iTBS of the DLPFC influences cognition in a task-dependent manner, reducing reaction times in attention and working memory tasks across all participants and improving working memory accuracy with a right hemisphere advantage, while effects on sequence learning and inhibition were not demonstrated.
Key Findings
Results
Reaction time slowed with age across all cognitive tasks assessed in the study.
53 adults aged 19-73 years participated in the study.
Age was included as a continuous variable in linear mixed effects and Bayesian models.
The slowing of reaction time with age was observed across all four cognitive domains: attention, working memory, sequence learning, and inhibition.
The within-subject crossover design allowed for comparison across sessions spaced one week apart.
Results
iTBS of the DLPFC reduced reaction times in attention tasks across all participants regardless of hemisphere stimulated.
Brain stimulation reduced reaction times in attention tasks in all participants.
The improvement in attention was not influenced by hemisphere of stimulation.
The authors interpreted this as suggesting a facilitation of top-down processing after DLPFC stimulation.
Both left and right DLPFC stimulation sessions contributed to this effect.
Results
iTBS of the DLPFC reduced reaction times in working memory tasks across all participants.
Brain stimulation reduced reaction times in working memory tasks in all participants.
This effect was observed across both left and right hemisphere stimulation sessions.
Time and hemisphere were used as fixed effects in the linear mixed effects models.
The working memory enhancements were described as a 'dominant effect.'
Results
Working memory accuracy improved following iTBS, with a right hemisphere advantage.
Accuracy improved for working memory following iTBS stimulation.
Right hemisphere iTBS stimulation produced greater accuracy improvements compared to left hemisphere stimulation.
The authors attributed this to lateralized optimization of visuospatial storage.
This right hemisphere advantage was a specific finding within the working memory domain.
Results
iTBS effects on cognition were task-dependent, with no reported improvements in sequence learning or inhibition tasks.
Four cognitive domains were assessed: attention, working memory, sequence learning, and inhibition.
Significant effects were observed for attention and working memory but not for sequence learning and inhibition.
Processing speed and accuracy were both assessed across all four domains.
The task-dependent nature of iTBS effects was highlighted as a key conclusion of the study.
Methods
The study used a within-subject crossover design with iTBS delivered to both left and right DLPFC across two sessions.
53 adults aged 19-73 years participated.
Each participant received iTBS to the left DLPFC in one session and right DLPFC in another session.
Sessions were spaced one week apart.
Linear mixed effects and Bayesian models were used with time and hemisphere as fixed effects and age as a continuous variable.
Miller A, Allen R, Chowdhury R, Burke M. (2026). Task-dependent cognitive effects of intermittent theta-burst stimulation across the adult lifespan.. Neuropsychology, development, and cognition. Section B, Aging, neuropsychology and cognition. https://doi.org/10.1080/13825585.2026.2628595