Aging & Longevity

Task-dependent cognitive effects of intermittent theta-burst stimulation across the adult lifespan.

TL;DR

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

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.

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.

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.'

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.

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.

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.

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Citation

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