Patients With Depression.

Keiichiro Nishida, Shota Minami, Tomonari Yamane, Satsuki Ueda, Banri Tsukuda, Shunichiro Ikeda, Daisuke Haruna, Masafumi Yoshimura, Tetsufumi Kanazawa, Thomas Koenig

Abstract read
In one paragraph

Article in Brain and behavior, 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

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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.

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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

10 authors.

Keiichiro NishidaDepartment of Neuropsychiatry, Osaka Medical and Pharmaceutical University, Osaka, Japan.ORCID https://orcid.org/0000-0003-3818-9657
Shota MinamiDepartment of Neuropsychiatry, Kansai Medical University, Osaka, Japan.
Tomonari YamaneDepartment of Neuropsychiatry, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Satsuki UedaFaculty of Clinical Psychology, Kyoto Bunkyo University, Kyoto, Japan.
Banri TsukudaDepartment of Neuropsychiatry, Kansai Medical University, Osaka, Japan.
Shunichiro IkedaDepartment of Neuropsychiatry, Kansai Medical University, Osaka, Japan.
Daisuke HarunaDepartment of Neuropsychiatry, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Masafumi YoshimuraDepartment of Neuropsychiatry, Kansai Medical University, Osaka, Japan.
Tetsufumi KanazawaDepartment of Neuropsychiatry, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Thomas KoenigDivision of Systems Neuroscience of Psychopathology, Translational Research Center, University Hospital of Psychiatry, University of Bern, Bern, Switzerland.

Funding

Japan Society for the Promotion of Science 24Japan Society for the Promotion of Science JSPS2686SENSHIN Medical Research Foundation in 2024
6 · The paper itself

Abstract

purposeMicrostate analysis involves examining the temporal dynamics of electroencephalogram (EEG) signals and serves as a crucial method for exploring the neural basis of psychiatric disorders. This study investigates the effects of transcranial direct current stimulation (tDCS) on specific microstate parameter maps-D and C in patients with depression, specifically targeting the dorsomedial prefrontal cortex (DMPFC) and left dorsolateral prefrontal cortex (DLPFC).

methodsWe conducted an open-label, between-subject, crossover trial involving 19 patients clinically diagnosed with depression. A 1 mA electrical current was administered, with anodal stimulation specifically targeting the DMPFC or the left DLPFC. Microstate maps were derived from resting-state EEG recordings obtained prior to and following the application of tDCS. The EEG data were categorized into five distinct microstate classes for subsequent analysis.

findingsThe findings revealed a significant increase in the duration of microstate class D following stimulation in both groups, while microstate class C exhibited no notable changes. Additionally, a significant association was identified between the transition from microstate D to C and alterations in the State-Trait Anxiety Inventory-State (STAI-S) scores after left DLPFC stimulation.

conclusionMicrostate map D appears to be associated with psychiatric disorders and executive functions, whereas map C may relate to the salience network and mind-wandering. Our findings suggest that microstate maps D and C are responsive to tDCS stimuli, indicating their potential as objective tools for anxiety assessment. Employing transition-focused parameters in EEG microstate analysis may enhance the tracking of rapidly fluctuating emotional states, rather than relying solely on duration metrics. Furthermore, the integration of non-invasive brain stimulation techniques, such as tDCS, with EEG microstate analysis holds significant promise for elucidating the neural mechanisms involved in depression.

trial registrationUMIN-CTR Clinical Trial: UMIN000015046.

Indexed as

AnxietyDepressionPrefrontal CortexTranscranial Direct Current StimulationAdultCross-Over StudiesDorsolateral Prefrontal CortexElectroencephalographyFemaleHumansMaleMiddle AgedYoung Adult

Identifiers

PMID40384048
PMCPMC12086299

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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.