Skip to main content
Top
Published in: Trials 1/2022

Open Access 01-12-2022 | Nerve Stimulation | Study protocol

The use of transcranial direct current stimulation (tDCS) to reduce impulsivity and aggression in adults with mild intellectual developmental disabilities: the tDCS-RIADD randomised controlled trial protocol

Authors: Najat Khalifa, Emily R. Hawken, Andrew Bickle, Mariel Cabrera, Travis Heath, Andrew Drury, Jessica Jones, Muhammad Ayub

Published in: Trials | Issue 1/2022

Login to get access

Abstract

Background

Challenging behaviours, in particular aggressive behaviours, are prevalent among people with intellectual developmental disabilities. Predictors of challenging behaviours are numerous, including past history of aggression, poor coping skills and impulsivity. Factors like motor or rapid-response impulsivity (RRI) have neurobiological underpinnings that may be amenable to change via neuromodulation using non-invasive brain stimulation techniques like transcranial direct current stimulation (tDCS).

Methods

This study aims to determine the efficacy of anodal tDCS in reducing RRI and incidents of aggression in people with intellectual developmental disabilities (IDD) in residential or hospital settings. Using a single blind, randomised, sham-controlled trial design, adults with IDD, with a history of impulsivity leading to aggression, will be randomised to receive either repetitive anodal or sham tDCS applied to the left dorsolateral prefrontal cortex. Outcome measures assessing impulsivity and aggression will be collected for up to 1 month following the last tDCS session.

Discussion

The results of this study may pave the way for developing targeted interventions for impulsivity and aggressive behaviours in people with IDD.
Literature
4.
7.
go back to reference Yang CC, Mauer L, Völlm B, Khalifa N. The use Transcranial Magnetic Stimulation (TMS) and transcranial Direct Current Stimulation (tDCS) to modulate impulsivity in people with mental disorder: a systematic review and explanatory metaanalysis. Neuropsychol Rev. 2020. https://doi.org/10.1007/s11065-020-09456-2. Yang CC, Mauer L, Völlm B, Khalifa N. The use Transcranial Magnetic Stimulation (TMS) and transcranial Direct Current Stimulation (tDCS) to modulate impulsivity in people with mental disorder: a systematic review and explanatory metaanalysis. Neuropsychol Rev. 2020. https://​doi.​org/​10.​1007/​s11065-020-09456-2.
8.
go back to reference Hamilton KR, Littlefield AK, Anastasio NC, Cunningham KA, Fink LH, Wing VC, Mathias CW, Lane SD, Schutz C, Swann AC, Lejuez CW, Clark L, Moeller FG, Potenza, MN. Rapid-response impulsivity: definitions, measurement issues, and clinical implications. Pers Disord. 2015. https://doi.org/10.1037/per0000100. Hamilton KR, Littlefield AK, Anastasio NC, Cunningham KA, Fink LH, Wing VC, Mathias CW, Lane SD, Schutz C, Swann AC, Lejuez CW, Clark L, Moeller FG, Potenza, MN. Rapid-response impulsivity: definitions, measurement issues, and clinical implications. Pers Disord. 2015. https://​doi.​org/​10.​1037/​per0000100.
9.
go back to reference Jolliffe D. Farrington DP A systematic review of the relationship between childhood impulsiveness and later violence. In: McMurran M, Howard R, editors. Personality, personality disorder and violence: an evidence based approach. London: Wiley-Blackwell; 2009. p. 41–61. Jolliffe D. Farrington DP A systematic review of the relationship between childhood impulsiveness and later violence. In: McMurran M, Howard R, editors. Personality, personality disorder and violence: an evidence based approach. London: Wiley-Blackwell; 2009. p. 41–61.
13.
go back to reference Emerson C. Challenging behaviour: analysis and intervention in people with learning difficulties. Cambridge: Cambridge University Press; 1995. Emerson C. Challenging behaviour: analysis and intervention in people with learning difficulties. Cambridge: Cambridge University Press; 1995.
15.
go back to reference Teti Mayer J, Chopard G, Nicolier M, Gabriel D, Masse C, Giustiniani J, et al. Can transcranial direct current stimulation (tDCS) improve impulsivity in healthy and psychiatric adult populations? A systematic review. Prog Neuropsychopharmacol Biol Psychiatr. 2020. https://doi.org/10.1016/j.pnpbp.2019.109814. Teti Mayer J, Chopard G, Nicolier M, Gabriel D, Masse C, Giustiniani J, et al. Can transcranial direct current stimulation (tDCS) improve impulsivity in healthy and psychiatric adult populations? A systematic review. Prog Neuropsychopharmacol Biol Psychiatr. 2020. https://​doi.​org/​10.​1016/​j.​pnpbp.​2019.​109814.
19.
20.
go back to reference Ratey JJ, Gutheil CM. (1991). The measurement of aggressive behavior: reflections on the use of the Overt Aggression Scale and the modified Overt Aggression Scale. J Neuropsychiatry Clin Neurosci. 1991;3(2):S57–60.PubMed Ratey JJ, Gutheil CM. (1991). The measurement of aggressive behavior: reflections on the use of the Overt Aggression Scale and the modified Overt Aggression Scale. J Neuropsychiatry Clin Neurosci. 1991;3(2):S57–60.PubMed
22.
go back to reference Bexkens, A.; Ruzzano, L.; Collot d’ Escury-Koenigs, A. M. L.; Van der Molen, M. W.; Huizenga, H. M. Inhibition deficits in individuals with intellectual disability: a meta-regression analysis. J Intellect Disabil Res 2014; https://doi.org/10.1111/jir.12068. Bexkens, A.; Ruzzano, L.; Collot d’ Escury-Koenigs, A. M. L.; Van der Molen, M. W.; Huizenga, H. M. Inhibition deficits in individuals with intellectual disability: a meta-regression analysis. J Intellect Disabil Res 2014; https://​doi.​org/​10.​1111/​jir.​12068.
23.
go back to reference Rojahn J, Matson JL, Lott D, Esbensen AJ, Smalls Y. The Behavior Problems Inventory: an instrument for the assessment of self-injury, stereotyped behavior and aggression/destruction in individuals with developmental disabilities. J Autism Dev Disord. 2001. https://doi.org/10.1023/a:1013299028321. Rojahn J, Matson JL, Lott D, Esbensen AJ, Smalls Y. The Behavior Problems Inventory: an instrument for the assessment of self-injury, stereotyped behavior and aggression/destruction in individuals with developmental disabilities. J Autism Dev Disord. 2001. https://​doi.​org/​10.​1023/​a:​1013299028321.
24.
25.
go back to reference Brunoni AR, Amadera J, Berbel B, Volz MS, Rizzerio BG, Fregni P. A systematic review on reporting and assessment of adverse effects associated with transcranial direct current stimulation, Int J Neuropsychopharmacol 2011; doi: https://doi.org/https://doi.org/10.1017/S1461145710001690. Brunoni AR, Amadera J, Berbel B, Volz MS, Rizzerio BG, Fregni P. A systematic review on reporting and assessment of adverse effects associated with transcranial direct current stimulation, Int J Neuropsychopharmacol 2011; doi: https://​doi.​org/​https://​doi.​org/​10.​1017/​S146114571000169​0.
26.
Metadata
Title
The use of transcranial direct current stimulation (tDCS) to reduce impulsivity and aggression in adults with mild intellectual developmental disabilities: the tDCS-RIADD randomised controlled trial protocol
Authors
Najat Khalifa
Emily R. Hawken
Andrew Bickle
Mariel Cabrera
Travis Heath
Andrew Drury
Jessica Jones
Muhammad Ayub
Publication date
01-12-2022
Publisher
BioMed Central
Published in
Trials / Issue 1/2022
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/s13063-022-06350-5

Other articles of this Issue 1/2022

Trials 1/2022 Go to the issue