INVESTIOGATION ON THE EFFECTS OF TRANSCRANIAL DIRECT CURRENT STIMULATION (TDCS) IN PATIENTS WITH SCHIZOPHRENIA

Xuân Tĩnh Đỗ1, Văn Linh Nguyễn1, Trọng Đạo Nguyễn1, Le Van Quan1,
1 Bệnh viện Quân y 103, Học viện Quân y

Main Article Content

Abstract

Objective: To evaluate the effectiveness of transcranial direct current stimulation (tDCS) in improving clinical symptoms in patients with schizophrenia. Subjects and Methods: This study included 70 patients diagnosed with schizophrenia based on DSM-5 criteria and treated at the Department of Psychiatry, Military Hospital 103 from June 2024 to March 2025. All patients were administered Olanzapine combined with tDCS over a three-week course. This was a non-controlled clinical trial. Clinical symptoms and PANSS scores were assessed at baseline and post-treatment. Results: Significant reductions were observed in emotional disturbances, hallucinations, delusions, and motor symptoms. In particular, auditory hallucinations (commentary type) decreased from 45.7% to 2.9%, and persecutory delusions from 45.7% to 2.9% (p < 0.001). The mean PANSS total score decreased from 104.18 ± 50.07 to 41.75 ± 24.54 (p < 0.001). Conclusion: tDCS, in combination with antipsychotic medication, is effective in alleviating psychotic symptoms, particularly hallucinations and delusions. It represents a safe and promising adjunctive therapy in schizophrenia treatment.

Article Details

References

1. World Health Organization. Schizophrenia Fact Sheet. https://www.who.int/news-room/fact-sheets/detail/schizophrenia. 2020.
2. Kane JM, Kishimoto T, Correll CU. Non-adherence to medication in patients with schizophrenia: Epidemiology, contributing factors and management strategies. World Psychiatry. 2019; 18(1):54-66.
3. Woods AJ, Antal A, Bikson M, et al. A technical guide to tDCS, and related non-invasive brain stimulation tools. Clinical Neurophysiology. 2016; 127(2):1031-1048.
4. Bose A, Shivakumar V, Narayanaswamy JC, et al. Insight facilitation with add-on tDCS in schizophrenia. Schizophrenia Research. 2014; 156(1-3):63-65.
5. Mondino M, Haesebaert F, Poulet E, et al. Fronto-temporal transcranial direct current stimulation (tDCS) reduces source-monitoring deficits and auditory hallucinations in patients with schizophrenia. Schizophrenia Research. 2015; 161(2-3):515-516.
6. Brunelin J, Mondino M, Gassab L, et al. Examining transcranial direct-current stimulation as a treatment for hallucinations in schizophrenia: A double-blind randomized placebo-controlled study. Schizophrenia Research. 2012; 156(2-3):230-236.
7. Bose A, Shivakumar V, Agarwal SM, et al. Efficacy of fronto-temporal transcranial direct current stimulation for refractory auditory verbal hallucinations in schizophrenia: A randomized, double-blind, sham-controlled study. Schizophrenia Research. 2018; 195:475-480.