Evidence map›Paper›PMID 40389423›Full record

Trial reportTranslational psychiatry2025

Investigating the effects of brain stimulation on the neural substrates of inhibition in patients with OCD: A simultaneous tDCS - fMRI study.

Daniela Rodriguez-Manrique, Hanyang Ruan, Chelsea Winkelmann, Julian Haun, Sandra Gigl, Götz Berberich, Claus Zimmer, Kathrin Koch

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Translational psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Sensorimotor circuit connectivity as a candidate biomarker for responsiveness to sertraline in obsessive-compulsive disorder.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  3. 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

8 authors.

Daniela Rodriguez-ManriqueDepartment of Diagnostic and Interventional Neuroradiology, School of Medicine, Technical University of Munich, Munich, Germany.ORCID http://orcid.org/0000-0002-6867-0727
Hanyang RuanDepartment of Diagnostic and Interventional Neuroradiology, School of Medicine, Technical University of Munich, Munich, Germany.ORCID http://orcid.org/0000-0002-0165-719X
Chelsea WinkelmannDepartment of Diagnostic and Interventional Neuroradiology, School of Medicine, Technical University of Munich, Munich, Germany.
Julian HaunDepartment of Diagnostic and Interventional Neuroradiology, School of Medicine, Technical University of Munich, Munich, Germany.
Sandra GiglDepartment of Diagnostic and Interventional Neuroradiology, School of Medicine, Technical University of Munich, Munich, Germany.ORCID http://orcid.org/0009-0003-8183-0240
Götz BerberichWindach Institute and Hospital of Neurobehavioural Research and Therapy (WINTR), Windach, Germany.
Claus ZimmerDepartment of Diagnostic and Interventional Neuroradiology, School of Medicine, Technical University of Munich, Munich, Germany.
Kathrin KochDepartment of Diagnostic and Interventional Neuroradiology, School of Medicine, Technical University of Munich, Munich, Germany. kathrin.koch@tum.de.ORCID http://orcid.org/0000-0003-4664-8016

Funding

Deutsche Forschungsgemeinschaft (German Research Foundation) KO 3744/11-1
6 · The paper itself

Abstract

Inhibition deficits constitute a core characteristic of obsessive-compulsive disorder (OCD). There is evidence in healthy individuals that transcranial direct current stimulation (tDCS) of the pre-supplementary motor area (pre-SMA) leads to a significantly improved inhibition performance. Against this background we investigated the effects of pre-SMA tDCS on inhibition performance and the underlying neural correlates in patients with OCD. Using a double-blind, randomized, sham-controlled, cross-over design (i.e., tDCS sham vs. tDCS stimulation) we investigated the effects of 2 mA anodal tDCS stimulation of the right pre-SMA in a sample of 47 OCD patients. The present study is, to our best knowledge, the first study applying concurrent tDCS-fMRI in patients with OCD. tDCS was applied using the MRI-compatible NeuroConn DC-Stimulator which allowed for a concurrent stimulation, while patients performed an inhibition (i.e., Stroop) task in a 3 T MRI. Imaging data were analysed using a multivariate partial least squares (PLS) approach. tDCS stimulation (vs. sham) was associated with increased activation in a fronto-parieto-cerebellar network comprising, amongst others, the precentral, middle frontal and inferior frontal gyrus, the anterior cingulate and the superior parietal lobe. On the performance level, tDCS stimulation (vs. sham) was linked to an improved inhibition performance in terms of an increased percentage of correct responses in the Stroop task. Present results indicate that tDCS in patients with OCD goes along with an improved inhibition performance as well as activation increases in regions known to be involved in inhibition, motor, and cognitive control. Thus, our findings suggest that tDCS might be a promising method to improve specific impairments in OCD.

Indexed as

BrainInhibition, PsychologicalMotor CortexObsessive-Compulsive DisorderTranscranial Direct Current StimulationAdultCross-Over StudiesDouble-Blind MethodFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedYoung Adult

Identifiers

PMID40389423
PMCPMC12089465

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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.