颅电刺激疗法会影响情绪状态,但不会影响外周神经营养因子水平或下丘脑-垂体-肾上腺轴的调节。

Cranial electrotherapy stimulation affects mood state but not levels of peripheral neurotrophic factors or hypothalamic- pituitary-adrenal axis regulation.

作者信息

Roh Hee-Tae, So Wi-Young

机构信息

Department of Physical Education, College of Arts and Physical Education, Dong-A University, Busan, Korea.

Sports and Health Care Major, College of Humanities and Arts, Korea National University of Transportation, Chungju-si, Korea.

出版信息

Technol Health Care. 2017;25(3):403-412. doi: 10.3233/THC-161275.

Abstract

Cranial electrotherapy stimulation (CES) is reported to aid in relieving symptoms of depression and anxiety, though the mechanism underlying this effect remains unclear. Therefore, the present study aimed to evaluate changes in the hypothalamic-pituitary-adrenal (HPA) axis response and levels of neurotrophic factors, as well as changes in mood state, in patients undergoing CES therapy. Fifty healthy postmenopausal women were randomly assigned to either a Sham CES group (n = 25) or an Active CES group (n = 25). CES treatment was conducted in 20-minute sessions, three times per week for 8 weeks, using a micro current cranial electrotherapy stimulator. Blood samples were collected prior to and following the 8-week treatment period for measurement of cortisol, adrenocorticotropic hormone (ACTH), brain-derived neurotrophic factor (BDNF), and nerve growth factor (NGF) levels. Changes in mood state were also examined at the time of blood collection using the Profile of Mood States (POMS). No significant differences in cortisol, ACTH, BDNF, or NGF were observed between the two participant groups (p > 0.05) following the treatment period. However, those in the Active CES group exhibited significantly decreased Tension-Anxiety and Depression-Dejection scores on the POMS relative to pre-treatment scores (p < 0.05). Furthermore, Depression-Dejection scores following treatment were significantly lower in the Active CES group than in the Sham CES group (p < 0.05). No significant differences were observed in any other POMS scores such as Anger-Hostility, Vigor-Activity, Fatigue-Inertia, and Confusion-Bewilderment (p > 0.05). These results suggest that 8 weeks of CES treatment does not induce changes in blood levels of neurotrophic factors or HPA-axis-related hormones, though such treatment may be effective in treating symptoms of anxiety and depression.

摘要

据报道,颅部电刺激疗法(CES)有助于缓解抑郁和焦虑症状,但其作用机制尚不清楚。因此,本研究旨在评估接受CES治疗的患者下丘脑-垂体-肾上腺(HPA)轴反应、神经营养因子水平的变化以及情绪状态的变化。50名健康的绝经后女性被随机分为假CES组(n = 25)或活性CES组(n = 25)。使用微电流颅部电刺激仪进行CES治疗,每次20分钟,每周3次,共8周。在为期8周的治疗期前后采集血样,以测量皮质醇、促肾上腺皮质激素(ACTH)、脑源性神经营养因子(BDNF)和神经生长因子(NGF)水平。在采血时还使用情绪状态量表(POMS)检查情绪状态的变化。治疗期后,两组参与者的皮质醇、ACTH、BDNF或NGF均无显著差异(p > 0.05)。然而,活性CES组的POMS紧张-焦虑和抑郁-沮丧得分相对于治疗前得分显著降低(p < 0.05)。此外,活性CES组治疗后的抑郁-沮丧得分显著低于假CES组(p < 0.05)。在其他POMS得分如愤怒-敌意、活力-活动、疲劳-惰性和困惑-迷茫方面未观察到显著差异(p > 0.05)。这些结果表明,8周的CES治疗不会引起神经营养因子血液水平或HPA轴相关激素的变化,尽管这种治疗可能对治疗焦虑和抑郁症状有效。

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