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Copyright ©The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. Feb 19, 2026; 16(2): 114457
Published online Feb 19, 2026. doi: 10.5498/wjp.v16.i2.114457
Further insights into the efficacy and moderators of transcranial alternating current stimulation for working memory
Haewon Byeon
Haewon Byeon, Department of Future Technology, Worker's Care & Digital Health Lab, Korea University of Technology and Education, Cheonan 31253, South Korea
Author contributions: Byeon H designed the study; Byeon H data interpretation; Byeon H developed methodology and writing the article.
Supported by Basic Science Research Program through the National Research Foundation of Korea (NRF), No. NRF-RS-2023-00237287.
Conflict-of-interest statement: No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Haewon Byeon, PhD, Associate Professor, Director, Department of Future Technology, Worker's Care & Digital Health Lab, Korea University of Technology and Education, 1600 Chungjeol-ro, Cheonan 31253, South Korea. bhwpuma@naver.com
Received: September 19, 2025
Revised: October 30, 2025
Accepted: November 21, 2025
Published online: February 19, 2026
Processing time: 132 Days and 23.2 Hours
Core Tip

Core Tip: The meta-analysis by Hou et al on theta-band transcranial alternating current stimulation (theta-tACS) for working memory in healthy adults reveals a complex picture. An initial moderate effect was nullified after correcting for significant publication bias, urging caution in interpreting efficacy. However, the study's key contribution lies in its detailed moderator analysis. It found that theta-tACS significantly enhances performance on N-back tasks, but not delayed match-to-sample tasks. Furthermore, the effectiveness in N-back tasks was moderated by stimulation parameters like frequency (fixed > personalized) and duration. These nuanced findings are crucial for designing future, more targeted transcranial alternating current stimulation protocols for both cognitive enhancement and potential clinical applications in psychiatric disorders with working memory deficits.