Kar Sujita Kumar, Sarkar Siddharth
Department of Psychiatry, King George's Medical University, Lucknow, India.
Department of Psychiatry and National Drug Dependence Treatment Centre, All India Institute of Medical Sciences, New Delhi, India.
Clin Psychopharmacol Neurosci. 2016 Nov 30;14(4):330-337. doi: 10.9758/cpn.2016.14.4.330.
Neuro-stimulation techniques have gradually evolved over the decades and have emerged potential therapeutic modalities for the treatment of psychiatric disorders, especially treatment refractory cases. The neuro-stimulation techniques involves modalities like electroconvulsive therapy (ECT), repetitive transcranial magnetic stimulation (rTMS), transcranial direct current stimulation (tDCS), vagus nerve stimulation (VNS) and others. This review discusses the role of neuro-stimulation techniques in the treatment of anxiety disorders. The various modalities of neuro-stimulation techniques are briefly discussed. The evidence base relating to use of these techniques in the treatment of anxiety disorders is discussed further. The review then highlights the challenges in conducting research in relation to the use of neuro-stimulation techniques with reference to patients with anxiety disorders. The review provides the future directions of research and aimed at expanding the evidence base of treatment of anxiety disorders and providing neuro-stimulation techniques as promising effective and acceptable alternative in select cases.
几十年来,神经刺激技术逐渐发展,已成为治疗精神疾病(尤其是难治性病例)的潜在治疗方式。神经刺激技术包括电休克治疗(ECT)、重复经颅磁刺激(rTMS)、经颅直流电刺激(tDCS)、迷走神经刺激(VNS)等方式。本综述讨论了神经刺激技术在焦虑症治疗中的作用。简要讨论了神经刺激技术的各种方式。进一步讨论了这些技术用于治疗焦虑症的证据基础。然后,该综述强调了在针对焦虑症患者使用神经刺激技术方面开展研究时所面临的挑战。该综述提供了未来的研究方向,旨在扩大焦虑症治疗的证据基础,并在某些情况下将神经刺激技术作为有前景的有效且可接受的替代方法。