RT Journal Article T1 Opposite pattern of transcranial direct current stimulation effects in middle-aged and older adults: behavioral and neurophysiological evidence A1 Bagattini, Chiara A1 Cid Fernández, Susana A1 Bulgari, Martina A1 Miniussi, Carlo A1 Bortoletto, Marta K1 Transcranial direct current stimulation K1 Aging K1 Episodic memory K1 Event-related potentials K1 Dorsolateral prefrontal cortex AB Introduction: Episodic memory (EM) exhibits an age-related decline, with overall increased impairment after the age of 65. The application of transcranial direct current stimulation (tDCS) to ameliorate cognitive decline in ageing has been extensively investigated, but its efficacy has been reported with mixed results. In this study, we aimed to assess whether age contributes to interindividual variability in tDCS efficacy.Methods: Thirty-eight healthy adults between 50 and 81 years old received anodal tDCS over the left prefrontal cortex during images encoding and then performed an EM recognition task while event-related potentials (ERPs) were recorded.Results: Our results showed an opposite pattern of effect between middle-aged (50–64 years) and older (65–81 years) adults. Specifically, performance in the recognition task after tDCS was enhanced in older adults and was worsened in middle-aged adults. Moreover, ERPs acquired during the recognition task showed that two EM components related to familiarity and post-retrieval monitoring, i.e., Early Frontal and Late Frontal Old-New effects, respectively, were significantly reduced in middle-aged adults after anodal tDCS.Discussion: These results support an age-dependent effect of prefrontal tDCS on EM processes and its underlying electrophysiological substrate, with opposing modulatory trajectories along the aging lifespan. PB Frontiers Media YR 2023 FD 2023 LK http://hdl.handle.net/10347/30546 UL http://hdl.handle.net/10347/30546 LA eng NO Bagattini C, Cid-Fernández S, Bulgari M, Miniussi C and Bortoletto M (2023) Opposite pattern of transcranial direct current stimulation effects in middle-aged and older adults: behavioral and neurophysiological evidence. Front. Aging Neurosci. 15:1087749 NO This study was funded by the Italian Ministry of Health Ricerca Finalizzata to CM (RF-2013-02356444) and Ricerca Corrente. SC-F was founded by Galician Postdoctoral Grants Plan (ED481B 2016/078-0, Xunta de Galicia) DS Minerva RD 27 abr 2026