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Table 3 Studies investigated the efficacy of tDCS on individuals with OCD

From: The safety and efficacy of transcranial direct current stimulation as add-on therapy to fluoxetine in obsessive-compulsive disorder: a randomized, double-blind, sham-controlled, clinical trial

Author, year

Study design

Anode and cathode position

Results

Volpato et al., 2013 [32]

Case report

One 35 year-old-male

Anode: neck; Cathode: F3

2 mA, 20 min daily for 10 days

• Not effective on OC symptoms

• Significant effect on depression and anxiety

Silva et al., 2016 [33]

Case report

Two 31 and 37 year-old-males

Anode: left deltoid muscle; Cathode: pre-SMA

2 mA, 30 min daily for 20 days

• One participant had no improvement in Y-BOCS, depression, and anxiety

• One participant had 55% reduction in Y-BOCS and 50% reduction in depression and anxiety symptoms

Mondino et al., 2015 [34]

Case report

One 52 year-old-female

Anode: right occipital cortex; Cathode: FP1

2 mA, 20 min twice a day for 5 days

• 26% reduction in Y-BOCS

Narayanaswamy et al., 2015 [35]

Case report

One 39 year-old-female and one 24 year-old-male

Anode: left pre-SMA;

Cathode: right supra-orbital area

2 mA, 20 min twice a day for 10 days

• 46.7% reduction in Y-BOCS of male

• 52% reduction in Y-BOCS of female

D’Urso et al., 2016 [36]

Case report

One 33 year-old-female

Active: pre-SMA;

Reference: right deltoid

2 mA, 20 min daily for 20 days

• 11% worsening in Y-BOCS after anodal sessions

• 30% reduction in Y-BOCS after cathodal sessions

Alizadeh Goradel et al., 2016 [37]

Case report

One 23 year-old-female

Anode: O2; Cathode: left OFC

2 mA, 20 min daily for 10 days

• 64% reduction in Y-BOCS; 87% reduction in depression; and 100% reduction in anxiety symptoms

Palm et al., 2017 [38]

Case report

One 31 year-old-male

Anode: F3;

Cathode: F4

2 mA, 30 min twice a day with total 20 stimulations in 2 weeks

• 22% reduction in Y-BOCS

Hazari et al., 2016 [39]

Case report

One 24 year-old-male

Anode: left pre-SMA;

Cathode: right supraorbital area 2 mA, 20 min twice a day for 10 days

• 80% reduction in Y-BOCS

Dinn et al., 2016 [40]

Open label trial

Four females and one male

Anode: F3; Cathode: Fp2

2 mA, 20 min daily for 15 days

• 23% reduction in Y-BOCS but was not maintained at 1 month of follow-up

• No reduction in anxiety symptoms and 30% reduction in depression symptoms

Najafi et al., 2017 [41]

Open label trial

Twenty three females and nineteen males

Anode: P1, C3, T7; Cathode: Fp2

2 mA, 30 min daily with total 15 stimulations in 3 weeks

• 79% reduction in Y-BOCS

Bation et al., 2016 [20]

Open label trial

Six females and two males

Anode: right

cerebellum;

Cathode: left OFC

2 mA, 20 min twice a day for 5 days

• 26% reduction in Y-OBCS

D’Urso et al., 2016 [21]

RCT

Seven females and four males

Active: Cz; Reference: lateral surface of right deltoid

2 mA, 20 min daily for 10 days

• Cases with anodal stimulation (N = 6) had worsening in Y-BOCS

• Cases with cathodal stimulation (N = 6) had 20% reduction in Y-BOCS

Yekta et al., 2015 [42]

Controlled RCT

Twenty cases (no data on gender)

Anode: F4; Cathode: F3

2 mA; 20 min daily for 15 days in experimental group

• Improved decision-making of experimental group (N = 10) compared to sham control group (N = 10)

• No report on Y-BOCS

Gowda et al., 2019 [43];

Controlled RCT

Four females and 21 males

Anode: pre-SMA; Cathode: right supraorbital area 2 mA, 20 min twice a day for 5 days

• Y-BOCS was significantly reduced in experimental group compared to baseline and sham control arm

Bation et al., 2020 [44];

Controlled RCT

Anode: right cerebellum; Cathode: PF1

2 mA, 20 min twice a day for 5 days

• Significant acute effect of tDCS in experimental group compared to baseline and sham control arm

• No changes in experimental group was observed compared to sham control arm after 1 and 3 months of tDCS stimulation