Evidence map›Paper›PMID 41398008›Full record

SynthesisScientific reports2025

Efficacy and safety of home-based transcranial direct current stimulation (tDCS) on patients with depressive disorders: a systematic review and meta-analysis of randomized clinical trials.

Reza Moshfeghinia, Sanaz Bordbar, Yasamin Roointanpour, Melika Arab Bafrani, Mohammadreza Shalbafan

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 3 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

5 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Review
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.

Reza MoshfeghiniaStudent's research committee, Shiraz University of Medical Science, Shiraz, Iran.
Sanaz BordbarStudents' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Yasamin RoointanpourStudent's research committee, Shiraz University of Medical Science, Shiraz, Iran.
Melika Arab BafraniStudents' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Mohammadreza ShalbafanMental Health Research Center, Psychosocial Health Research Institute (PHRI), Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran. Shalbafan.mr@iums.ac.ir.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Depressive disorders, including major depressive disorder, impair functioning and affect 280 million people globally. Traditional treatments are not fully effective. Transcranial direct current stimulation (tDCS) offers a noninvasive alternative. Home-based tDCS shows promise for treating depression, requiring systematic review to assess its reliability and efficacy. Six digital databases (Scopus, PubMed, Web of Science, Cochrane, PsycINFO, and CINAHL Complete) were searched for English-language records from inception to November 2024. Inclusion criteria involved randomized controlled trials (RCTs) assessing the effect of home-based tDCS on patients with depressive disorders. The Cochrane Collaboration's tool was used to evaluate the quality of the included studies. From an initial 507 studies, five RCTs with 415 depressed patients were included. Four studies analyzed Montgomery-Åsberg Depression Rating Scale (MADRS) scores in 269 patients, revealing that active tDCS significantly reduced depression scores compared to sham (weighted mean difference [WMD]: - 2.74 [-4.19, - 1.29], I² = 0.00%). Similarly, four studies involving 438 patients assessed Hamilton Depression Rating Scale (HAM-D) scores, showing that active tDCS led to greater reductions in depression scores than sham (WMD: - 2.24 [-4.16, - 1.49], I² = 46.63%). In addition, two studies with 211 participants assessed Hamilton Anxiety Rating Scale (HAM-A) scores, indicating that active home-based tDCS significantly reduced anxiety symptoms compared to sham (WMD: - 1.97 [-3.37, - 0.58], I² = 0.00%). Reported adverse effects of home-based tDCS included skin lesions, pain, burning sensations, increased sensitivity, redness, and mild headaches. This systematic review and meta-analysis showed that home-based tDCS effectively reduces depression and anxiety scores, with significant improvements on MADRS, HAM-D, and HAM-A scales. Future research should include larger samples, better adherence, and long-term efficacy assessments.

Indexed as

Depressive DisorderMajor Depressive DisorderTranscranial Direct Current StimulationHumansRandomized Controlled Trials as TopicTreatment OutcomeAnxietyDepressionHome-based tDCSNon-invasive brain stimulationTDCS

Identifiers

PMID41398008
PMCPMC12705823

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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.