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Bakhshayesh Eghbali B, Ramezani S, Sedaghat Herfeh S, Emir Alavi C, Najafi K, Esmaeeli Lipaei P, Eslamparast Kordmahalleh S, Hosseinpour Sarmadi V, Amini N, Ramezani Kapourchali F. ¬Transcranial direct current stimulation improves sleep quality in patients with insomnia after traumatic brain injury. Brain Inj 2023; 37:63-73. [PMID: 36408966 DOI: 10.1080/02699052.2022.2145363] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
INTRODUCTION Insomnia is a serious problem after traumatic brain injury (TBI) and partially improves via sleeping pills. We investigated the efficacy of transcranial direct current stimulation (tDCS) with a focus on the role of age and gender. MATERIALS AND METHODS In a randomized double-blind clinical trial, 60 eligible TBI-induced insomnia patients were assigned to real and sham tDCS groups and were treated for three weeks. Sham but not real tDCS took sleeping pills for the first three weeks of the study and then used the placebo until the end of the study. The placebo was used by the real-tDCS group throughout the study. Sleep quality and insomnia severity were respectively evaluated by Pittsburg Sleep Quality Index (PSQI) and Insomnia Severity Index (ISI) at three time points. RESULTS Real tDCS group reported lower mean ISI and PSQI scores at 3 weeks post treatment onset and maintained this decline for six weeks post treatment onset (P < 0.001). In younger participants and those identified as men, the treatment-induced attenuation of the mean PSQI score was reported higher and more lasting in real than sham tDCS groups. CONCLUSION Gender and age-specific tDCS protocols may be warranted to optimize the therapeutic effect of tDCS.
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Affiliation(s)
- Babak Bakhshayesh Eghbali
- Neuroscience Research Center, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
| | - Sara Ramezani
- Neuroscience Research Center, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
| | - Sina Sedaghat Herfeh
- Neuroscience Research Center, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
| | - Cyrus Emir Alavi
- Neuroscience Research Center, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
| | - Kiomars Najafi
- Kavosh Research Center for Behavioral-Cognitive Sciences and Addiction, Department of Noninvasive Brain Stimulation, Tolou Clinic Guilan University of Medical Sciences, Rasht, Iran
| | - Pedram Esmaeeli Lipaei
- Student Research Committee, Neuroscience Research Center, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
| | | | - Vahid Hosseinpour Sarmadi
- Cellular and Molecular Research Centre, Iran University of Medical Sciences, Tehran, Iran.,Institutes of Regenerative Medicine, Faculty of Advanced Technologies in Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - Naser Amini
- Cellular and Molecular Research Centre, Iran University of Medical Sciences, Tehran, Iran
| | - Fatemeh Ramezani Kapourchali
- Department of Inflammation and Immunity, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio 44195, USA
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Healthy and clinical meta-data and aggregated mini-mental status exam scores for the Persian speaking population. CURRENT PSYCHOLOGY 2021. [DOI: 10.1007/s12144-021-01998-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Khodadadi-Hassankiadeh N, Rad E, Woldemichae A, Monsef-Kasamei V. Time of return to work and associated factors in rib fracture victims. ARCHIVES OF TRAUMA RESEARCH 2021. [DOI: 10.4103/atr.atr_53_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Casarin FS, Branco L, Pereira N, Kochhann R, Gindri G, Fonseca RP. Rehabilitation of lexical and semantic communicative impairments: An overview of available approaches. Dement Neuropsychol 2014; 8:266-277. [PMID: 29213913 PMCID: PMC5619404 DOI: 10.1590/s1980-57642014dn83000011] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Lexical-semantic impairments are common consequences of acquired neurological
damage. However, little is known about the benefits of existing treatment
methods for this type of language impairment.
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Affiliation(s)
- Fabíola Schwengber Casarin
- Graduate Psychology Program, Department of Psychology, Pontifical Catholic University of Rio Grande do Sul - PUCRS, Porto Alegre, RS, Brazil.,CAPES PhD Scholarship. Department of Psychology, PUCRS
| | - Laura Branco
- Graduate Psychology Program, Department of Psychology, Pontifical Catholic University of Rio Grande do Sul - PUCRS, Porto Alegre, RS, Brazil.,BPA/PUCRS Undergraduate Scholarship, Department of Psychology - PUCRS
| | - Natalie Pereira
- Graduate Psychology Program, Department of Psychology, Pontifical Catholic University of Rio Grande do Sul - PUCRS, Porto Alegre, RS, Brazil.,CAPES Master's Scholarship, Department of Psychology- PUCRS
| | - Renata Kochhann
- Graduate Psychology Program, Department of Psychology, Pontifical Catholic University of Rio Grande do Sul - PUCRS, Porto Alegre, RS, Brazil.,PhD. CAPES Postdoctoral Scholarship (DOCFIX), Department of Psychology - PUCRS
| | - Gigiane Gindri
- Graduate Psychology Program, Department of Psychology, Pontifical Catholic University of Rio Grande do Sul - PUCRS, Porto Alegre, RS, Brazil.,PhD. Speech Therapist from Hospital Nossa Senhora da Conceição, Porto Alegre, RS, Brazil
| | - Rochele Paz Fonseca
- Graduate Psychology Program, Department of Psychology, Pontifical Catholic University of Rio Grande do Sul - PUCRS, Porto Alegre, RS, Brazil.,PhD. Adjunct Professor, Department of Psychology - PUCRS
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