Evidence map›Paper›PMID 41741412›Full record

Trial reportTranslational psychiatry2026

Effects of 40 Hz transcranial alternating current stimulation on neural synchronization and cognitive correlates in schizophrenia: An EEG study.

Yong Liu, Xinyi Cao, Hua Jin, Wei Li, Fuyin Yang, Tianhong Zhang, Yingying Tang, Jijun Wang, John M Davis, Shaohua Hu and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Translational psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

12 authors.

Yong LiuDepartment of Psychiatry, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, China.
Xinyi CaoShanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.ORCID http://orcid.org/0000-0002-3476-9833
Hua JinDepartment of Psychiatry, University of California San Diego, San Diego, CA, USA.
Wei LiShanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Fuyin YangShanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Tianhong ZhangShanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.ORCID http://orcid.org/0000-0002-5379-7119
Yingying TangShanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.ORCID http://orcid.org/0000-0002-4705-3682
Jijun WangShanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.ORCID http://orcid.org/0000-0001-5427-7425
John M DavisDepartment of Psychiatry, University of Illinois, Chicago, IL, USA.ORCID http://orcid.org/0000-0003-3963-1654
Shaohua HuDepartment of Psychiatry, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, China.ORCID http://orcid.org/0000-0003-0570-670X
Robert C SmithNathan S. Kline Institute for Psychiatric Research and NYU Grossman School of Medicine, Department of Psychiatry, Chicago, IL, USA. Robert.smith@nki.rfmh.org.ORCID http://orcid.org/0000-0002-4933-4162
Chunbo LiShanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China. licb@smhc.org.cn.

Funding

National Natural Science Foundation of China (National Science Foundation of China) 82101543National Natural Science Foundation of China (National Science Foundation of China) 82201656
6 · The paper itself

Abstract

Gamma-band neural oscillations are critically involved in working memory and are disrupted in schizophrenia. Transcranial alternating current stimulation (tACS) at gamma frequency is a promising noninvasive approach to restore oscillatory synchrony and enhance cognition. This randomized, double-blind trial tested whether 40 Hz tACS targeting frontoparietal networks modulates gamma-band activity and connectivity during working memory, and whether these electrophysiological changes relate to cognition in schizophrenia. Patients with schizophrenia (n = 33) were randomized to 10 sessions of active or sham tACS over the left dorsolateral prefrontal cortex (F3) and right parietal cortex (P4), with cognition assessed using standardized neurocognitive measures (MATRICS Consensus Cognitive Battery, MCCB) and an n-back working-memory task. EEG during an n-back task was recorded pre- and post-intervention to assess gamma power, phase-locking value (PLV), and phase-amplitude coupling (PAC). A significant Group × Time interaction indicated that 1-back minus 0-back PLV increased in the active group but not in sham (P = 0.048, Cohen's d = 1.08). For PAC, a significant interaction showed that delta-high gamma coupling at F3 remained stable in the active group but declined in sham (P = 0.036, Cohen's d = 1.00). There was no significant correlation with n-back measures of working memory, but an exploratory significant finding linking this modulation to visual learning at 4-week follow-up. No significant group differences were found for MCCB total scores; however, a significant Group × Time interaction emerged for 0-back accuracy during EEG recording (P = 0.029, Cohen's d = 1.19). These findings demonstrate that 40 Hz tACS can enhance and preserve gamma synchrony in frontoparietal circuits during working memory. The maintained delta-gamma coupling in our exploratory findings on visual learning may suggest a relationship to sustained improvements in cognition over time, but needs additional confirmation.

Indexed as

CognitionCortical SynchronizationGamma RhythmMemory, Short-TermParietal LobeSchizophreniaTranscranial Direct Current StimulationAdultCognitive EnhancementDorsolateral Prefrontal CortexDouble-Blind MethodElectroencephalographyFemaleHumansMaleMiddle Aged

Identifiers

PMID41741412
PMCPMC12988117

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.