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Does rTMS Alter Neurocognitive Functioning in Patients with Panic Disorder/Agoraphobia? An fNIRS-Based Investigation of Prefrontal Activation during a Cognitive Task and Its Modulation via Sham-Controlled rTMS
by
Vennewald, Nadja
, Haeussinger, Florian B.
, Fallgatter, Andreas J.
, Laeger, Inga
, Notzon, Swantje
, Sickinger, Stephanie
, Ehlis, Ann-Christine
, Arolt, Volker
, Deppermann, Saskia
, Diemer, Julia
, Zwanzger, Peter
in
Adolescent
/ Adult
/ Aged
/ Agoraphobia
/ Agoraphobia - pathology
/ Agoraphobia - physiopathology
/ Brain
/ Care and treatment
/ Clinical Study
/ Cognition
/ Comorbidity
/ Fear & phobias
/ Female
/ Health aspects
/ Humans
/ Magnetic brain stimulation
/ Male
/ Medical imaging
/ Methods
/ Middle Aged
/ Open access publishing
/ Optical Imaging
/ Panic attacks
/ Panic Disorder - pathology
/ Panic Disorder - physiopathology
/ Panic disorders
/ Patient outcomes
/ Prefrontal Cortex - pathology
/ Prefrontal Cortex - physiopathology
/ Psychotherapy
/ Spectrum analysis
/ Studies
2014
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Does rTMS Alter Neurocognitive Functioning in Patients with Panic Disorder/Agoraphobia? An fNIRS-Based Investigation of Prefrontal Activation during a Cognitive Task and Its Modulation via Sham-Controlled rTMS
by
Vennewald, Nadja
, Haeussinger, Florian B.
, Fallgatter, Andreas J.
, Laeger, Inga
, Notzon, Swantje
, Sickinger, Stephanie
, Ehlis, Ann-Christine
, Arolt, Volker
, Deppermann, Saskia
, Diemer, Julia
, Zwanzger, Peter
in
Adolescent
/ Adult
/ Aged
/ Agoraphobia
/ Agoraphobia - pathology
/ Agoraphobia - physiopathology
/ Brain
/ Care and treatment
/ Clinical Study
/ Cognition
/ Comorbidity
/ Fear & phobias
/ Female
/ Health aspects
/ Humans
/ Magnetic brain stimulation
/ Male
/ Medical imaging
/ Methods
/ Middle Aged
/ Open access publishing
/ Optical Imaging
/ Panic attacks
/ Panic Disorder - pathology
/ Panic Disorder - physiopathology
/ Panic disorders
/ Patient outcomes
/ Prefrontal Cortex - pathology
/ Prefrontal Cortex - physiopathology
/ Psychotherapy
/ Spectrum analysis
/ Studies
2014
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Do you wish to request the book?
Does rTMS Alter Neurocognitive Functioning in Patients with Panic Disorder/Agoraphobia? An fNIRS-Based Investigation of Prefrontal Activation during a Cognitive Task and Its Modulation via Sham-Controlled rTMS
by
Vennewald, Nadja
, Haeussinger, Florian B.
, Fallgatter, Andreas J.
, Laeger, Inga
, Notzon, Swantje
, Sickinger, Stephanie
, Ehlis, Ann-Christine
, Arolt, Volker
, Deppermann, Saskia
, Diemer, Julia
, Zwanzger, Peter
in
Adolescent
/ Adult
/ Aged
/ Agoraphobia
/ Agoraphobia - pathology
/ Agoraphobia - physiopathology
/ Brain
/ Care and treatment
/ Clinical Study
/ Cognition
/ Comorbidity
/ Fear & phobias
/ Female
/ Health aspects
/ Humans
/ Magnetic brain stimulation
/ Male
/ Medical imaging
/ Methods
/ Middle Aged
/ Open access publishing
/ Optical Imaging
/ Panic attacks
/ Panic Disorder - pathology
/ Panic Disorder - physiopathology
/ Panic disorders
/ Patient outcomes
/ Prefrontal Cortex - pathology
/ Prefrontal Cortex - physiopathology
/ Psychotherapy
/ Spectrum analysis
/ Studies
2014
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Does rTMS Alter Neurocognitive Functioning in Patients with Panic Disorder/Agoraphobia? An fNIRS-Based Investigation of Prefrontal Activation during a Cognitive Task and Its Modulation via Sham-Controlled rTMS
Journal Article
Does rTMS Alter Neurocognitive Functioning in Patients with Panic Disorder/Agoraphobia? An fNIRS-Based Investigation of Prefrontal Activation during a Cognitive Task and Its Modulation via Sham-Controlled rTMS
2014
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Overview
Objectives. Neurobiologically, panic disorder (PD) is supposed to be characterised by cerebral hypofrontality. Via functional near-infrared spectroscopy (fNIRS), we investigated whether prefrontal hypoactivity during cognitive tasks in PD-patients compared to healthy controls (HC) could be replicated. As intermittent theta burst stimulation (iTBS) modulates cortical activity, we furthermore investigated its ability to normalise prefrontal activation. Methods. Forty-four PD-patients, randomised to sham or verum group, received 15 iTBS-sessions above the left dorsolateral prefrontal cortex (DLPFC) in addition to psychoeducation. Before first and after last iTBS-treatment, cortical activity during a verbal fluency task was assessed via fNIRS and compared to the results of 23 HC. Results. At baseline, PD-patients showed hypofrontality including the DLPFC, which differed significantly from activation patterns of HC. However, verum iTBS did not augment prefrontal fNIRS activation. Solely after sham iTBS, a significant increase of measured fNIRS activation in the left inferior frontal gyrus (IFG) during the phonological task was found. Conclusion. Our results support findings that PD is characterised by prefrontal hypoactivation during cognitive performance. However, verum iTBS as an “add-on” to psychoeducation did not augment prefrontal activity. Instead we only found increased fNIRS activation in the left IFG after sham iTBS application. Possible reasons including task-related psychophysiological arousal are discussed.
Publisher
Hindawi Puplishing Corporation,Hindawi Publishing Corporation,John Wiley & Sons, Inc
Subject
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