Acceptability of transcranial direct current stimulation in children and adolescents with ADHD: The point of view of parents

Buchanan, Derrick Matthew; Samson, André; Maisonneuve, Alexander R.; Robaey, Philippe

doi:10.1177/1359105320937059

Cited by 13 publications

(16 citation statements)

References 37 publications

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“…Under this definition "rate of dropouts = acceptability", tDCS appears to be very acceptable in children and adolescents. That being said, recent research [8,47] has demonstrated that defining acceptability by rate of dropouts can be limited. Specifically, parents of children who have underwent tDCS were interviewed regarding tDCS acceptability: for them, tDCS acceptability was primarily dependent on efficacy, availability, cost, and side effects compared to medication [8].…”

Section: Acceptability and Rate Of Dropoutsmentioning

confidence: 99%

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Systematic Review on the Safety and Tolerability of Transcranial Direct Current Stimulation in Children and Adolescents

et al. 2021

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Background: Transcranial direct current stimulation (tDCS) is a safe, tolerable, and acceptable technique in adults. However, there is limited evidence for its safety in youth. Although limited, there are a handful of important empirical articles that have evaluated safety and tolerability outcomes in youth. However, a synthesis of pediatric safety studies is not currently available. Objective: To synthesize objective evidence regarding the safety and tolerability of pediatric tDCS based on the current state of the literature. Methods: Our search and report used PRISMA guidelines. Our method systematically examined investigations purposefully designed to evaluate the safety, tolerability, and acceptability of tDCS in healthy and atypical youth that were submitted to three databases, from the beginning of the database to November 2019. Safety considerations were evaluated by studies utilizing neuroimaging, physiological changes, performance on tasks, and by analyzing reported and objective side effects; tolerability via rate of adverse events; and acceptability via rate of dropouts. Results: We report on 203 sham sessions, 864 active sessions up to 2 mA, and 303 active hours of stimulation in 156 children. A total of 4.4% of the active sessions were in neurotypical controls, with the other 95.6% in clinical subjects. Conclusion: In spite of the fact that the current evidence is sporadic and scarce, the presently reviewed literature provides support for the safety, tolerability, and acceptability, of tDCS in youth for 1–20 sessions of 20 min up to 2 mA. Future pediatric tDCS research is encouraged.

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Section: Acceptability and Rate Of Dropoutsmentioning

confidence: 99%

“…Transcranial direct current stimulation (tDCS) is a non-invasive neuromodulation technique considered to be safe, tolerable, and acceptable to use in adults [1][2][3][4][5][6][7][8]. However, it is minimally researched and still controversial in pediatrics [9].…”

Section: Introductionmentioning

confidence: 99%

Systematic Review on the Safety and Tolerability of Transcranial Direct Current Stimulation in Children and Adolescents

et al. 2021

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“…It is crucial to provide these patients with alternative treatment options that may be more suitable to their needs. In a study comparing the acceptability of tDCS to pharmaceuticals, subjects were consistently partial to tDCS [20]. Interestingly, this is also the case in children [20].…”

mentioning

confidence: 93%

“…In a study comparing the acceptability of tDCS to pharmaceuticals, subjects were consistently partial to tDCS [20]. Interestingly, this is also the case in children [20]. Therefore, the community is prepared to embrace the uptake of tDCS if its efficacy is established.…”

mentioning

confidence: 99%

“…In general, the non-invasive nature of tDCS and its overall lack of side effects make it an appealing option for treating children and adolescents for the same conditions as considered in adults [21]. For parents, tDCS is a treatment option that offers hope for a short-term, intensive treatment option, compared to the prospect of years of being medicated [20]. That being said, tDCS studies in children are mostly limited to treating neurodevelopmental conditions like attention deficit hyperactivity disorder (ADHD), autism, or cerebral palsy (CP) [4].…”

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confidence: 99%

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What Do We Know about Transcranial Direct Current Stimulation for Major Depression?

Buchanan

Robaey

2020

Brain Sciences

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The interest in using non-invasive brain stimulation (NIBS) for the treatment of major depression (MD), including treatment resistant depression, is growing rapidly. The paper by Bennabi and Haffen (Brain Sci. 2018, 8) was an important step towards the formal acceptance of transcranial direct current stimulation (tDCS) as a possible form of therapy. Their review demonstrated favourable support for the beneficial effects of tDCS for MD, coupled with necessary practical considerations, such as its relatively low cost, portability/ease of use in clinical settings, non-invasiveness, and good tolerability. Here, we provide a follow-up to their review and sketch a current update. Means for optimizing tDCS efficacy and potential limitations of current studies are discussed.

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Neurotherapeutics for ADHD: Do they work?

Rubia

2022

PsyCh Journal

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This paper reflects on the use of neurotherapeutics for attention‐deficit/hyperactivity disorder (ADHD). ADHD is the most imaged child psychiatric disorder, with over 3 decades of magnetic resonance imaging (MRI) research. Findings are relatively homogeneous compared to other psychiatric conditions with consistent evidence for differences, albeit small, relative to healthy controls in the structure and function of several frontal, parietotemporal, and striatal brain regions as well as their inter‐regional structural and functional connections. The functional deficits have been targeted with modern neurotherapeutics, including neurofeedback (using most commonly electroencephalography and more recently functional near‐infrared spectroscopy and functional MRI) and non‐invasive brain stimulation (such as repetitive transcranial magnetic stimulation, transcranial direct current stimulation, or external trigeminal nerve stimulation). Except for electroencephalography‐neurofeedback, the majority of neurotherapeutic studies have been relatively small, with very heterogenous research protocols and outcome measures and—likely as a consequence—inconsistent findings. Furthermore, most brain stimulation studies have tested effects on cognitive functions rather than clinical symptoms. So far, findings have not been very promising. Future studies require systematic testing of optimal protocols in large samples or homogenous subgroups to understand response prediction that could lead to individualized treatment.

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Acceptability of transcranial direct current stimulation in children and adolescents with ADHD: The point of view of parents

Cited by 13 publications

References 37 publications

Systematic Review on the Safety and Tolerability of Transcranial Direct Current Stimulation in Children and Adolescents

Systematic Review on the Safety and Tolerability of Transcranial Direct Current Stimulation in Children and Adolescents

What Do We Know about Transcranial Direct Current Stimulation for Major Depression?

Neurotherapeutics for ADHD: Do they work?

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