The available evidence indicates that noninvasive prefrontal neurostimulation can improve negative symptoms. This finding suggests a causal role for the lateral frontal cortex in self-initiated goal-directed behavior. The evidence is stronger for rTMS than for tDCS, although this may be due to the small number of studies as yet with tDCS. More research is needed to establish moderator variables that may affect response to neurostimulation and to optimize treatment parameters in order to achieve stable and durable (and thus clinically relevant) effects.

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The event-related potential (ERP) effects of visual spatial attention and letter target detection for stimuli presented against a (nonisoluminant) dark background or against an isoluminant grey background were investigated. The goal was to study how the perceptual variable of luminance would influence early ERP reflections of selective attention. Such effects could further substantiate the claim that selective attention operates at the level of early perceptual processing and could provide evidence regarding the role of different visual routes in selective attention. Isoluminance increased the peak latency of the early ERP deflections (NP80, P1, and N1) by 40-50 ms. The ERP effects of spatial attention, consisting of P1 and N1 amplitude enhancements, were similarly delayed by isoluminance, supporting the idea that early selective processing is strongly dependent on bottom-up perceptual processing. P300 latency and reaction time were delayed by 70-75 ms, the additional delay probably reflecting that isoluminance affected decision processes in addition to perceptual processes. Isoluminance left the scalp topographies of the early ERP deflections largely unaffected, although a slight shift of the N1 topography in the isoluminant condition toward more inferior lateral posterior regions of the scalp could have reflected an increased contribution from ventral (occipitotemporal) brain areas. Relative to nontarget letters, targets presented at both attended and unattended spatial positions elicited an early contralaterally dominant lateral occipitotemporal negativity (N2pc). This ERP component is proposed to reflect an early, partly automatic process of template matching, consistent with indications from spatiotemporal dipole modelling that the N2pc was generated in inferior occipitotemporal brain regions.

The results of this meta-analysis warrant further study of rTMS as a potential treatment of negative symptoms of schizophrenia.