scholarly journals Contribution of the right temporoparietal junction and ventromedial prefrontal cortex to theory of mind in autism: A randomized, sham-controlled tDCS study

2021 ◽  
Author(s):  
Mohammad Ali Salehinejad ◽  
Nasim Paknia ◽  
Amir Hossein Hosseinpour ◽  
Fatemeh Yavari ◽  
Carmelo M. Vicario ◽  
...  
Keyword(s):  
Prefrontal Cortex ◽  
Theory Of Mind ◽  
Brain Stimulation ◽  
Cortical Excitability ◽  
Mental States ◽  
Autism Spectrum ◽  
Ventromedial Prefrontal Cortex ◽  
Temporoparietal Junction ◽  
Non Invasive ◽  
Children With Asd

Theory of Mind (ToM) is the ability to attribute subjective mental states to oneself and others and is significantly impaired in Autism Spectrum Disorder (ASD). A frontal-posterior network of regions including the ventromedial prefrontal cortex (vmPFC) and temporoparietal junction (TPJ) is involved in ToM. Previous studies show an underactivation of these regions in ASD. Transcranial direct current stimulation (tDCS) is a non-invasive brain stimulation method for causally investigating brain-behavior relationships via induction of cortical excitability alterations. tDCS, mostly over the ventromedial prefrontal cortex, has been increasingly applied for improving behavioral problems in ASD. Here we investigated the contribution of the vmPFC and right TPJ in ToM abilities of ASD children via tDCS in a pilot study. Sixteen children with ASD (mean age = 10.7±1.9) underwent three tDCS sessions (1 mA, 20 min) in a randomized, double-blind, sham-controlled design. Stimulation protocols included: i) anodal vmPFC tDCS, ii) anodal r-TPJ tDCS, and iii) sham tDCS. ToM abilities were explored during tDCS using the Theory of Mind Test (TOMT). Our results show that activation of the vmPFC with anodal tDCS significantly improved ToM in children with ASD compared to both, r-TPJ tDCS and sham stimulation. Specifically, precursors of ToM (e.g. emotion recognition, perception and imitation) and elementary ToM skills (e.g. first-order mental state reasoning) were significantly improved by anodal vmPFC tDCS. Based on these results, the vmPFC is a potential target region for the reduction of ASD symptoms via non-invasive brain stimulation, which should be examined in larger detail in future studies

scholarly journals A Systematic Review of the Effectiveness of Non-Invasive Brain Stimulation Techniques to Reduce Violence Proneness by Interfering in Anger and Irritability

2020 ◽  
Vol 9 (3) ◽  
pp. 882 ◽  
Author(s):  
Ángel Romero-Martínez ◽  
Sara Bressanutti ◽  
Luis Moya-Albiol
Keyword(s):  
Systematic Review ◽  
Brain Stimulation ◽  
Cortical Excitability ◽  
Closed Head Injury ◽  
Autism Spectrum ◽  
Cochrane Library ◽  
Pilot Studies ◽  
Non Invasive ◽  
The Right ◽  
Meta Analyses

The field of neurocriminology has proposed several treatments (e.g., pharmacological, brain surgery, androgen-deprivation therapy, neurofeedback) to reduce violence proneness, but unfortunately, their effectiveness has been limited due to their side-effects. Therefore, it is necessary to explore alternative techniques to improve patients’ behavioural regulation with minimal undesirable effects. In this regard, non-invasive brain stimulation techniques, which are based on applying changing magnetic fields or electric currents to interfere with cortical excitability, have revealed their usefulness in alleviating the symptomatology of several mental disorders. However, to our knowledge, there are no reviews that assess whether these techniques are useful for reducing violence proneness. Therefore, we conducted a systematic review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) criteria using the following databases: PsycINFO, PubMed, Dialnet, Psicodoc, Web of Knowledge, and the Cochrane Library. We initially identified 3746 entries, and eventually included 56 publications. Most of the studies were unanimous in concluding that the application of these techniques over the prefrontal cortex (PFC) was not sufficient to promote anger and irritability reductions in euthymic individuals of both genders. Nevertheless, the application of non-invasive brain stimulation techniques, especially transcranial direct current stimulation, over the right PFC seemed to reduce violent reactions in these individuals by interfering with the interpretation of the unfavourable situations (e.g., threating signals) or inner states that evoked anger. In antisocial and pathological populations, the conclusions were provided by a few pilot studies with important methodological weaknesses. The main conclusion of these studies was that bilateral stimulation of the PFC satisfactorily reduced anger and irritability only in inmates, patients with autism spectrum disorders (ASD), people who suffered a closed-head injury, and agitated patients with Alzheimer’s disease. Moreover, combining these techniques with risperidone considerably reduced aggressiveness in these patients. Therefore, it is necessary to be cautious about the benefits of these techniques to control anger, due the methodological weaknesses of these studies. Nonetheless, they offer valuable opportunities to prevent violence by designing new treatments combining brain stimulation with current strategies, such as psychotherapy and psychopharmacology, in order to promote lasting changes.

Prefrontal Cortex Transcranial Direct Current Stimulation Treatment in Alcohol Dependence Syndrome (PreCoTTA): Study Protocol for a Double-Blind Randomized Sham-Controlled Trial

2021 ◽  
Vol 16 ◽  
Author(s):  
Anagha S. Deshmukh ◽  
Samir Kumar Praharaj ◽  
Shweta Rai ◽  
Asha Kamath ◽  
Dinesh Upadhya
Keyword(s):  
Prefrontal Cortex ◽  
Alcohol Dependence ◽  
Direct Current ◽  
Brain Stimulation ◽  
Transcranial Direct Current Stimulation ◽  
Public Health Problem ◽  
Comprehensive Treatment ◽  
Direct Current Stimulation ◽  
Non Invasive ◽  
Alcohol Dependence Syndrome

Background: Alcohol dependence is a significant public health problem, contributing to the global health burden. Due to its immense socio-economic burden, various psychosocial, psychological, and pharmacological approaches have attempted to alter the behaviour of the patient misusing or abusing alcohol, but their efficacy is modest at best. Therefore, there is a search for newer treatment approaches, including noninvasive brain stimulation in the management of alcohol dependence. We plan to study the efficacy of Prefrontal Cortex Transcranial direct current stimulation Treatment in Alcohol dependence syndrome (PreCoTTA). Methods: Two hundred twenty-five male patients with alcohol dependence syndrome will be randomized into the three study arms (2 active, left dorsolateral prefrontal cortex and left orbitofrontal cortex, and 1 sham) to receive a total of 14 tDCS sessions (10 continuous and 4 booster sessions). Data will be collected from them at five different time points on clinical, neuropsychological and biochemical parameters. In addition, 225 healthy age and education matched controls will be administered the neuropsychological test battery at baseline for comparison with the patient group. Discussion: The proposed study aims to explore the use of non-invasive brain stimulation; tDCS as a treatment alternative. We also aim to overcome the methodological gaps of limited sample sizes, fewer tDCS intervention sessions, lack of long term follow ups to measure the sustainability of gains and lack comprehensive measures to track changes in functioning and abstinence after tDCS intervention. The main outcomes include clinical (reduction in cue-induced craving, time to first drink and QFI); neuropsychological (risk-taking, impulsivity, and other neuropsychological domains) and biochemical markers (BDNF, leptin and adiponectin). The findings of the study will have translational value as it may help to improve the clinician’s ability to effectively manage craving in patients with alcohol dependence syndrome. Furthermore, we will have a better understanding of the neuropsychological and biochemical effects of non-invasive brain stimulation techniques which are of interest in the comprehensive treatment of addiction disorders. Trial registration: The study has been registered with the Clinical Trials Registry-India (CTRI/2020/09/027582) on September 03rd 2020.

scholarly journals Transcranial Brain Stimulation Techniques For Major Depression: Should We Extend TMS Lessons to tDCS?

2014 ◽  
Vol 10 (1) ◽  
pp. 92-93 ◽  
Author(s):  
Bernardo Dell’Osso ◽  
A. Carlo Altamura
Keyword(s):  
Major Depression ◽  
Brain Stimulation ◽  
Randomized Clinical Trials ◽  
Cortical Excitability ◽  
Poor Response ◽  
Electrical Current ◽  
Non Invasive ◽  
Dorsolateral Prefrontal ◽  
History Of ◽  
Patient’S History

Transcranial magnetic stimulation (TMS) and transcranial direct current stimulation (tDCS) are non-invasive brain stimulation techniques that, by means of magnetic fields and low intensity electrical current, respectively, aim to interefere with and modulate cortical excitability, at the level of dorsolateral prefrontal cortex, in patients with major depression and poor response to standard antidepressants. While the clinical efficacy of TMS in major depression has been extensively investigated over the last 10 years, tDCS has attracted research interest only in the last years, with fewer randomized clinical trials (RCTs) in the field. Nevertheless, in spite of the different rationale and mechanism of action of the two techniques, tDCS recent acquisitions, in relation to the treatment of major depression, seem to parallel those previously obtained with TMS, in terms of treatment duration to achieve optimal benefit and patient's history of drug-resistance. After briefly introducing the two techniques, the article examines possible common pathways of clinical use for TMS and tDCS, emerging from recent RCTs and likely orienting future investigation with non invasive brain stimulation for the treatment of major depression.

scholarly journals Transcranial Direct Current Stimulation (tDCS) over the Left Dorsal Lateral Prefrontal Cortex in Children with Autism Spectrum Disorder (ASD)

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Jiujun Qiu ◽  
Xuejun Kong ◽  
Jihan Li ◽  
Jie Yang ◽  
Yiting Huang ◽  
...  
Keyword(s):  
Autism Spectrum Disorder ◽  
Prefrontal Cortex ◽  
Direct Current ◽  
Transcranial Direct Current Stimulation ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Sleep Habits ◽  
Lateral Prefrontal Cortex ◽  
Direct Current Stimulation ◽  
Children With Asd

Recently, transcranial direct current stimulation (tDCS) has been applied to relieve symptoms in individuals with autism spectrum disorder (ASD). In this prospective, parallel, single-blinded, randomized study, we investigate the modulation effect of three-week tDCS treatment at the left dorsal lateral prefrontal cortex (DLPFC) in children with ASD. 47 children with ASD were enrolled, and 40 (20 in each group) completed the study. The primary outcomes are Childhood Autism Rating Scale (CARS), Aberrant Behavior Checklist (ABC), and the Repetitive Behavior Scale-Revised (RBS-R). We found that children with ASD can tolerate three-week tDCS treatment with no serious adverse events detected. A within-group comparison showed that real tDCS, but not sham tDCS, can significantly reduce the scores of CARS, Children’s Sleep Habits Questionnaire (CSHQ), and general impressions in CARS (15th item). Real tDCS produced significant score reduction in the CSHQ and in CARS general impressions when compared to the effects of sham tDCS. The pilot study suggests that three-week left DLPFC tDCS is well-tolerated and may hold potential in relieving some symptoms in children with ASD.

scholarly journals Representation, Control, or Reasoning? Distinct Functions for Theory of Mind within the Medial Prefrontal Cortex

2014 ◽  
Vol 26 (4) ◽  
pp. 683-698 ◽  
Author(s):  
Charlotte E. Hartwright ◽  
Ian A. Apperly ◽  
Peter C. Hansen
Keyword(s):  
Prefrontal Cortex ◽  
Theory Of Mind ◽  
Cognitive Control ◽  
Medial Prefrontal Cortex ◽  
Mental States ◽  
Cortical Region ◽  
Behavioral Task ◽  
Medial Pfc ◽  
Different Parts

The medial pFC (mPFC) is frequently reported to play a central role in Theory of Mind (ToM). However, the contribution of this large cortical region in ToM is not well understood. Combining a novel behavioral task with fMRI, we sought to demonstrate functional divisions between dorsal and rostral mPFC. All conditions of the task required the representation of mental states (beliefs and desires). The level of demands on cognitive control (high vs. low) and the nature of the demands on reasoning (deductive vs. abductive) were varied orthogonally between conditions. Activation in dorsal mPFC was modulated by the need for control, whereas rostral mPFC was modulated by reasoning demands. These findings fit with previously suggested domain-general functions for different parts of mPFC and suggest that these functions are recruited selectively in the service of ToM.

scholarly journals Effect of Deep Brain Stimulation of the ventromedial prefrontal cortex on the noradrenergic system in rats

2018 ◽  
Vol 11 (1) ◽  
pp. 222-230 ◽  
Author(s):  
Sonia Torres-Sanchez ◽  
Laura Perez-Caballero ◽  
Juan A. Mico ◽  
Pau Celada ◽  
Esther Berrocoso
Keyword(s):  
Prefrontal Cortex ◽  
Deep Brain Stimulation ◽  
Brain Stimulation ◽  
Ventromedial Prefrontal Cortex ◽  
Noradrenergic System ◽  
Deep Brain ◽  
Stimulation Of

scholarly journals Neural representations of honesty predict future trust behavior

2019 ◽  
Vol 10 (1) ◽  
Author(s):  
Gabriele Bellucci ◽  
Felix Molter ◽  
Soyoung Q. Park
Keyword(s):  
Prefrontal Cortex ◽  
Dorsolateral Prefrontal Cortex ◽  
Multivariate Analyses ◽  
Posterior Cingulate Cortex ◽  
Ventromedial Prefrontal Cortex ◽  
Intraparietal Sulcus ◽  
Temporoparietal Junction ◽  
Neural Representations ◽  
Brain Signals ◽  
Dorsolateral Prefrontal

AbstractTheoretical accounts propose honesty as a central determinant of trustworthiness impressions and trusting behavior. However, behavioral and neural evidence on the relationships between honesty and trust is missing. Here, combining a novel paradigm that successfully induces trustworthiness impressions with functional MRI and multivariate analyses, we demonstrate that honesty-based trustworthiness is represented in the posterior cingulate cortex, dorsolateral prefrontal cortex and intraparietal sulcus. Crucially, brain signals in these regions predict individual trust in a subsequent social interaction with the same partner. Honesty recruited the ventromedial prefrontal cortex (VMPFC), and stronger functional connectivity between the VMPFC and temporoparietal junction during honesty encoding was associated with higher trust in the subsequent interaction. These results suggest that honesty signals in the VMPFC are integrated into trustworthiness beliefs to inform present and future social behaviors. These findings improve our understanding of the neural representations of an individual’s social character that guide behaviors during interpersonal interactions.

scholarly journals Theory of Mind Indexes the Broader Autism Phenotype in Siblings of Children with Autism at School Age

2016 ◽  
Vol 2016 ◽  
pp. 1-13 ◽  
Author(s):  
Tawny Tsang ◽  
Kristen Gillespie-Lynch ◽  
Ted Hutman
Keyword(s):  
Theory Of Mind ◽  
Language Skills ◽  
Broader Autism Phenotype ◽  
Cognitive Empathy ◽  
Autism Spectrum ◽  
School Age ◽  
Autism Symptoms ◽  
Children With Asd ◽  
Social Communicative ◽  
Autism Phenotype

Subclinical variants of the social-communicative challenges and rigidity that define autism spectrum disorder (ASD) are known as the broader autism phenotype (BAP). The BAP has been conceptualized categorically (as specific to a subset of relatives of individuals with ASD) and dimensionally (as continuously distributed within the general population). The current study examined the compatibility of these two approaches by assessing associations among autism symptoms and social-communicative skills in young school-age children with ASD, children who have a sibling with ASD, and children without a sibling with ASD. Autism symptoms were associated with reduced Theory of Mind (ToM), adaptive skills, cognitive empathy, and language skills across the full sample. Reduced ToM was a core aspect of the BAP in the current sample regardless of whether the BAP was defined categorically (in terms of siblings of children with ASD who exhibited atypical developmental) or dimensionally (in terms of associations with autism symptoms across the entire sample). Early language skills predicted school-age ToM. Findings support the compatibility of categorical and dimensional approaches to the BAP, highlight reduced ToM as a core aspect of the school-age BAP, and suggest that narrative-based approaches to promoting ToM may be beneficial for siblings of children with ASD.

The ventromedial prefrontal cortex is involved in understanding affective but not cognitive theory of mind stories

2006 ◽  
Vol 1 (3-4) ◽  
pp. 149-166 ◽  
Author(s):  
Simone G. Shamay-Tsoory ◽  
Yasmin Tibi-Elhanany ◽  
Judith Aharon-Peretz
Keyword(s):  
Prefrontal Cortex ◽  
Theory Of Mind ◽  
Cognitive Theory ◽  
Ventromedial Prefrontal Cortex
Sign in / Sign up

Export Citation Format

Share Document