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Status unknownNCT03039387Updated Feb 1, 2017

Effects of tDCS on Cognitive Control and Emotion Regulation in Depressed Patients

An interventional study of anodal transcranial direct current stimulation and transcranial direct current stimulation (sham) in Anodal Stimulation tDCS, Major Depression and Cognitive Control, sponsored by University Hospital Tuebingen. Status unknown at 1 site in Germany. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2017-02-01.

Sponsored by University Hospital Tuebingen · Not applicable, Interventional, and Basic science

The sponsor has not verified this record recently (last verified Aug 2016), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
44
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
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Study summary

Deficient cognitive control (CC) and the use of dysfunctional emotion regulation strategies (ERS) are both central characteristics of major depression. Both are associated with reduced activity of the dorsolateral prefrontal cortex (dlPFC). Transcranial direct current stimulation (tDCS) is a safe, simple and effective non-invasive method to modulate the cortical excitability. The goal of this randomized, sham-controlled, double blind clinical trial is to examine the effect of transcranial direct current stimulation (tDCS) on the CC and ERS in depressed patients compared to healthy subjects. Overall, the study will include 44 participants (22 depressed Patients and 22 healthy subjects). Each participant will complete a CC task while receiving sham tDCS in one session and anodal tDCS in the other session (counterbalanced). Afterwards the ERS 'rumination' will be measured during a resting phase by means of a questionnaire and psychophysiological measures (heart rate variability). The investigators hypothesize (a) an amelioration of CC by anodal tDCS and (b) a reduced use of the dysfunctional emotion regulation strategy 'rumination' after anodal tDCS. Overall this experiment will provide new and reliable data for the development of new treatment methods.

Read the detailed description
  1. Working hypothesis: anodal transcranial direct current stimulation (tDCS) of the dorsolateral prefrontal cortex (dlPFC) can enhance healthy and impaired cognitive control (CC) and reduce the use of dysfunctional emotion regulation strategies.
  2. Previous work of the investigators: The investigators previous work has provided decisive evidence for polarity-specific activity-dependent effects of tDCS to the left dlPFC on cognitive planning and control of emotional information processing in healthy subjects and patients with MD. Particularly, reduced prefrontal brain activity during a working memory task in patients with MD was found by using near infrared spectroscopy (NIRS). In addition, the investigators demonstrated that a single session, anodal, activity enhancing tDCS to the left dlPFC ameliorates deficient CC in patients with depression, whereas cathodal, activity reducing tDCS, induces a depression-like negativity bias in healthy subjects. Furthermore, the investigators showed that during anodal tDCS of the left dlPFC healthy subjects showed (a) better performance in a CC task (b) no increase in angry mood after the task compared to a control group and (c) that elevated angry mood was associated to a worse performance in the CC task.
  3. Aims and workplan: to investigate the effects of anodal tDCS of the left dLPFC in healthy and depressed subjects the investigators will conduct a double-blind, randomized, sham-controlled, cross-over design. In two sessions each participant (22 depressed and 22 healthy subjects, N= 44) will complete a CC task while receiving anodal tDCS (1 mA) to the left dlPFC in one session and sham tDCS in the other session (counterbalanced). Afterwards the ERS 'rumination' will be measured during a resting phase by means of a questionnaire and psychophysiological measures.
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Conditions studied

  • Anodal Stimulation tDCS
  • Major Depression
  • Cognitive Control
  • Emotion Regulation
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In context

Depressive Disorder, Major

2,741 studies on the registry are indexed under Depressive Disorder, Major; 559 are open to participants now.

This study's planned enrollment of 44 is below the median of 80 across 2,283 interventional studies indexed under Depressive Disorder, Major.

Browse Depressive Disorder, Major studies →

Lead sponsor

University Hospital Tuebingen is the lead sponsor of 476 studies on the registry; 104 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Inclusion Criteria for depressed patients

  • diagnosed major depression (DSM-V)
  • stable medication for four weeks

Inclusion Criteria for all participants

  • right handedness

Exclusion Criteria:

  • history of seizures
  • metal device throughout the body
  • pregnancy
  • use of von antipsychotics / mood stabilizer
  • diagnosed bipolar disorder
  • current substance abuse (nicotine excluded)
  • diagnosed psychotic diseases
  • diagnosed anorexia nervosa
  • diagnosed personality disorders: cluster A, antisocial personality disorder, borderline personality disorder

Exclusion Criteria for healthy participants:

  • history of affective disorders or current affective disorder
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Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
44 participants (estimated)

Study arms

  • Active comparator
    anodal tDCS

    transcranial direct current stimulation of the left dlPFC with 1mA

    Device: anodal transcranial direct current stimulation

  • Placebo comparator
    Sham stimulation

    Double blind sham stimulation (stimulation will be ramped down after 30 sec.)

    Device: transcranial direct current stimulation (sham)

Interventions

  • Deviceanodal transcranial direct current stimulation

    Also known as: anodal tDCS

  • Devicetranscranial direct current stimulation (sham)

    for the placebo control condition, the transcranial direct current stimulation will only last for 30 seconds and will then be ramped down.

    Also known as: sham tDCS

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What researchers measure

Primary outcomes

  1. Interstimulusintervall and number of correct trials in the PASAT

    To measure the performance in the PASAT the number of correct trials as well as the mean Interstimulusintervall will be assessed.

    Time frame: Assessment during stimulation/ sham stimulation in two sessions through study completion, on average 10 days.

  2. Change of positive and negative affect

    Change of positive and negative affect after, compared to before performing the PASAT and also change of the affect during the resting phase.

    Time frame: The positive and negative affect is assessed (a) right before and after the PASAT in two sessions through study completion, on average 10 days. And (b) also after the resting phase in two sessions through study completion, on average 10 days.

  3. Heart rate variability

    The Heart Rate Variability will be measured during the resting phase right after the measurement of the affect.

    Time frame: in two sessions through study completion, on average 10 days

  4. Score in state rumination questionnaire

    The state rumination will be measured after the resting phase

    Time frame: in two sessions through study completion, on average 10 days

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Study locations

1 of 1 sites recruiting
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 1, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03039387
Lead sponsor
University Hospital Tuebingen
Collaborators
German Federal Ministry of Education and Research, Universität Tübingen
Responsible party
Sponsor
First posted
Feb 1, 2017
Start date
Sep 2016
Primary completion
Apr 2017 (estimated)
Completion
Apr 2017 (estimated)
Last update
Feb 1, 2017

Study contacts

Christian Plewnia, MD
Contact
christian.plewnia@uni-tuebingen.de
+49 (0)7071-2986121

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Aug 2016. You cannot join it, but the record below documents what was studied.

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