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The Effect of Repeated Prefrontal Cortex Stimulation on Antisocial and Aggressive Behavior

The Effect of Repeated Transcranial Direct Current Stimulation of the Prefrontal Cortex on Antisocial and Aggressive Behavior

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02674516
Enrollment
32
Registered
2016-02-04
Start date
2016-01-31
Completion date
2021-06-30
Last updated
2022-01-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Aggression, Antisocial Behavior

Keywords

antisocial behavior, aggression, transcranial direct current stimulation, dorsolateral prefrontal cortex, associated risk factors

Brief summary

This study investigates the relationship between prefrontal cortex activity and antisocial and aggressive behavior, and risk factors for such behavior. In the double-blind, randomized controlled trial, participants will undergo three sessions of anodal transcranial direct current stimulation of the dorsolateral prefrontal cortex or sham stimulation and complete survey and laboratory measures assessing antisocial behavior and risk factors. Heart rate and skin conductance will also be measured.

Interventions

DEVICETranscranial direct current stimulation
DEVICESham transcranial direct current stimulation

Sponsors

University of Pennsylvania
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
BASIC_SCIENCE
Masking
DOUBLE (Subject, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* Above 18 years of age * Able to understand the nature of the study and give informed consent

Exclusion criteria

* Currently consuming anti-convulsant, anti-psychotic, or sedative/hypnotic medications * Currently consuming anti-depressants * History of seizures * Metallic implants on the scalp * Participation in other transcranial magnetic stimulation (TMS) or tDCS experiments on the same day * History of adverse reactions to tDCS

Design outcomes

Primary

MeasureTime frameDescription
Number of Pins Inserted Into a Virtual Voodoo Doll After 48 HoursOn average, 48 hours after the first 20-minute tDCS or sham session endsThe number of pins (between 0 and 51) that participants decide to insert into a picture of a voodoo doll on a computer that represents either a romantic partner or close friend will be recorded.

Countries

United States

Participant flow

Participants by arm

ArmCount
Anodal Stimulation
Participants in the active stimulation group will undergo 3 sessions of anodal bilateral transcranial direct stimulation (tDCS) of the dorsolateral prefrontal cortex (DLPFC) on three consecutive days. tDCS will be delivered by a battery-driven, constant-current stimulator connected to three saline-soaked surface sponge electrodes. Two anodal electrodes (25cm2) will be placed over the DLPFC bilaterally and one cathodal electrode (35cm2) will be placed at the back of the neck. Scalp electrodes will be positioned over the F3 and F4 according to the 10-20 EEG international system. A current of 2mA (1mA at each DLPFC site) will be applied for 20 minutes and the current will be ramped up and down at the beginning and end of the stimulation period. Transcranial direct current stimulation
13
Sham Stimulation
The sham transcranial direct current stimulation condition will involve the same placement of the electrodes, current intensity, and ramp time as the real tDCS condition, but stimulation will only last for 30 seconds. Sham transcranial direct current stimulation
11
Total24

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyKnowledge of study hypothesis10
Overall StudyLost to Follow-up30
Overall StudyProtocol Violation04

Baseline characteristics

CharacteristicSham StimulationTotalAnodal Stimulation
Age, Continuous33.27 years
STANDARD_DEVIATION 14.1
32.13 years
STANDARD_DEVIATION 12.17
31.15 years
STANDARD_DEVIATION 10.77
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
4 Participants7 Participants3 Participants
Race (NIH/OMB)
Black or African American
3 Participants6 Participants3 Participants
Race (NIH/OMB)
More than one race
0 Participants1 Participants1 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
4 Participants10 Participants6 Participants
Region of Enrollment
United States
11 participants24 participants13 participants
Sex: Female, Male
Female
5 Participants12 Participants7 Participants
Sex: Female, Male
Male
6 Participants12 Participants6 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 130 / 11
other
Total, other adverse events
12 / 138 / 11
serious
Total, serious adverse events
0 / 130 / 11

Outcome results

Primary

Number of Pins Inserted Into a Virtual Voodoo Doll After 48 Hours

The number of pins (between 0 and 51) that participants decide to insert into a picture of a voodoo doll on a computer that represents either a romantic partner or close friend will be recorded.

Time frame: On average, 48 hours after the first 20-minute tDCS or sham session ends

ArmMeasureValue (MEAN)Dispersion
Anodal StimulationNumber of Pins Inserted Into a Virtual Voodoo Doll After 48 Hours3.77 pinsStandard Deviation 8.88
Sham StimulationNumber of Pins Inserted Into a Virtual Voodoo Doll After 48 Hours.64 pinsStandard Deviation 1.5

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026