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Recent studies have provided evidence that non-invasive brain stimulation (NBS) targeting the prefrontal cortex (PFC) can affect the regulation of stress-related emotional responses. However, the reliability and effect sizes have not been systematically analyzed. In the present study, we reviewed and meta-analyzed the effects of repetitive transcranial magnetic (rTMS) and transcranial direct current stimulation (tDCS) over the PFC on acute emotional stress reactivity in healthy individuals. Forty sham-controlled single-session rTMS and tDCS studies were included. Separate random effects models were performed to estimate the mean effect sizes of emotional reactivity. Twelve rTMS studies together showed no evidence that rTMS over the PFC influenced emotional reactivity. Twenty-six anodal tDCS studies yielded a weak beneficial effect on stress-related emotional reactivity (Hedges\u2019 g\u00a0=\u2009\u22120.16, CI95%\u00a0=\u2009[\u22120.33, 0.00]). These findings suggest that a single session of NBS is insufficient to induce reliable, clinically significant effects but also provide preliminary evidence that specific NBS methods can affect emotional reactivity. This may motivate further research into augmenting the efficacy of NBS protocols on stress-related processes.<\/jats:p>","DOI":"10.1093\/scan\/nsaa011","type":"journal-article","created":{"date-parts":[[2020,1,15]],"date-time":"2020-01-15T20:09:58Z","timestamp":1579118998000},"page":"23-51","source":"Crossref","is-referenced-by-count":48,"title":["Does non-invasive brain stimulation modulate emotional stress reactivity?"],"prefix":"10.1093","volume":"15","author":[{"given":"Fenne M","family":"Smits","sequence":"first","affiliation":[{"name":"Brain Research & Innovation Centre, Ministry of Defence, Lundlaan 1, 3584 EZ, Utrecht, The Netherlands"},{"name":"Department of Psychiatry, UMC Utrecht Brain Center, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dennis J L G","family":"Schutter","sequence":"first","affiliation":[{"name":"Experimental Psychology, Helmholtz Institute, Utrecht University, Heidelberglaan 1, 3584 CS, Utrecht, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jack","family":"van Honk","sequence":"first","affiliation":[{"name":"Experimental Psychology, Helmholtz Institute, Utrecht University, Heidelberglaan 1, 3584 CS, Utrecht, The Netherlands"},{"name":"Department of Psychiatry and Mental Health, University of Cape Town, Observatory, 7925, Cape Town, South Africa"},{"name":"Institute of Infectious Disease and Molecular Medicine, University of Cape Town, Observatory, 7925, Cape Town, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elbert","family":"Geuze","sequence":"first","affiliation":[{"name":"Brain Research & Innovation Centre, Ministry of Defence, Lundlaan 1, 3584 EZ, Utrecht, The Netherlands"},{"name":"Department of Psychiatry, UMC Utrecht Brain Center, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,1,28]]},"reference":[{"key":"2020042103154618800_ref1","doi-asserted-by":"publisher","first-page":"e913","DOI":"10.1038\/tp.2016.197","article-title":"Modulation of fear extinction processes using transcranial electrical stimulation","volume":"6","author":"Abend","year":"2016","journal-title":"Translational Psychiatry"},{"key":"2020042103154618800_ref2","doi-asserted-by":"publisher","first-page":"884","DOI":"10.1111\/ner.12787","article-title":"Modulating emotional experience using electrical stimulation of the medial-prefrontal cortex: a preliminary tDCS-fMRI study","volume":"22","author":"Abend","year":"2018","journal-title":"Neuromodulation: Technology at the Neural Interface"},{"key":"2020042103154618800_ref3","doi-asserted-by":"publisher","first-page":"334","DOI":"10.1016\/j.brainresbull.2018.06.001","article-title":"Unilateral right and bilateral dorsolateral 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