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儿童期发病精神分裂症患者经颅直流电刺激的耐受性。

Tolerability of transcranial direct current stimulation in childhood-onset schizophrenia.

机构信息

Child Psychiatry Branch, National Institutes of Health, Bethesda, Maryland 20892, USA.

出版信息

Brain Stimul. 2011 Oct;4(4):275-80. doi: 10.1016/j.brs.2011.01.001. Epub 2011 Feb 1.


DOI:10.1016/j.brs.2011.01.001
PMID:22032743
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3204188/
Abstract

BACKGROUND: In recent years, transcranial direct current stimulation (tDCS) has been used to study and treat many neuropsychiatric conditions. However, information regarding its tolerability in the pediatric population is lacking. OBJECTIVE: This study aims to investigate the tolerability aspects of tDCS in the childhood-onset schizophrenia (COS) population. METHODS: Twelve participants with COS completed this inpatient study. Participants were assigned to one of two groups: bilateral anodal dorsolateral prefrontal cortex (DLPFC) stimulation (n = 8) or bilateral cathodal superior temporal gyrus (STG) stimulation (n = 5). Patients received either 2 mA of active treatment or sham treatment (with possibility of open active treatment) for 20 minutes, for a total of 10 sessions (2 weeks). RESULTS: tDCS was well tolerated in the COS population with no serious adverse events occurring during the study. CONCLUSIONS: This is the first study to demonstrate that a 20-minute duration of 2 mA of bilateral anodal and bilateral cathodal DC polarization to the DLPFC and STG was well tolerated in a pediatric population.

摘要

背景:近年来,经颅直流电刺激(tDCS)已被用于研究和治疗许多神经精神疾病。然而,关于其在儿科人群中的耐受性信息尚缺乏。

目的:本研究旨在探讨 tDCS 在儿童发病型精神分裂症(COS)人群中的耐受性方面。

方法:12 名 COS 患者完成了这项住院研究。参与者被分配到以下两组之一:双侧阳极背外侧前额叶皮层(DLPFC)刺激(n = 8)或双侧阴极上颞叶(STG)刺激(n = 5)。患者接受 2 mA 的主动治疗或假治疗(有开放主动治疗的可能),持续 20 分钟,共 10 个疗程(2 周)。

结果:tDCS 在 COS 人群中耐受性良好,研究过程中未发生严重不良事件。

结论:这是第一项研究,证明了 2 mA 的双极阳极和阴极直流电极化持续 20 分钟至 DLPFC 和 STG 在儿科人群中是可以耐受的。

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本文引用的文献

[1]
Cognitive, mood, and electroencephalographic effects of noninvasive cortical stimulation with weak electrical currents.

J ECT. 2011-6

[2]
Repetitive transcranial magnetic stimulation or transcranial direct current stimulation?

Brain Stimul. 2009-4-3

[3]
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Clin Neurophysiol. 2010-6-15

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Clin Neurophysiol. 2009-6

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Myoinositol content in the human brain is modified by transcranial direct current stimulation in a matter of minutes: a 1H-MRS study.

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Clin Neurophysiol. 2008-11

[9]
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J Cogn Neurosci. 2008-8

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rTMS strategies for the study and treatment of schizophrenia: a review.

Int J Neuropsychopharmacol. 2008-6

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