The purpose of this study is to exploratively evaluate the efficacy and safety of transcranial direct current stimulation (tDCS) in patients with schizophrenia who experience persistent auditory verbal hallucinations after adequate antipsychotics therapy for over three months.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
10
2mA direct current, 20 minutes per session, 2 sessions per day with at least 3hours interval between sessions, a total of 10 tDCS sessions
Seoul National University Hospital
Seoul, South Korea
Auditory hallucination change by changes in The Psychotic Symptom Rating Scales (PSYRATs) Auditory hallucinations subscale score
Auditory hallucination change by changes in the auditory hallucinations subscale from the Psychotic Symptom Rating Scales
Time frame: approximately 2 weeks
Electroencephalography - resting
* change in lagged phase synchronization value * change in microstate connectivity value
Time frame: approximately 2 weeks
Electroencephalography - P300 peak
* change in P300 peak amplitude during auditory oddball task * change in P300 peak latency during auditory oddball task
Time frame: approximately 2 weeks
Electroencephalography - P300 source
* change in P300 source strength during auditory oddball task * change in P300 source location during auditory oddball task
Time frame: approximately 2 weeks
Electroencephalography - P50
* change in T/C ratio (testing stimulus/conditioning stimulus) during paired click test * change in T/C difference (conditioning stimulus-testing stimulus) during paired click test * change in T/C difference (testing stimulus - conditioning stimulus) during paired click test
Time frame: approximately 2 weeks
Electroencephalography - ERN (error-related negativity) peak
* change in ERN peak amplitude during flanker task * change in ERN peak latency during flanker task
Time frame: approximately 2 weeks
Electroencephalography - ERN (error-related negativity) source
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* change in ERN source strength during flanker task * change in ERN source location during flanker task
Time frame: approximately 2 weeks
Electroencephalography - ERN (error-related negativity) frequency activity
* change in ERN beta band activity during flanker task * change in ERN theta band activity during flanker task * change in ERN delta band activity during flanker task
Time frame: approximately 2 weeks
Brain Magnetic Resonance Image (MRI) - T1 Image grey matter thickness
change in grey matter thickness
Time frame: approximately 2 weeks
Brain Magnetic Resonance Image (MRI) - T1 Image grey matter volume
change in grey matter volume
Time frame: approximately 2 weeks
Brain MRI - functional MRI
change in Pearson's correlation coefficient of BOLD signals
Time frame: approximately 2 weeks
Brain MRI - Diffusion Tensor Image (DTI) functional anisotropy
change in fractional anisotropy
Time frame: approximately 2 weeks
Brain MRI - Diffusion Tensor Image (DTI) mean diffusivity
change in mean diffusivity
Time frame: approximately 2 weeks
Brain MRI - Diffusion Tensor Image (DTI) radial diffusivity
change in radial diffusivity
Time frame: approximately 2 weeks
Brain MRI - Diffusion Tensor Image (DTI) axial diffusivity
change in axial diffusivity
Time frame: approximately 2 weeks
Brain MRI - myelin image
change in myelin imaging intensity value
Time frame: approximately 2 weeks
Kicer values change with treatment in striatum assessed by 18F-DOPA Positron Emission Tomography (PET)
\- Kicer values change with treatment in striatum
Time frame: approximately 2 weeks
Magnetic Resonance Spectroscopy (MRS)
\- N-Acetyl Aspartate, Creatin, Choline, Myoinositol, Glutamate, Glutamine, GABA metabolite concentration change with treatment
Time frame: approximately 2 weeks
Auditory hallucination change by changes in the Auditory Hallucination Rating Scale (AHRS) score
Auditory hallucination change by changes in the Auditory Hallucination Rating Scale score
Time frame: approximately 2 weeks
Auditory hallucination change by changes in the Korean Version of Hamilton Program for Schizophrenia Voices Questionnaire (HPSVQ) score
Auditory hallucination change by changes in the Korean Version of Hamilton Program for Schizophrenia Voices Questionnaire score
Time frame: approximately 2 weeks