Persons with autism spectrum disorder (ASD) have impaired mentalizing skills. In this study, a group of persons with ASD traits (high-AQ scores) initially received sham tDCS before completing a pre-test in two mentalizing tasks: false belief and self-other judgments. Over the next week, on four consecutive days, they received sessions of anodal electrical stimulation (a-tDCS) over the right temporo-parietal junction (rTPJ), a region frequently associated with the theory of mind. On the last day, after the stimulation session, they completed a new set of mentalizing tasks. A control group (with low-AQ scores) matched in age, education and intelligence received just sham stimulation and completed the same pre-test and post-test. The results showed that the high-AQ group improved their performance (faster responses), after a-tDCS, in the false belief and in the self-other judgments of mental features, whereas they did not change performance in the false photographs or the self-other judgments of physical features. These selective improvements cannot be attributed to increased familiarity with the tasks, because the performance of the low-AQ control group remained stable about one week later. Therefore, our study provides initial proof that tDCS could be used to improve mentalizing skills in persons with ASD traits.
The growing number of depressive people and the overload in primary care services make it necessary to identify depressive states with easily accessible biomarkers such as mobile electroencephalography (EEG). Some studies have addressed this issue by collecting and analyzing EEG resting state in a search of appropriate features and classification methods. Traditionally, EEG resting state classification methods for depression were mainly based on linear or a combination of linear and non-linear features. We hypothesize that participants with ongoing depressive states differ from controls in complex patterns of brain dynamics that can be captured in EEG resting state data, using only nonlinear measures on a few electrodes, making it possible to develop cheap and wearable devices that could be even monitored through smartphones. To validate such a perspective, a resting-state EEG study was conducted with 50 participants, half with depressive state (DEP) and half controls (CTL). A data-driven approach was applied to select the most appropriate time window and electrodes for the EEG analyses, as suggested by Giacometti, as well as the most efficient nonlinear features and classifiers, to distinguish between CTL and DEP participants. Nonlinear features showing temporo-spatial and spectral complexity were selected. The results confirmed that computing nonlinear features from a few selected electrodes in a 15 s time window are sufficient to classify DEP and CTL participants accurately. Finally, after training and testing internally the classifier, the trained machine was applied to EEG resting state data (CTL and DEP) from a publicly available database, validating the capacity of generalization of the classifier with data from different equipment, population, and environment obtaining an accuracy near 100%.