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CompletedNCT06538259Updated Aug 5, 2024

Effects of tDCS Combined With Retrieval Practice on Semantic Memory in Patients With Schizophrenia

An interventional study of Transcranial direct current stimulation (tDCS)-anodal group and Transcranial direct current stimulation (tDCS)-sham group in Schizophrenic Patients, sponsored by Northeast Normal University. Completed at 1 site in China. Open to participants aged 19 Years to 60 Years. Per ClinicalTrials.gov, last updated 2024-08-05.

Sponsored by Northeast Normal University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year after the study started (first participant enrolled Jul 2023, registered Jul 2024).
Phase
Not applicable
Study type
Interventional
Enrollment
52
Allocation
Randomized
Ages
19 Years to 60 Years
Sex
All
01

Study summary

The semantic processing deficit stands as a central feature of cognitive abnormalities in schizophrenia. Both transcranial direct current stimulation (tDCS) and retrieval practice have been demonstrated as external techniques capable of ameliorating the semantic processing deficit in individuals with schizophrenia. The inquiry examines whether the combined effect of tDCS and retrieval practice, following tDCS intervention targeting the left dorsolateral prefrontal cortex (L-DLPFC) in patients with schizophrenia, contributes to the preservation of semantic memory in these individuals.

Investigators recruited 52 patients diagnosed with schizophrenia from hospitals. After five consecutive days of tDCS intervention (2 mA × 20 mins, twice per day), Investigators administered a word list memorization task comparing retrieval practice and restudy strategies. Subsequently, Investigators observed their immediate and delayed memory performance through tests.

Read the detailed description

Treatment was administered by two examiners, and after a total of 10 sessions over 5 consecutive days, a final group of 52 patients participated in the learning and testing phase. Among them, 27 received anodal stimulation, while 25 received sham stimulation. Each participant of each stimulation type was involved in both learning conditions, meaning that all participants completed both retrieval and restudy learning and testing.

  1. Stimulation phase:

    In the anodal group, the anode was placed over the left DLPFC (F3), and the cathode was placed over the contralateral supraorbital area (FP2). A direct current of 2mA was applied for 20 minutes during each stimulation session. Stimulation was conducted twice a day, at 9 a.m. and 2 p.m., for 5 consecutive days, totaling 10 sessions. In the sham group, the stimulation parameters, including the stimulation site and duration, were identical to those of the anodal group. However, during the 10-second ramp-up and ramp-down periods before and after stimulation, patients were unaware that the current was turned off.

  2. Learning phase:

    The experimental procedure followed the classic retrieval practice paradigm, which included a learning phase and a final test phase.

    During the experiment, participants were informed that they would learn two lists of words. Subsequently, they might either learn the words again or complete a list recall test, and will be given a final test shortly thereafter. The learning of the retrieval practice list and the restudy list was conducted in a randomly balanced manner. Each word was presented for 5 seconds, with a 500-millisecond interval between words. To avoid providing secondary retrieval cues between examples, all words were shuffled pseudo-randomly within categories. Each list contained 17 words, consisting of 5 examples from each of the 3 experimental categories (15 experimental examples, 2 filler examples). The first and last words presented in each list were filler words, thus controlling for the primacy and recency effects on memory.

    For the retrieval practice list, participants underwent two learning sessions and two retrieval sessions (S-T-S-T). During retrieval, participants were instructed to write down all the words they had just remembered within 5 minutes. For the restudy list, participants underwent four study sessions (S-S-S-S). Between each learning cycle, participants completed a 3-minute simple arithmetic task (dispersed attention task).

  3. Testing phase:

Immediate Test: Participants were instructed to recall as many words as possible from the learned lists within 10 minutes after completing all learning tasks.

Delayed Test: Participants were informed to recall as many words as possible from the learned lists within 10 minutes 24 hours later.

02

Conditions studied

  • Schizophrenic Patients

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03

In context

Schizophrenia

3,471 studies on the registry are indexed under Schizophrenia; 472 are open to participants now.

This study's enrollment of 52 is below the median of 70 across 2,872 interventional studies indexed under Schizophrenia.

Browse Schizophrenia studies →

Lead sponsor

Northeast Normal University is the lead sponsor of 13 studies on the registry; 5 are open to participants now.

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

04

Who can participate

Ages eligible
19 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Meeting the diagnostic criteria for schizophrenia according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5);
  2. Aged 18 years or older, regardless of gender, with an educational level of elementary school or above;
  3. All patients received stable-level antipsychotic medication treatment, were in a stable phase of disease treatment, able to understand the testing requirements, and cooperated to complete all research tasks;
  4. No history of neurological disorders or other serious physical illnesses, and no history of intellectual disability;
  5. No color blindness, color weakness, or other color vision impairments, with normal vision or corrected vision.

Exclusion criteria

Exclusion Criteria:

  1. Clear cognitive impairment caused by somatic or cerebral organic lesions, such as cerebrovascular diseases, traumatic brain injury, etc;
  2. Individuals with mental disorders caused by substance dependence or abuse, or the use of psychoactive substances;
  3. History of brain injury or other central nervous system-related organic diseases;
  4. Individuals at significant risk of suicide or harming others;
  5. Participation in similar experiments in the past 30 days prior to baseline.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
52 participants (actual)

Study arms

  • Experimental
    anodal group

    In the anodal group, the anode was placed over the left DLPFC (F3), and the cathode was placed over the contralateral supraorbital area (FP2). A direct current of 2mA was applied for 20 minutes during each stimulation session. Stimulation was conducted twice a day, at 9 a.m. and 2 p.m., for 5 consecutive days, totaling 10 sessions.

    Device: Transcranial direct current stimulation (tDCS)-anodal group

  • Sham comparator
    sham group

    In the sham group, the stimulation parameters, including the stimulation site and duration, were identical to those of the anodal group. However, during the 10-second ramp-up and ramp-down periods before and after stimulation, patients were unaware that the current was turned off.

    Device: Transcranial direct current stimulation (tDCS)-sham group

Interventions

  • DeviceTranscranial direct current stimulation (tDCS)-anodal group

    2mA/20mins/session; 2sessions/day,5days

  • DeviceTranscranial direct current stimulation (tDCS)-sham group

    0mA/20mins/session; 2sessions/day,5days

06

What researchers measure

Primary outcomes

  1. The correct recall rate of word lists

    The correct recall rate of word lists was calculated for each subject by the experimental assistant.

    Time frame: 5mins to 24 hours

  2. Adjusted Ratio of Clustering (ARC)

    Free recall organization was measured by the Adjusted Ratio of Clustering (ARC) scores

    Time frame: 5mins to 24 hours

07

Study locations

1 site
  • Northwest Normal University
    Lanzhou, Gansu 730070, China
08

References and documents

Publications

  • Cavendish BA, de Lima MFR, Pericoli L, Buratto LG. Effects of combining retrieval practice and tDCS over long-term memory: A randomized controlled trial. Brain Cogn. 2022 Feb;156:105807. doi: 10.1016/j.bandc.2021.105807. Epub 2021 Dec 20. PubMed 34949566 ↗
  • Javadi AH, Walsh V. Transcranial direct current stimulation (tDCS) of the left dorsolateral prefrontal cortex modulates declarative memory. Brain Stimul. 2012 Jul;5(3):231-241. doi: 10.1016/j.brs.2011.06.007. Epub 2011 Jul 26. PubMed 21840287 ↗
  • Sreeraj VS, Bose A, Chhabra H, Shivakumar V, Agarwal SM, Narayanaswamy JC, Rao NP, Kesavan M, Varambally S, Venkatasubramanian G. Working memory performance with online-tDCS in schizophrenia: A randomized, double-blinded, sham-controlled, partial cross-over proof-of-concept study. Asian J Psychiatr. 2020 Apr;50:101946. doi: 10.1016/j.ajp.2020.101946. Epub 2020 Feb 11. PubMed 32087502 ↗
  • Guimond S, Hawco C, Lepage M. Prefrontal activity and impaired memory encoding strategies in schizophrenia. J Psychiatr Res. 2017 Aug;91:64-73. doi: 10.1016/j.jpsychires.2017.02.024. Epub 2017 Mar 8. PubMed 28325680 ↗
  • Kim J, Iwata Y, Plitman E, Caravaggio F, Chung JK, Shah P, Blumberger DM, Pollock BG, Remington G, Graff-Guerrero A, Gerretsen P. A meta-analysis of transcranial direct current stimulation for schizophrenia: "Is more better?". J Psychiatr Res. 2019 Mar;110:117-126. doi: 10.1016/j.jpsychires.2018.12.009. Epub 2018 Dec 10. PubMed 30639917 ↗
  • Jantzi C, Mengin AC, Serfaty D, Bacon E, Elowe J, Severac F, Meyer N, Berna F, Vidailhet P. Retrieval practice improves memory in patients with schizophrenia: new perspectives for cognitive remediation. BMC Psychiatry. 2019 Nov 11;19(1):355. doi: 10.1186/s12888-019-2341-y. PubMed 31711448 ↗

Study documents

  • Study protocol · Jul 31, 2024
  • Informed consent form · Jul 31, 2024

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 5, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06538259
Lead sponsor
Northeast Normal University
Responsible party
Xiaofeng Ma (Professor, Northeast Normal University) — Principal investigator
First posted
Aug 5, 2024
Start date
Jul 24, 2023
Primary completion
Jan 30, 2024
Completion
Apr 15, 2024
Last update
Aug 5, 2024

Study contacts

Xiaofeng Ma, Professor
principal investigator · Northwest Normal University

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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