Mechanistic account of the left auditory cortex for tone-matching in schizophrenia: A pilot transcranial random noise stimulation (tRNS) sham-controlled study

Asian J Psychiatr. 2024 Feb:92:103879. doi: 10.1016/j.ajp.2023.103879. Epub 2023 Dec 22.

Abstract

Objective: Deficits in the ability to match tones following brief delay and their contribution to higher-order cognitive alterations have been repeatedly documented in schizophrenia. The aim was to explore if left fronto-temporal high-frequency transcranial random noise stimulation (hf-tRNS), with electrodes placed over brain regions involved in tone-matching would significantly modulate performances in participants with schizophrenia.

Methods: In a randomized, double-blind sham-controlled study, 10 participants with schizophrenia were allocated to receive ten sessions of either active or sham hf-tRNS. The anode was placed over the left prefrontal cortex and the cathode over the left temporoparietal junction. A tone-matching task was administered before and after the hf-tRNS.

Results: We calculated the changes in tone-matching performance before and after hf-tRNS session in each group. A significant between-group difference was observed for the difficult tone-matching conditions (W= 14.500, p = 0.032), with tone-matching improvement in the sham group and no improvement in the active group.

Discussion: hf-tRNS could disrupt the test-retest learning effect in the tone-matching task in individuals with schizophrenia. It is likely that this disruption resulted from cathodal-induced inhibition of the functional coupling between auditory cortical areas that correlates with tone-matching performance in patients.

Conclusion: The findings contribute to our understanding of hf-tRNS effects on early auditory processing in schizophrenia.

Keywords: Early auditory; Non-invasive brain stimulation; Schizophrenia; Tone-matching; Transcranial random noise stimulation.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Auditory Cortex* / physiology
  • Auditory Perception / physiology
  • Humans
  • Prefrontal Cortex
  • Schizophrenia* / therapy
  • Transcranial Direct Current Stimulation* / methods