Meta-analysis of the effects of transcranial direct current stimulation on inhibitory control

Brain Stimul. 2020 Sep-Oct;13(5):1159-1167. doi: 10.1016/j.brs.2020.05.006. Epub 2020 May 20.

Abstract

Background: Inhibitory control refers to a central cognitive capacity involved in the interruption and correction of actions. Dysfunctions in these cognitive control processes have been identified as major maintaining mechanisms in a range of mental disorders such as ADHD, binge eating disorder, obesity, and addiction. Improving inhibitory control by transcranial direct current stimulation (tDCS) could ameliorate symptoms in a broad range of mental disorders.

Objective: The primary aim of this pre-registered meta-analysis was to investigate whether inhibitory control can be improved by tDCS in healthy and clinical samples. Additionally, several moderator variables were investigated.

Methods: A comprehensive literature search was performed on PubMed/MEDLINE database, Web of Science, and Scopus. To achieve a homogenous sample, only studies that assessed inhibitory control in the go-/no-go (GNG) or stop-signal task (SST) were included, yielding a total of 75 effect sizes from 45 studies.

Results: Results of the meta-analysis indicate a small but significant overall effect of tDCS on inhibitory control (g = 0.21) which was moderated by target and return electrode placement as well as by the task. The small effect size was further reduced after correction for publication bias.

Conclusion: Based on the studies included, our meta-analytic approach substantiates previously observed differences between brain regions, i.e., involvement of the right inferior frontal gyrus (rIFG) vs. the right dorsolateral prefrontal cortex (rDLPFC) in inhibitory control. Results indicate a small moderating effect of tDCS on inhibitory control in single-session studies and highlight the relevance of technical and behavioral parameters.

Keywords: Go-/no-go task; Inhibitory control; Meta-analysis; Response inhibition; Stop-signal task; Transcranial direct current stimulation; tDCS.

Publication types

  • Meta-Analysis
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Female
  • Humans
  • Inhibition, Psychological*
  • Male
  • Mental Disorders / physiopathology
  • Mental Disorders / psychology*
  • Mental Disorders / therapy*
  • Prefrontal Cortex / physiology*
  • Psychomotor Performance / physiology
  • Transcranial Direct Current Stimulation / methods*