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电针治疗网络成瘾:青少年冲动控制障碍恢复正常的证据。

Electro-acupuncture treatment for internet addiction: Evidence of normalization of impulse control disorder in adolescents.

作者信息

Yang Yang, Li Hui, Chen Xi-Xi, Zhang Luo-Ming, Huang Bing-Jie, Zhu Tian-Min

机构信息

School of Rehabilitation and Health Preservation, Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, China.

School of Medicine, Chengdu University, Chengdu, 610106, China.

出版信息

Chin J Integr Med. 2017 Nov;23(11):837-844. doi: 10.1007/s11655-017-2765-5. Epub 2017 Sep 1.

Abstract

OBJECTIVE

To observe the impacts of electro-acupuncture (EA) and psychological intervention (PI) on impulsive behavior among internet addiction (IA) adolescents.

METHODS

Thirty-two IA adolescents were allocated to either EA (16 cases) or PI (16 cases) group by a randomized digital table. Subjects in the EA group received EA treatment and subjects in the PI group received cognition and behavior therapy. All adolescents underwent 45-d intervention. Sixteen healthy volunteers were recruited into a control group. Barratt Impulsiveness Scale (BIS-11) scores, Young's Internet Addiction Test (IAT) as well as the ratio of brain N-acetyl aspartate (NAA) to creatine (NAA/Cr) and choline (Cho) to creatine (Cho/Cr) were recorded by magnetic resonance spectroscopy before and after intervention respectively.

RESULTS

The IAT scores and BIS-11 total scores in both EA and PI group were remarkably decreased after treatment (P<0.05), while EA group showed more significant decrease in certain BIS-11 sub-factors (P<0.05). Both NAA/Cr and Cho/Cr were significantly improved in EA group after treatment (P<0.05); however, there were no significant changes of NAA/Cr or Cho/Cr in PI group after treatment (P>0.05).

CONCLUSIONS

Both EA and PI had significantly positive effect on IA adolescents, especially in the aspects of psychological experiences and behavioral expressions, EA might have an advantage over PI in terms of impulsivity control and brain neuron protection. The mechanism underlying this advantage might be related to the increased NAA and Cho levels in prefrontal and anterior cingulate cortices.

摘要

目的

观察电针(EA)与心理干预(PI)对网络成瘾(IA)青少年冲动行为的影响。

方法

采用随机数字表法将32例IA青少年分为EA组(16例)和PI组(16例)。EA组接受电针治疗,PI组接受认知行为疗法。所有青少年均接受45天干预。招募16名健康志愿者作为对照组。分别在干预前后采用磁共振波谱记录Barratt冲动量表(BIS-11)评分、杨氏网络成瘾测试(IAT)以及脑内N-乙酰天门冬氨酸(NAA)与肌酸(NAA/Cr)的比值、胆碱(Cho)与肌酸(Cho/Cr)的比值。

结果

治疗后EA组和PI组的IAT评分及BIS-11总分均显著降低(P<0.05),而EA组在某些BIS-11子因子上的降低更显著(P<0.05)。治疗后EA组的NAA/Cr和Cho/Cr均显著改善(P<0.05);然而,PI组治疗后NAA/Cr或Cho/Cr无显著变化(P>0.05)。

结论

EA和PI对IA青少年均有显著的积极作用,尤其是在心理体验和行为表现方面,EA在冲动控制和脑神经元保护方面可能优于PI。这种优势的潜在机制可能与前额叶和前扣带回皮质中NAA和Cho水平的升高有关。

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