AGGIORNAMENTO SCIENTIFICO IN TEMPO REALE FORNITO DA:

- Neuromodulation in sleep disordersby Bashar Qatanany on 8 Settembre 2026
Sleep disorders are a growing global health issue with profound consequences on cardiovascular health, metabolic functioning, cognitive output and overall quality of life. Although there have been numerous clinical advances in brain-based treatments for sleep disorders, there are still a number of sleep disorders that are not well understood and need new treatment options to address the underlying neural mechanisms of sleep-wake regulation. Recent advances in neuroscience have highlighted...
- Transcranial Magnetic Stimulation Combined With Electroencephalography Analysis Suggest Time-Dependent and Region-Specific Modulation of Cortical Excitability During Acute Alcohol Intoxicationby Virve Kekkonen on 5 Settembre 2026
CONCLUSIONS: The results suggest time-dependent and region-specific modulation of cortical excitability during acute alcohol intoxication. Alcohol's effects are dynamic, regionally heterogeneous, and not limited to simple global suppression. TMS-EEG offers a promising tool for assessing alcohol-related changes in cortical functions.
- Heart-Brain Axis Dysregulation in Depression: Mechanisms and Implications for Neuromodulationby Yilin Xiong on 5 Settembre 2026
Major depressive disorder (MDD) is increasingly recognized as a systemic disorder involving dysregulation of the heart-brain axis (HBA). Mounting evidence links impaired HBA signaling to the pathogenesis of major depressive disorder. Emerging data indicate that neuromodulation-mediated autonomic alterations correlate with depressive symptom remission. Although neuromodulatory therapies are widely deployed clinically, HBA-based biomarkers remain experimental, and no consistent physiological...
- Combined noninvasive brain stimulation and acupuncture for post-stroke motor recovery: a systematic review and network meta-analysisby Qingping Su on 4 Settembre 2026
CONCLUSION: Combined noninvasive brain stimulation and acupuncture may provide additional benefits for post-stroke motor and functional recovery. However, current findings should be interpreted cautiously because of substantial heterogeneity, sparse evidence for some intervention nodes, risk-of-bias concerns, and limited confidence in several network estimates.
- Targeted stimulation of face-selective visual cortex at retrieval boosts associative face memory in healthy young adultsby Hendrik Heinbockel on 2 Settembre 2026
Episodic memory retrieval relies on encoding-pattern reinstatement (EPR), the reactivation of neural representations formed during encoding. Although EPR has been associated with successful remembering, it remains unclear whether this process can be proactively enhanced at retrieval. Specifically, it is unknown whether targeted brain stimulation immediately before retrieval can strengthen cortical reinstatement and improve memory in a content-specific manner. To address this question, we...
- Theta burst stimulation of the visual cortex does not alter contrast sensitivity under optically induced blurby Crystal Suei Cheng Wong on 1 Settembre 2026
This study investigated whether a single session of repetitive transcranial magnetic stimulation (TMS), specifically theta burst stimulation (TBS), acutely modulates visual function under conditions of induced optical defocus. Twelve adults with normal or corrected-to-normal vision participated in a pre-registered, within-subject, double-blind, sham-controlled study. Participants first adapted to an experimentally induced + 1.50D optical blur for 10 minutes. Following this, stimulation was...
- Repetitive circadian disruption contributes to pain hypersensitivity and alters the transcriptional rhythms in spinal cord in male mice with neuropathic painby Manqing Wen on 8 Settembre 2026
Circadian disruption increases the risk of neurological disorders, yet its impact on neuropathic pain (NP), a type of pain caused by nerve lesion, remains poorly understood. This study examined how three weeks of repetitive circadian disruption affects mechanical sensory thresholds and the spinal transcriptome in male C57BL/6JRj mice subjected to spared nerve injury (SNI) by using the chronic jet lag (JL) model. We also compared behavioural and transcriptomic outcomes between SNI and...
- Uncommon indications in chronic pain for intrathecal drug delivery systems: a narrative review of the literatureby Priyanka Singla on 8 Settembre 2026
Intrathecal drug delivery systems (IDDS) have been used successfully for a number of refractory chronic pain conditions. The most common pain indications for the use of IDDS include cancer-related pain and postlaminectomy syndrome. IDDS can also be used to treat a variety of other less common refractory pain conditions, including central neuropathic pain, peripheral neuropathic pain and craniofacial pain. The aim of this article was to review the existing literature on the efficacy and clinical...
- Botulinum Toxin Type A Reduces Pain and NF-kappaB Levels in a Rat Model of Complex Regional Pain Syndromeby Francis Sahngun Nahm on 7 Settembre 2026
CONCLUSION: These findings suggest an association between reduced NF-κB levels and the analgesic effects of BTA, supporting its potential therapeutic role in CRPS.
- Pustulotic arthro-osteitis complicated by polyarteritis nodosa: a case reportby Moe Asada on 7 Settembre 2026
Pustulotic arthro-osteitis (PAO) is a chronic inflammatory disorder associated with palmoplantar pustulosis (PPP) and characterized by osteoarticular manifestations. Although several immune-mediated comorbidities have been reported in association with PPP/PAO, polyarteritis nodosa (PAN) occurring in patients with PPP/PAO has not been described previously. We report a 56-year-old woman with a long-standing history of PPP and PAO who developed worsening osteoarticular symptoms in close temporal...
- The evolution, current practice, and future directions of neuromodulation for neuropathic painby Y J Luo on 7 Settembre 2026
Neuropathic pain (NP) refers to pain caused by a lesion or disease affecting the somatosensory nervous system. It typically follows a chronic course, characterized by persistent or recurrent pain that can lead to substantial suffering and functional impairment. Because conventional treatments often provide inadequate relief, neuromodulation has emerged as an important therapeutic approach. Focusing on the developmental trajectory of neuromodulation techniques, this article systematically reviews...
- Analysis of the relationship between herpes zoster-associated neuralgia and depressive- anxiety states and the mediating role of insomniaby Z Y Peng on 7 Settembre 2026
Objective: To investigate the correlations between pain intensity and insomnia, depression, and anxiety in patients with zoster-associated pain (ZAP), and to examine the mediating role of insomnia in the associations between pain and depression as well as pain and anxiety. Methods: Patients with ZAP who presented to the Department of Pain Medicine, the First Affiliated Hospital of Zhejiang University School of Medicine, from February 2024 to February 2025 were enrolled and divided into acute and...
- Longitudinal associations between inflammatory biomarkers, polygenic risk scores and cardiometabolic outcomes in major depressive and anxiety disorders: Findings from the Netherlands Study of Depression and Anxiety (NESDA)by Chenxu Zhao on 8 Settembre 2026
Cardiometabolic dysfunctions are prevalent in individuals with major depressive (MDD) and/or anxiety disorders, yet the longitudinal relationships between inflammation, polygenic susceptibility, and cardiometabolic outcomes remain incompletely understood. We analyzed longitudinal data from 2,716 participants retrieved from the Netherlands Study of Depression and Anxiety (NESDA) across three measurements over six years. Longitudinal associations between inflammatory biomarkers (CRP, IL-6, and...
- Disrupting peripheral serotonin synthesis drives sex-specific alterations in sociability and cognition, and reshapes the gut-immune-brain axisby Rogério C R Castro on 8 Settembre 2026
Serotonin (5-HT) regulates neurodevelopment and behavior. Whereas central 5-HT is synthesized by tryptophan hydroxylase (TPH)-2, the TPH1 isoform produces 5-HT peripherally. Although these systems are anatomically segregated, TPH1 gene polymorphisms have been linked to neuropsychiatric vulnerability, suggesting that peripheral 5-HT may influence behavior through indirect pathways, potentially involving the gut-immune-brain axis. Here, we examined how lifelong peripheral 5-HT deficiency shapes...
- Understanding Women's use of period-tracking applications: The role of personal, cognitive, and environmental factors in sexual and reproductive health trackingby Elizabeth Babin Pask on 8 Settembre 2026
Though period-tracking apps are valuable tools to monitor and record sexual and reproductive health information, the factors underlying different purposes of period app use are largely unexamined. Based on social cognitive theory, this study explored women's purposes for using period-tracking apps and the personal and environmental factors that influence frequency of use related to (a) menstruation, (b) pregnancy, (c) sexual activity, and (d) information management. Our cross-sectional survey of...
- Regulation in acute stress experience through functional near-infrared spectroscopy neurofeedback of the prefrontal cortexby Michelle Hei Lam Tsang on 8 Settembre 2026
CONCLUSIONS: This study demonstrates the efficacy of real-time fNIRS lateral PFC neurofeedback in facilitating adaptive learning of regulatory skills, which transferred robustly to regulation of subjective stress under acute stressors. These findings point to neurofeedback training as a promising translational strategy for enhancing stress regulation.
- Anxiety in the perinatal period: Knowledge of pregnant, postpartum, and nonperinatal womenby Madison P Hardman on 8 Settembre 2026
Anxiety is common during the perinatal period (pregnancy to 12 months postpartum), yet perinatal women rarely seek help. One help-seeking barrier is low mental health literacy; however, research on perinatal anxiety (PA) and mental health literacy is scarce. This study aims to investigate women's knowledge regarding PA. Participants were 209 pregnant, postpartum, and nonperinatal women. Open-ended responses about perceived symptoms and causes of PA were analyzed using Reflexive Thematic...
- Effect of Diaries on Mental Health Outcomes in Adult ICU Survivors: A Systematic Review and Meta-Analysisby Wenyu Zhang on 8 Settembre 2026
CONCLUSIONS: After adjustment for publication bias, ICU diaries did not show statistically significant benefits for PTSD incidence or severity but may provide modest adjunctive benefits in alleviating anxiety and depression symptoms.
- Longitudinal trajectories of depressive symptoms and respiratory health risk in middle-aged and older Chinese adults: A nationally representative prospective landmark cohort studyby Hao Zhou on 8 Settembre 2026
CONCLUSION: Depressive symptom trajectories were associated with CRD and captured heterogeneity not fully reflected by single-time assessments. Repeated assessment may help identify middle-aged and older adults at elevated respiratory risk.
- Gut microbiota correlating with glycerophospholipid metabolism dysregulation is associated with brain functional alterations in adolescent depressionby Jiayi Tian on 8 Settembre 2026
Gut microbiota dysbiosis has been linked to depression; however, evidence regarding this association in adolescents remains scarce, and the underlying molecular and neuropathological mechanisms are poorly understood. We conducted an integrative multi-omics study combining fecal metagenomic sequencing, serum untargeted metabolomics, resting-state fMRI, and spatial brain transcriptomics in 160 adolescents with depression (PT) recruited from multicenter cohort and 90 local healthy controls (HC)...
- Hot suicidal ideation is associated with reduced ENIGMA-defined subcortical volumes in major depressive disorderby Armand Chatard on 8 Settembre 2026
CONCLUSIONS: Findings suggest that ENIGMA's suicide-attempt signature may extend to a specific subtype of suicidal ideation and provide initial support for the distinction between hot and cold suicidal ideation. More broadly, differentiating ideation subtypes may reveal neurobiological associations that remain undetected when suicidal ideation is treated as a unitary construct.
- Multilevel dynamic abnormalities of suicidal ideation in major depressive disorder from regional dynamics to network statesby Yifan Jing on 8 Settembre 2026
CONCLUSIONS: The somatomotor and visual systems are consistently implicated in MDD-SI. Moreover, regional and network-level dynamic abnormalities may differentially contribute to trait SI, recent SI, and treatment-related improvements. Together with exploratory neurotransmitter associations, these findings provide a multi-level perspective on the dynamic neural mechanisms of suicidality, which warrants further validation.
- The spike protein S1 of SARS-CoV-2 promotes Th17 cell-dependent stress-induced depressive-like behaviors in miceby Dongmei Han on 8 Settembre 2026
AIMS: Depressive symptoms often emerge after viral infections. It is not clear what viral component triggers these symptoms.
- Biological heterogeneity of melancholic, atypical, anxious, and psychotic depressionby Olga V Nadei on 8 Settembre 2026
Major depressive disorder is characterised by clinical and biological heterogeneity, yet evidence concerning melancholic, atypical, anxious, and psychotic depression is fragmented across biological systems and further complicated by heterogeneous phenotype definitions. This critical narrative synthesis integrated findings from studies using DSM criteria, the CORE measure, latent class analysis, and dimensional instruments across five domains: HPA-axis regulation, inflammation, neural circuitry...
- Substance Use Emergency Department Visits Among Young People: Exploring Individual and Contextual Risk Factorsby Sophia C Ryan on 8 Settembre 2026
Evidence demonstrates that individual and contextual factors are critical predictors of poor health outcomes at key life stages, including youth and young adulthood. Little is still known how the unprecedented COVID-19 pandemic affected health outcomes like substance use and how this varied across key demographics and community characteristics. This analysis aims to examine how individual and community contexts interact to predict the risk of substance use outcomes among young people (ages 24...
- Selenium and vitamin D3 as potential predictive biomarkers of alcohol dependence syndrome severity: a case-control studyby N Yu Rusetskaya on 8 Settembre 2026
Currently, clinicians use a number of laboratory tests, including aminotransferase activity, gamma-glutamyl transferase, and mean corpuscular volume for monitoring patients with alcohol dependence. However, they have low sensitivity and specificity. The relationship between decreased vitamin D3 levels and the severity of alcohol dependence has been found in a number of studies. The aim of this study was to determine biochemical parameters, including dopamine, selenium, and vitamin D3 levels, in...
- Prenatal Alcohol Exposure Produces Selective Changes in Neuroimmune Gene Expression Across Brain Regions of Adult Miceby Alissa N Jones on 8 Settembre 2026
CONCLUSIONS: PAE creates a unique inflammatory signature in the adult brain, even in the absence of secondary injury, with novel patterns of region-specific changes in genes implicated in glial-immune function. These data identify potential immune targets to elucidate the mechanisms underlying behavioral dysfunction and provide a framework for future therapeutic interventions.
- Supporting clinical guidelines for opioid conversion to methadone and tapering to prevent withdrawal in critically ill children using physiology based pharmacokinetic modeling and simulationby Marika A de Hoop-Sommen on 8 Settembre 2026
Long-term opioid use is common in critically ill children and can cause withdrawal symptoms at discontinuation. To avoid withdrawal, short-acting opioids are usually converted into a long-acting drug, such as methadone, which is then carefully tapered. However, the exact conversion ratio and the optimal tapering protocol are unknown. This study aimed to design optimized conversion and tapering schedules of morphine and fentanyl to methadone for pediatric intensive care unit patients using...
- Forecasting alcohol lapse risk up to two weeks in advance using time-lagged machine learning modelsby Kendra Wyant on 8 Settembre 2026
Alcohol use disorder is a chronic, relapsing condition. Individuals must monitor risk and take proactive steps to manage and reduce it indefinitely to prevent lapse. Smartphone sensing and machine learning offer promise as scalable tools for automating risk monitoring and delivering personalized support during recovery. Research has demonstrated that machine learning models using ecological momentary assessment can generate highly accurate predictions of immediate lapse risk (e.g., within the...
- Weekend discharge, alcohol relapse, and graft survival post-transplant in alcohol-associated liver disease: cohort studyby Ayato Obana on 8 Settembre 2026
CONCLUSIONS: Among ALD liver transplant recipients managed with standardized discharge education and protocolized relapse surveillance, weekend discharge was not independently associated with alcohol relapse or graft survival after adjustment, and unadjusted ACR incidence did not differ between discharge groups. However, both adjusted estimates remain compatible with clinically meaningful benefit or harm, and these findings therefore represent a failure to detect an association rather than...
- Cocaine-induced pseudo-granulomatosis polyangiitisby Niall McInerney on 8 Settembre 2026
The United Nations Office on Drugs and Crime reports a continuing rise in cocaine use, especially over the past decade. Widespread adulteration of cocaine and higher purities are producing more extensive local destruction and increasing systemic complications beyond the simple nasal perforations historically seen. These guidelines reflect the Irish Rhinologic Society's recognition of the increasing prevalence of cocaine-related disease, but also the expanding associated clinical complexity and...
- Multiyear Wastewater Monitoring of High-Risk Substances Surrounding an Annual Electronic Dance Music Festival, Las Vegas, Nevada, USA, 2023-2025: Surveillance Studyby Daniel Gerrity on 8 Settembre 2026
CONCLUSIONS: Event-focused, multiyear wastewater surveillance detected stimulants and psychoactive substances, opioids, and Δ-9-tetrahydrocannabinol (THC) associated with an annual EDM festival weekend. Findings are consistent with previous wastewater-based studies of music and dance festivals, with MDMA concentrations among the highest reported in similar surveillance efforts. Codetection of opioid- and stimulant-related analytes suggests varied usage preferences, polysubstance use, and/or...
- Calcium-permeable AMPA receptors contribute to the accelerated development of enhanced motivation for cocaine in female ratsby Eleanor Blair Towers on 7 Settembre 2026
CONCLUSION: These findings suggest that CP-AMPAR recruitment in the NAc, a mechanism classically linked to the incubation of cocaine craving, may also contribute to abstinence-dependent increases in drug motivation that emerge earlier in females.
- US drug overdose deaths involving stimulants without opioids continued to rise in 2024by Yanwei Jin on 6 Settembre 2026
CONCLUSION: These findings highlight an evolving overdose crisis and underscore the need for prevention strategies that extend beyond opioid-focused interventions to address stimulant-specific harms.
- Prefrontal-centered cortical alterations and network dysconnectivity in cocaine use disorderby Leonardo Melo Rothmann on 5 Settembre 2026
CONCLUSIONS: CUD is characterized by a predominantly prefrontal-centered cortical structural phenotype accompanied by selective frontal network dysconnectivity. The functional findings suggest a reweighting of large-scale networks favoring salience-driven action over prefrontal regulatory control, consistent with incentive-sensitization models of addiction. Observed in a treatment-seeking sample representative of real-world clinical populations, these results support frontal systems as a core...
- Dual diagnosis and drug-related deaths (2019-2021): an Irish perspectiveby Suzi Lyons on 4 Settembre 2026
CONCLUSION: The NDRDI data enables in-depth description of those who died with DD in Ireland. While it does not provide comparisons with those who survived, given the limited amount of research in this area in Ireland, the data contributes valuable insights into the issue.
- Clinical guidance on evaluation and management of bone fragility in patients with monoclonal gammopathy of undetermined significance (MGUS): an IOF position statementby Cyrille B Confavreux on 8 Settembre 2026
CONCLUSION: Based on this analysis, we present the International Osteoporosis Foundation (IOF) position statement for bone evaluation and management of these patients. We recommend a risk-adapted treatment strategy. A proposal of bone clinical guidance dedicated to patients with MGUS is presented, suggesting bisphosphonates as the preferred treatment option.
- Moving Up in Stakes in Tournament Poker: A k-means Analysis of Latent Subgroups of Online Poker Playersby Matthew A Tom on 8 Settembre 2026
In tournament poker, skilled and profitable players can increase their stakes (e.g., enter tournaments with higher entry fees) in mathematically logical attempts to win more money faster. There are open questions about what types of players move up in stakes, and if those who move up in stakes are more likely to experience gambling-related problems. The current study addresses this issue by examining the actual tournament player records of a large European online gambling operator. For 1,603...
- Pain alleviation in diabetic neuropathy using hybrid closed loop insulin pumps (PAINLESS) - A randomised crossover trial protocolby Simon Alexander Berry on 8 Settembre 2026
INTRODUCTION: Painful diabetic neuropathy (PDN) is a common complication of diabetes that leads to significant co-morbidity. Emerging evidence suggests glycaemic variability may be linked to fluctuations in pain intensity. Hybrid closed loop (HCL) systems reduce glycaemic variability, raising the possibility that they may modify pain intensity. This study aims to evaluate the effects of HCL use on pain intensity in people with PDN.
- Dissociating decision-making deficits in temporal and frontal lobe epilepsy using Bayesian methodsby Mariana Cairós-González on 8 Settembre 2026
CONCLUSION: Focal epilepsy impacts decision-making efficiency in a manner contingent upon seizure focus. The observed distinctions between temporal groups tentatively suggest potential avenues for future longitudinal research into tailored neuropsychological interventions. These findings highlight the utility of Bayesian frameworks in providing a nuanced, probabilistic characterization of cognitive deficits in small sample sizes.
- Instagram v. Reality: The Case for Regulating Adolescent Social Media Useby Lauren Smith on 7 Settembre 2026
In the span of just two decades, social media has transformed from a novel communication platform into an omnipresent force in modern life, fundamentally altering how we connect, communicate, and consume information. For adolescents born into this digital landscape, social media is not merely a tool but an integral component of identity formation, social development, and daily existence. Most teens ages thirteen to seventeen use social media daily, and over forty percent of Instagram's user base...
- The Stranger at Home: Lived Experiences of Online Gambling Within the Family in Siirt, Turkiyeby Ahmet Bektaş on 7 Settembre 2026
Online gambling is a growing public health concern whose harms extend to the family, yet its familial consequences remain underexplored in contexts where gambling is illegal and extended-family ties are strong. This study examined how men who gamble online perceive gambling to affect their families in Siirt, Türkiye. Using a qualitative exploratory design, in-person semi-structured interviews with nine married or previously married men who currently or formerly gambled online (recruited via...
- Empirically Defining "Recurrent" Inappropriate Compensatory Behaviors: Differentiating Binge Eating Disorder From Bulimia Nervosa-Spectrum Disordersby Sophie R Abber on 8 Settembre 2026
OBJECTIVE: For multiple disorders, DSM-5-TR criteria include "recurrent" engagement in behaviors-for example, in the criteria for binge-eating disorder (BED), "binge eating is not associated with the recurrent use of inappropriate compensatory behavior."-without operationalizing how frequently a behavior needs to occur to be considered "recurrent." This lack of specificity may be particularly problematic in diagnosing BED; BED shares features with bulimia nervosa (BN) but is differentiated based...
- Appearance-related social media behavior and eating disorder pathology: evidence from the german social media appearance preoccupation scale in nonclinical and clinical samplesby Sebastian Brand on 8 Settembre 2026
CONCLUSIONS: The German SMAPS is a reliable and valid tool for assessing appearance-related social media behaviors in German-speaking populations. The findings suggest that the three dimensions may differ in clinical relevance, with appearance comparison warranting particular attention in future research.
- The mediating role of psychological factors in the relationship between body image dissatisfaction and eating disorders: a cross-sectional study in adultsby Nazlı Nur Aslan Çin on 8 Settembre 2026
CONCLUSION: Body image disturbance was statistically associated with eating pathology, with depression, anxiety, and shame-based withdrawal emerging as significant indirect pathways in the mediation model, while behaviorally focused guilt demonstrated a pattern consistent with a self-regulatory function. Interventions targeting maladaptive shame and affective distress, alongside strategies supporting adaptive guilt processing, may constitute meaningful clinical targets in eating disorder...
- Virtual Reality Mood Induction and Body Image Disturbance in Adolescents With Eating Disorders: An Experimental Studyby Diana Burychka on 8 Settembre 2026
Eating disorders (EDs) are severe psychiatric conditions characterized by body image disturbance, yet the role of affective states in the maintenance of body image symptoms among adolescents remains poorly understood. Virtual reality-based mood induction procedures (VR-MIPs) offer a controlled method for examining how experimentally induced affect influences body image outcomes. This within-subjects experimental study tested the hypotheses that a positive-MIP would improve, and negative MIP...
- Psychosocial aspects and mental health burden of pediatric MASLDby Vanishri Ganakumar on 8 Settembre 2026
Metabolic dysfunction-associated steatotic liver disease (MASLD) is the most common chronic liver disease of childhood and the hepatic component of a systemic metabolic and endocrine disorder linked to obesity and insulin resistance. Its psychological and social dimensions, however, remain under-recognized relative to its metabolic features. Affected children carry a substantial mental-health burden: elevated rates of depression, anxiety, disordered eating, and impaired quality of life that both...
- Could refeeding-associated gynaecomastia occur during recovery from anorexia nervosa? A hypothesis-generating reviewby Ali Mohamed Mousa on 8 Settembre 2026
International andrology guidance discusses refeeding after starvation as a clinical setting associated with gynaecomastia, based on reports from starvation-refeeding settings outside anorexia nervosa (AN). A targeted search of PubMed, PsycINFO, and Google Scholar, last conducted on 27 July 2026, identified no indexed reports in male patients recovering from AN. We therefore advance the testable hypothesis that transient glandular breast tissue may occasionally occur but remain unrecognised...
- Prader-Willi syndrome as a neurogenetic model for psychosis and obsessive-compulsive disorder: A review of clinical, behavioral, and biological insightsby Sohailah Sameh Mohamed Abdeltawab on 8 Settembre 2026
Prader-Willi syndrome (PWS) is a complex neurodevelopmental disorder classically defined by hyperphagia and obesity. However, its profound psychiatric phenotype offers a unique genetic framework for understanding major mental illnesses. This review positions PWS as a potentially informative biological model for psychosis and obsessive-compulsive disorder (OCD), bridging the gap between 15q11-q13 imprinting defects and neural circuit dysfunction. We synthesize evidence demonstrating that...
- Optimised carbohydrate dietary intervention for improving metabolic health in adults with prediabetes: study protocol for a multicentre randomised controlled trialby Ruiqi Zhang on 8 Settembre 2026
INTRODUCTION: Dietary modification is an important strategy for the prevention of type 2 diabetes, with fibre intake recognised as a key factor in promoting metabolic health. Resistant starch (RS), a type of fermentable dietary fibre, has emerged as a promising therapeutic approach due to its association with weight loss, enhanced insulin sensitivity and improved glucose metabolism. As nutritional research progresses, the focus has shifted from individual nutrients to overall dietary patterns....
- Searching in Euclidean Spaces with Predictionsby Sergio Cabello on 7 Settembre 2026
We study the problem of searching for a target at some unknown location in R d when additional information regarding the position of the target is available in the form of predictions. In our setting, predictions come as approximate distances to the target: for each point p ∈ R d that the searcher visits, we obtain a value λ ( p ) such that | p t | ≤ λ ( p ) ≤ c · | p t | , where c ≥ 1 is a fixed constant, t is the position of the target, and | p t | is the Euclidean distance of p to t ...
- Double-blind, sham-controlled, trial of rhythmic 10 Hz median nerve stimulation for the reduction of tics in Tourette syndrome: Analyses of 3-month follow-up data for those receiving active stimulationby Stephen R Jackson on 7 Settembre 2026
Tourette syndrome [TS] is a neurological disorder of childhood onset characterised by the occurrence of tics: repetitive, purposeless movements or vocalisations. Effective treatment for tic disorders is an area of considerable unmet clinical need. A pre-registered UK-wide parallel double-blind sham-controlled trial, consisting of 4-weeks of daily home-administered rhythmic 10 Hz median nerve stimulation [rMNS], demonstrated that 10 Hz rMNS reduced tic frequency during stimulation, relative to a...
- Beyond repetitive behaviours: Recognising and treating OCD in autistic individualsby David Mataix-Cols on 7 Settembre 2026
Obsessive-compulsive disorder (OCD) is one of the most common and impairing co-occurring conditions in autistic individuals, yet it is frequently under-recognised and undertreated. This clinical perspective examines the challenges of recognising, diagnosing, and managing OCD in autism. We discuss the overlap and important distinctions between autistic repetitive behaviours and OCD compulsions, highlighting the need for careful differential diagnosis to ensure that treatable OCD is identified...
- Protocol for developing an evidence-based expert consensus on efficacy evaluation and comorbidity management of integrated Chinese and Western medicine for pediatric tic disorders: a GRADE-based modified Delphi studyby Mengmeng Bao on 5 Settembre 2026
CONCLUSION: This protocol presents a transparent, reproducible, and GRADE-aligned methodology for developing an integrative consensus in pediatric TD. It may serve as a methodological reference for future integrative guideline development.
- Chronic Pre-Trauma Corticosterone Attenuates Trauma Memory Formation and Alters Gene Expression in Glucocorticoid Signalling Pathwaysby Gia Kutelia on 8 Settembre 2026
Glucocorticoid signalling plays a central role in the processing of traumatic memories and contributes to adaptive and pathological responses to stress, with dysregulation frequently reported in trauma-related conditions such as post-traumatic stress disorder (PTSD). A key stage in trauma memory formation is the early consolidation window, during which aversive experiences are stabilised into long-term memory through protein synthesis and activity-dependent gene expression. To investigate how...
- A long neural circuit spanning multiple brain regions is involved in context-induced retrieval of fear memoryby Hao Yang on 8 Settembre 2026
Individuals recovering from post-traumatic stress disorder (PTSD) often relapse due to context-induced fear memory retrieval when exposed to the same context in which they first experienced the trauma. Previous studies showed that both the ventral hippocampus CA1 (vCA1) and the dorsal hippocampus CA1 (dCA1) were involved in context-induced retrieval of fear memories. However, the causal relationship and the neural circuits between vCA1 and dCA1 during this process remain unknown. The present...
- The Swara-Informed model of autonomic synchrony in psychotherapy: theoretical foundations and hypothesesby Aarsh Ojas Parasar Pandey on 8 Settembre 2026
CONCLUSION: The Swara-informed autonomic matching model provides a culturally grounded framework that hypothesizes how nostril-specific breathing may be integrated into psychotherapy and provides a basis for future empirical investigation. We formulated testable hypotheses and study designs to investigate whether state-matched UNB yields greater benefits than slow-paced breathing. Finally, we discuss several potential limitations, safety issues, and ethical considerations relevant to this...
- War trauma and psychomotor developmental disorders in children aged 6-12 in Lubumbashi: a comparative studyby Joëlle Ngoie Musasa on 8 Settembre 2026
Background: Persistent armed conflict in eastern Democratic Republic of the Congo has resulted in large-scale population displacement, exposing many children to traumatic experiences. Although the psychological consequences of such exposure are well documented, its impact on psychomotor development remains insufficiently investigated, particularly in African settings affected by chronic violence.Objective: This study aimed to compare the psychomotor development of displaced children living in...
- MDMA-Assisted Therapy May Decrease PTSD Symptoms, Dissociation, Depression, and Functional Disability: A Systematic Review and Meta-Analysisby Warwick M Green on 8 Settembre 2026
There is a need for new effective treatment options for posttraumatic stress disorder (PTSD), as many people with PTSD do not fully recover despite current treatments. 3,4-methylenedioxymethamphetamine (MDMA)-assisted psychotherapy (MDMA-AT) is emerging as a new treatment option. We assessed the current body of MDMA-AT evidence for effectiveness in treating PTSD, associated impairments, and quality of life by conducting a systematic review and meta-analysis of randomized controlled trials....
- Associations between female sexual distress, genitourinary diagnoses, and mental health in a sexual health clinic population: a single-center retrospective reviewby Rebecca Hofer on 8 Settembre 2026
CONCLUSIONS: Trauma history, decreased desire, and somatic pain significantly impact distress and should be screened for. Dyspareunia independently predicts distress but may be masked by other factors. The attenuation of depression and anxiety after multivariable adjustment may reflect shared clinical variance rather than independent drivers of distress. Overall, multidisciplinary teams including mental health, physical therapy, and social support should be included in treating sexual distress....
- Reduced alpha-band phase coherence and cortical complexity in fibromyalgia: A tms-eeg exploratory studyby Anne Jakobsen on 3 Marzo 2026
CONCLUSION: Individuals with fibromyalgia have abnormal cortical connectivity compared with asymptomatic controls.
- Effect of Repetitive Transcranial Magnetic Stimulation on the Symptoms and Brain Imaging in Patients with Fibromyalgia Syndrome: A Randomized Controlled Pilot Trialby Laura Ackermann on 30 Agosto 2025
CONCLUSIONS: While these results may be due to small sample size and short treatment duration, the findings of increased FA after active rTMS and higher functional connectivity between DLPFC and cerebellum in responders should be further explored.
- Guidelines on Treating Fibromyalgia With Nonpharmacological Therapies in Chinaby Xuanlin Li on 11 Giugno 2025
Fibromyalgia is a prevalent chronic condition marked by widespread pain, fatigue, and other debilitating symptoms. This guideline provides evidence-based recommendations for nonpharmacological treatments, developed by a multidisciplinary expert group, including specialists in rheumatology, rehabilitation, pain management, traditional Chinese medicine (TCM), and evidence-based medicine. The guideline follows the RIGHT checklist and is registered with the International Practice Guideline Registry...
- Disruptive compensatory mechanisms in fibromyalgia syndrome and their association with pharmacological agentsby Fernanda M Q Silva on 5 Ottobre 2024
Fibromyalgia syndrome (FMS) is a chronic disorder characterized commonly by widespread musculoskeletal pain and fatigue, predominantly affecting women, with its complexity often leading to underdiagnosis and complicating treatment effectiveness. Transcranial magnetic stimulation (TMS) metrics are potential markers to optimize FMS treatments; however, evidence is limited. Our study aimed to explore the relationship between cortical excitability and inhibition, assessed through TMS markers, and...
- The Impact of Obesity as a Peripheral Disruptor of Brain Inhibitory Mechanisms in Fibromyalgia: A Cross-Sectional Studyby Walter Fabris-Moraes on 13 Luglio 2024
Background/Objective: Obesity, characterized by chronic inflammation, may serve as a surrogate marker for more dysfunctional peripheral inflammation, potentially exacerbating FM symptomatology. Given this premise, this study aimed to investigate the effects of obesity as an effect modifier on neural and clinical variables, specifically those indexing pain-compensatory mechanisms in FM symptoms. Methods: A cross-sectional study was conducted with 108 participants who underwent a standardized TMS...
- No add-on therapeutic benefit of at-home anodal tDCS of the primary motor cortex to mindfulness meditation in patients with fibromyalgiaby Perianen Ramasawmy on 20 Giugno 2024
CONCLUSIONS: Our findings demonstrate no synergistic or add-on efffect of anodal tDCS of the left M1 compared to the proper effect of MM in patients with fibromyalgia.
- Neuromodulation in sleep disordersby Bashar Qatanany on 8 Settembre 2026
Sleep disorders are a growing global health issue with profound consequences on cardiovascular health, metabolic functioning, cognitive output and overall quality of life. Although there have been numerous clinical advances in brain-based treatments for sleep disorders, there are still a number of sleep disorders that are not well understood and need new treatment options to address the underlying neural mechanisms of sleep-wake regulation. Recent advances in neuroscience have highlighted...
- Comparative Treatment Response to Intermittent Theta Burst Stimulation in Long COVID-Associated Depression Versus Major Depressive Disorder: A Propensity Score-Matched Retrospective Cohort Studyby Yoshihiro Noda on 27 Agosto 2026
Background: Long COVID has emerged as a global health challenge characterized by persistent neuropsychiatric symptoms, including depression, fatigue, and cognitive impairment. Growing evidence indicates that sustained neuroinflammation, endothelial dysfunction, and fronto-limbic network disruption may underlie these symptoms, representing pathophysiological features distinct from major depressive disorder (MDD). Although repetitive transcranial magnetic stimulation (rTMS) is an established...
- Input-output curves demonstrate motor cortex hyperexcitability associated with cognitive impairment in Alzheimer's diseaseby Julia H Cho on 27 Agosto 2026
Recent studies suggest that cortical hyperexcitability in Alzheimer's disease (AD) may accelerate disease progression. However, the field lacks validated non-invasive methods to assay excitability in humans. In this study we used transcranial magnetic stimulation with electromyography to investigate mechanisms of motor cortical excitability in 63 biomarker-positive early-AD (ranging from mild cognitive impairment to mild dementia) participants and 72 cognitively unimpaired age-matched adults...
- Microstates and connectivity states reveal task-related network reorganization in Alzheimer's disease patientsby Ji-Won Kim on 15 Agosto 2026
CONCLUSIONS: Connectivity states indicated decreased task-related network stability in AD patients, which correlated with memory task performance. The findings support the neural efficiency hypothesis, which states that more efficient brain network optimization during tasks is linked to better performance.
- Identifying cognitive subgroups in older adults from community data with hierarchical cluster analysisby J D Hall on 14 Luglio 2026
This study applied Ward's hierarchical clustering to detailed neuropsychological data from a community-recruited sample of 180 older adults to identify naturally occurring cognitive subgroups and characterize multidomain cognitive heterogeneity beyond conventional mild cognitive impairment (MCI) criteria. Twenty-two demographically adjusted z-scores spanning memory, language, executive function, and attention/processing speed were submitted to Ward's method, and the resulting four-cluster...
- Towards a neurophysiological diagnostic marker of Alzheimer's disease using transcranial magnetic stimulation combined with electroencephalographyby Rachel Ben-Hayun on 8 Luglio 2026
BackgroundA scalable, objective measure of cortical function that differentiates Alzheimer's disease (AD) from other causes of cognitive impairment is still lacking. Transcranial magnetic stimulation combined with electroencephalography (TMS-EEG) enables direct assessment of cortical reactivity.ObjectiveTo test whether left primary motor cortex (M1L) P30 amplitude captures AD-related excitability changes, distinguishes biomarker-confirmed AD patients from controls (CN) and from other non-AD...
- Predicting Headache at Age 40 Using Machine Learning: A Life-Course Analysis from the 1982 Pelotas Birth Cohort, Brazilby João Pedro Caetano on 8 Settembre 2026
CONCLUSION: ML models using life-course data can predict midlife headache with moderate-to-good discriminative ability. The prominence of modifiable psychosocial and socioeconomic predictors suggests concrete targets for future etiological and interventional research. Further model refinement, external validation, and assessment of clinical and public health utility are needed before real-world implementation.
- Functional network reorganization after magnetic resonance-guided focused ultrasound thalamotomy in tremor-dominant Parkinson's disease patientsby Jinlong Liu on 8 Settembre 2026
CONCLUSION: MRgFUS thalamotomy for TD-PD induced partial reorganization of small-world properties, indicating a shift toward a more integrated network topology, especially in responder. Changes correlated with tremor reduction and improved functional disability, highlighting that effective treatment impacts on global network integration.
- Longitudinal associations between inflammatory biomarkers, polygenic risk scores and cardiometabolic outcomes in major depressive and anxiety disorders: Findings from the Netherlands Study of Depression and Anxiety (NESDA)by Chenxu Zhao on 8 Settembre 2026
Cardiometabolic dysfunctions are prevalent in individuals with major depressive (MDD) and/or anxiety disorders, yet the longitudinal relationships between inflammation, polygenic susceptibility, and cardiometabolic outcomes remain incompletely understood. We analyzed longitudinal data from 2,716 participants retrieved from the Netherlands Study of Depression and Anxiety (NESDA) across three measurements over six years. Longitudinal associations between inflammatory biomarkers (CRP, IL-6, and...
- Characterizing the role of the gut microbiota-inflammation-brain axis in major depressive disorder: an integrative multi-omics studyby Wenming Zhao on 8 Settembre 2026
CONCLUSION: Our findings may corroborate the gut microbiota-inflammation-brain axis hypothesis in depression, as well as highlight the potential use of targeting gut microbiota as anti-inflammatory intervention strategies in the prevention or treatment for MDD patients.
- Neuromodulation in sleep disordersby Bashar Qatanany on 8 Settembre 2026
Sleep disorders are a growing global health issue with profound consequences on cardiovascular health, metabolic functioning, cognitive output and overall quality of life. Although there have been numerous clinical advances in brain-based treatments for sleep disorders, there are still a number of sleep disorders that are not well understood and need new treatment options to address the underlying neural mechanisms of sleep-wake regulation. Recent advances in neuroscience have highlighted...
- Insomnia phenotypes and neurocognitive biomarkersby Mansoor Ahmed on 8 Settembre 2026
Insomnia is increasingly understood as a heterogeneous disturbance of sleep-wake regulation shaped by interacting cognitive, physiological, circadian, neurobiological, and perceptual mechanisms. This chapter develops a phenotype-informed framework for insomnia that distinguishes descriptive clinical presentations from underlying mechanistic dimensions and measurable biomarker domains. Core phenotypes reviewed include cognitive-emotional hyperarousal, objective short sleep duration, paradoxical...
- Impact of migraine on quality of life and disability: a matched cross-sectional comparative study in a tertiary hospital in Malaysiaby Firyal Harlina Hussain on 8 Settembre 2026
CONCLUSION: Migraines are associated with a significant decrease in QOL and increased disability, especially in physical health. These findings highlight the burden of migraine on daily function and wellbeing. Using these validated assessment tools to evaluate quality of life and detect disabilities, clinicians can facilitate more effective and individualized management plans.
- The Estrogen-CGRP Axis in Migraine: Neuroimmune Mechanisms, Sex Differences, and Therapeutic Implicationsby Muhlis Yiğitcan Dağ on 8 Settembre 2026
Migraine is a prevalent neurovascular disorder with a pronounced female predominance that cannot be fully explained by general pathophysiological mechanisms alone. Emerging evidence implicates interactions between estrogen and calcitonin gene-related peptide (CGRP) signalling as one potential contributor to sex-related differences in migraine susceptibility. This review synthesizes current mechanistic evidence on how estrogen modulates CGRP signalling, trigeminovascular sensitivity, and...
- Patent Foramen Ovale: Epidemiology, Risk Factors, Pathophysiology, Clinical Features, Diagnosis, and Managementby Linlin Meng on 8 Settembre 2026
Patent foramen ovale (PFO) is a highly prevalent cardiac abnormality, affecting approximately 25% of the population worldwide. Although a PFO may be discovered incidentally and remain asymptomatic throughout life, it can also be a conduit for paradoxical emboli or vasoactive substances and has been associated with neurological disorders, including cryptogenic stroke, transient ischemic attack, migraine, epilepsy, as well as systemic embolism, hypoxemic disorders, and decompression sickness,...
- The Role of Genetic Variation in Phenotypic Variability in Loeys-Dietz Syndromeby Hussein Abdul Nabi on 8 Settembre 2026
CONCLUSION: Distinct genotype-phenotype associations exist among LDS subtypes. TGFBR1 and TGFBR2 variants are associated with a greater burden of aggressive vascular disease, whereas SMAD3 variants are linked to mitral valve disease, peripheral neuropathy, and osteoarthritis. We also identified a novel association between TGFBR1 genotype and migraine. These findings reinforce the importance of comprehensive genetic testing to inform personalized surveillance and management strategies in LDS.
- Diving MCA and First-Pass Effect: A Subgroup Analysis From the ARISE II Studyby Yazan Ashouri on 8 Settembre 2026
CONCLUSIONS: Patients with higher MCA tortuosity were less likely to achieve first-pass effect, successful reperfusion, and good functional outcome at 90 days postmechanical thrombectomy for acute ischemic stroke.
- Nutritional supplements for migraine prevention: evaluating evidence sufficiency and effect modifiers through network meta-analysis, trial sequential analysis, and meta-regressionby Jingjing Peng on 8 Settembre 2026
CONCLUSION: Probiotics best reduced migraine frequency yet lacked statistical superiority over other supplements via indirect placebo comparisons. Only magnesium alleviated migraine severity, while no supplement significantly shortened attack duration. Treatment rankings remain exploratory. Large standardized head-to-head RCTs are required for validation.
- Empirically Defining "Recurrent" Inappropriate Compensatory Behaviors: Differentiating Binge Eating Disorder From Bulimia Nervosa-Spectrum Disordersby Sophie R Abber on 8 Settembre 2026
OBJECTIVE: For multiple disorders, DSM-5-TR criteria include "recurrent" engagement in behaviors-for example, in the criteria for binge-eating disorder (BED), "binge eating is not associated with the recurrent use of inappropriate compensatory behavior."-without operationalizing how frequently a behavior needs to occur to be considered "recurrent." This lack of specificity may be particularly problematic in diagnosing BED; BED shares features with bulimia nervosa (BN) but is differentiated based...
- Appearance-related social media behavior and eating disorder pathology: evidence from the german social media appearance preoccupation scale in nonclinical and clinical samplesby Sebastian Brand on 8 Settembre 2026
CONCLUSIONS: The German SMAPS is a reliable and valid tool for assessing appearance-related social media behaviors in German-speaking populations. The findings suggest that the three dimensions may differ in clinical relevance, with appearance comparison warranting particular attention in future research.
- The mediating role of psychological factors in the relationship between body image dissatisfaction and eating disorders: a cross-sectional study in adultsby Nazlı Nur Aslan Çin on 8 Settembre 2026
CONCLUSION: Body image disturbance was statistically associated with eating pathology, with depression, anxiety, and shame-based withdrawal emerging as significant indirect pathways in the mediation model, while behaviorally focused guilt demonstrated a pattern consistent with a self-regulatory function. Interventions targeting maladaptive shame and affective distress, alongside strategies supporting adaptive guilt processing, may constitute meaningful clinical targets in eating disorder...
- Virtual Reality Mood Induction and Body Image Disturbance in Adolescents With Eating Disorders: An Experimental Studyby Diana Burychka on 8 Settembre 2026
Eating disorders (EDs) are severe psychiatric conditions characterized by body image disturbance, yet the role of affective states in the maintenance of body image symptoms among adolescents remains poorly understood. Virtual reality-based mood induction procedures (VR-MIPs) offer a controlled method for examining how experimentally induced affect influences body image outcomes. This within-subjects experimental study tested the hypotheses that a positive-MIP would improve, and negative MIP...
- Psychosocial aspects and mental health burden of pediatric MASLDby Vanishri Ganakumar on 8 Settembre 2026
Metabolic dysfunction-associated steatotic liver disease (MASLD) is the most common chronic liver disease of childhood and the hepatic component of a systemic metabolic and endocrine disorder linked to obesity and insulin resistance. Its psychological and social dimensions, however, remain under-recognized relative to its metabolic features. Affected children carry a substantial mental-health burden: elevated rates of depression, anxiety, disordered eating, and impaired quality of life that both...
- Could refeeding-associated gynaecomastia occur during recovery from anorexia nervosa? A hypothesis-generating reviewby Ali Mohamed Mousa on 8 Settembre 2026
International andrology guidance discusses refeeding after starvation as a clinical setting associated with gynaecomastia, based on reports from starvation-refeeding settings outside anorexia nervosa (AN). A targeted search of PubMed, PsycINFO, and Google Scholar, last conducted on 27 July 2026, identified no indexed reports in male patients recovering from AN. We therefore advance the testable hypothesis that transient glandular breast tissue may occasionally occur but remain unrecognised...
- Tic severity and quality of life in children with tic disorders: the chain mediating effects of stigma and anxietyby Yan Wang on 8 Settembre 2026
CONCLUSION: Tic severity is directly associated with the QoL in children with TD and is also indirectly associated with the QoL through the individual mediating effects of stigma and anxiety, as well as the hypothesized chain mediating pathway of stigma and anxiety. These cross-sectional findings are consistent with a hypothesized sequential pathway and suggest that interventions targeting stigma and anxiety-including cognitive-behavioral therapy, peer-support programs, school-based...
- Group mindfulness-based cognitive therapy associated with reduced professional caregiver burden and improved quality of care in dementia: a multi-method studyby Longyun Chen on 8 Settembre 2026
CONCLUSION: The 8-week group MBCT program was associated with sustained reductions in caregiver burden and perceived stress, accompanied by improvements in patient neuropsychiatric symptoms among professional dementia caregivers. The group format provided additional perceived benefits through peer support and experience normalization. These findings support further investigation of group-based mindfulness interventions within professional dementia care settings using randomized controlled...
- Bridging the gut and mind: a narrative review of depression in Crohn's disease and emerging gut-brain axis therapiesby Zoë Pipa on 8 Settembre 2026
Depression is a highly prevalent and clinically significant comorbidity in Crohn's disease (CD), a form of inflammatory bowel disease (IBD), and is associated with increased disease activity, hospitalization, and a reduced quality of life (QoL). While traditionally attributed to the psychosocial burden of chronic illness, emerging evidence indicates that depressive symptoms in CD arise from dysregulation of the gut-brain axis (GBA), a bidirectional network linking immune, microbial, and central...
- Digital health interventions for reducing occupational burnout in nurses: a systematic review and meta-analysisby Yange Yang on 8 Settembre 2026
CONCLUSION: DHIs, particularly structured and guided web-based CBT/ACT programs, were associated with moderate reductions in occupational burnout among nurses and nursing staff. Early evidence for AI-tailored interventions is promising but requires independent replication. The findings support the integration of evidence-based DHIs into broader workforce well-being strategies that combine individual support with organizational action on the structural determinants of burnout.
- Serial FDG-PET in probable seronegative autoimmune encephalitis presenting as severe behavioral regression in a child with autismby Edouard Guez on 8 Settembre 2026
CONCLUSION: This case highlights the risk of diagnostic overshadowing in children with autism presenting with severe, treatment-resistant behavioral or catatonic regression. Immune-mediated etiologies should be considered even in the absence of detectable autoantibodies. Serial FDG-PET may support diagnostic reasoning and follow-up, while remaining nonspecific and insufficient as diagnostic proof in isolation.
- Treatment of Anxiety in Athletes Using Cognitive Behavioral Therapy: A Single-Case Experimental Design with Multiple Baselinesby Rebecka Ekelund on 8 Settembre 2026
Anxiety is one of the most prevalent mental health problems in athletes, yet the inclusion of athletes with clinical mental health problems in intervention studies remains limited. Furthermore, no studies to date have investigated the mechanisms of cognitive behavioral therapy (CBT) on anxiety and positive affect in athletes. Hence, the aim of the current study was to examine the effect of CBT on moderate to severe symptoms of anxiety and positive affect in athletes, as well as to investigate...
- Transcranial Magnetic Stimulation Combined With Electroencephalography Analysis Suggest Time-Dependent and Region-Specific Modulation of Cortical Excitability During Acute Alcohol Intoxicationby Virve Kekkonen on 5 Settembre 2026
CONCLUSIONS: The results suggest time-dependent and region-specific modulation of cortical excitability during acute alcohol intoxication. Alcohol's effects are dynamic, regionally heterogeneous, and not limited to simple global suppression. TMS-EEG offers a promising tool for assessing alcohol-related changes in cortical functions.
- Focused Narrative Review: Non-Pharmacological, Noninvasive Neurostimulation or Neuromodulation Treatment of Ocular Neuropathic Painby Louis Tong on 4 Settembre 2026
Ocular neuropathic pain is typically treated with local anti-inflammatory and neuroregenerative agents, and psychological approaches such as cognitive behavioral treatment, as well as systemic pharmacological medications and nerve blocks. In recalcitrant cases, neurostimulation or neuromodulation may be considered. In this review, we evaluate the existing literature for the use of non-invasive forms of neurostimulation: home-based extra nasal neurostimulation (iTear100), extracranial direct...
- Physical Therapies and Neuromodulation for Treatment-Resistant Schizophrenia: A Review of Potential Mechanisms, Efficacy, and Safetyby Haiqiang Zhao on 30 Agosto 2026
Antipsychotic medications remain the conventional treatment for treatment-resistant schizophrenia (TRS), yet some patients exhibit poor responses. Due to the limitations of pharmacological interventions, physical therapies are increasingly recognized as essential supplements in managing TRS. This article systematically examines the current clinical applications and research advances of physical therapeutic techniques for TRS. Existing evidence suggests that electroconvulsive therapy (ECT),...
- Transcranial Magnetic Stimulation (TMS) Plus Modified Constraint-Induced Aphasia Therapy (mCIAT): A Pilot Feasibility Study with Sham and Real cTBS in Two Cases of Chronic Anomia-Protocol Deliverability and Greek Adaptation of mCIATby Anastasios M Georgiou on 27 Agosto 2026
Background/Objectives: Stroke-related aphasia significantly impairs communication and quality of life (QoL). Constraint-induced aphasia therapy (CIAT) and repetitive transcranial magnetic stimulation (rTMS) are evidence-based approaches targeting language recovery. No combined protocol exists for Greek, a morphologically complex language. The present study was designed as a feasibility pilot, with the primary objective of determining if a modified CIAT (mCIAT) protocol, with or without...
- Repetitive transcranial magnetic stimulation in substance use disorders is safe and tolerable: A Systematic review of 141 clinical trials including 4299 participantsby Afra Souki on 18 Agosto 2026
CONCLUSION: Overall, rTMS in SUD samples is safe and well-tolerated regardless of recovery stage and substance. Most reported side effects were mild, self-limiting, and tolerable. However, AE reporting was incomplete, as 35 of 141 trials reported no safety data, limiting conclusions to reported outcomes. This evidence supports the safety of rTMS as a potential stand-alone or adjunctive treatment for SUD.
- Corticospinal Excitability After Continuous and Intermittent Theta Burst Stimulation Applied on the Lateral Cerebellum: A Study on Healthy Individualsby Filiz Azman İste on 12 Agosto 2026
CONCLUSION: Intermittent cerebellar TBS was associated with reduced MEP amplitude, suggesting decreased corticospinal excitability, whereas cTBS and sham stimulation did not produce significant effects. Cerebellar TBS was safe and well tolerated in all participants. These findings suggest that cerebellar iTBS may exert modulatory effects on motor cortical excitability and may contribute to a better understanding of cerebellar stimulation effects in healthy individuals.

















