{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T14:31:09Z","timestamp":1761921069067,"version":"3.41.2"},"reference-count":26,"publisher":"Bentham Science Publishers Ltd.","issue":"1","license":[{"start":{"date-parts":[[2022,11,16]],"date-time":"2022-11-16T00:00:00Z","timestamp":1668556800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/legalcode"}],"content-domain":{"domain":["clinical-practice-and-epidemiology-in-mental-health.com","benthamopen.com"],"crossmark-restriction":true},"short-container-title":["CPEMH"],"published-print":{"date-parts":[[2022,11,16]]},"abstract":"<jats:p>Previous research has recently shown that high cognitive and somatic anxiety and low self-confidence, before and during sport competitions have a significant correlation with heart rate variability (HRV) changes and can reduce overall athletic performance. Therefore, interventions, such as transcranial direct current stimulation (tDCS), can be a potential tool to reduce psychophysiological anxiety-related and enhance athletic performance. We present a case of a male professional athlete of eSports. We explored the effects of a single session of anodal tDCS (a-tDCS) at 2mA over the dosrsolateral prefrontal cortex (DLPFC) on competitive anxiety and HRV assessed in baseline (BL), pre-tDCS, post-tDCS and post-game moments and compared between moments. Here, we found a decrease in somatic and cognitive anxiety, as well as an increase in self-confidence and in SDNN index in the post-tDCS moment compared with BL, pre-tDCS and post-game moments. These findings can be a result of an acute change in the attentional state, influencing the processing of threatening information essential for cognitive anxiety and of a self-regulatory process, which can regulate physiological arousal response, such as HRV.<\/jats:p>","DOI":"10.2174\/17450179-v18-e2209270","type":"journal-article","created":{"date-parts":[[2022,11,16]],"date-time":"2022-11-16T06:04:51Z","timestamp":1668578691000},"update-policy":"https:\/\/doi.org\/10.2174\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Anodal Transcranial Direct Current Stimulation Reduces Competitive Anxiety and Modulates Heart Rate Variability in an eSports Player"],"prefix":"10.2174","volume":"18","author":[{"given":"Sergio","family":"Machado","sequence":"first","affiliation":[]},{"given":"Leandro de Oliveira","family":"Sant\u2019Ana","sequence":"additional","affiliation":[]},{"given":"Bruno","family":"Travassos","sequence":"additional","affiliation":[]},{"given":"Diogo","family":"Monteiro","sequence":"additional","affiliation":[]}],"member":"965","reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.4018\/IJGCMS.2017040101","volume":"9","author":"Himmelstein D.","year":"2017","unstructured":"Himmelstein D, Liu Y, Shapiro JL. \n                    An exploration of mental skills among competitive league of legend players. \n                    Int J Gaming Comput-Mediated Simula  \n                    2017; \n                    9\n                    (2)\n                    : 1-21.","journal-title":"Int. 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