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物质使用障碍的非侵入性脑刺激:向临床环境推广的意义。

Non-invasive brain stimulation in substance use disorders: implications for dissemination to clinical settings.

机构信息

Department of Psychology, University of New Mexico, United States.

Department of Psychology, University of New Mexico, United States.

出版信息

Curr Opin Psychol. 2019 Dec;30:6-10. doi: 10.1016/j.copsyc.2018.12.009. Epub 2018 Dec 19.


DOI:10.1016/j.copsyc.2018.12.009
PMID:30684906
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6584066/
Abstract

With expanding knowledge of how neural circuitry is disrupted in substance use disorders (SUD), non-invasive brain stimulation (NIBS) techniques have emerged as potential strategies to directly modulate those neural circuits. There is some evidence supporting the two most common forms of NIBS, transcranial direct current stimulation (tDCS) and transcranial magnetic stimulation (TMS), in the treatment of SUD. Yet results of recent studies have been mixed and critical methodological issues must be addressed before strong conclusions can be drawn. This review highlights recent evidence of NIBS for SUD, addressing the impact of stimulation on relevant clinical and cognitive outcomes in substance-using populations. Additionally, we aim to bring a clinical perspective to the opportunities and challenges of implementing neuromodulation in SUD treatment.

摘要

随着人们对物质使用障碍(SUD)中神经回路如何受到干扰的认识不断扩大,非侵入性脑刺激(NIBS)技术已成为直接调节这些神经回路的潜在策略。有一些证据支持两种最常见的 NIBS 形式,经颅直流电刺激(tDCS)和经颅磁刺激(TMS),在治疗 SUD 方面的应用。然而,最近的研究结果喜忧参半,在得出强有力的结论之前,必须解决关键的方法学问题。本综述强调了 NIBS 在 SUD 中的最新证据,探讨了刺激对物质使用人群中相关临床和认知结果的影响。此外,我们旨在为 SUD 治疗中实施神经调节的机遇和挑战带来临床视角。

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[8]
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[3]
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[4]
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本文引用的文献

[1]
Lack of Effects of Extended Sessions of Transcranial Direct Current Stimulation (tDCS) Over Dorsolateral Prefrontal Cortex on Craving and Relapses in Crack-Cocaine Users.

Front Pharmacol. 2018-10-23

[2]
Effects of Non-invasive Neuromodulation on Executive and Other Cognitive Functions in Addictive Disorders: A Systematic Review.

Front Neurosci. 2018-9-19

[3]
Accelerated repetitive transcranial magnetic stimulation does not influence grey matter volumes in regions related to alcohol relapse: An open-label exploratory study.

Drug Alcohol Depend. 2018-8-16

[4]
Continuous Theta Burst Transcranial Magnetic Stimulation of the Right Dorsolateral Prefrontal Cortex Impairs Inhibitory Control and Increases Alcohol Consumption.

Cogn Affect Behav Neurosci. 2018-12

[5]
tDCS in Addiction and Impulse Control Disorders.

J ECT. 2018-9

[6]
Multiple Sessions of Transcranial Direct Current Stimulation (tDCS) Reduced Craving and Relapses for Alcohol Use: A Randomized Placebo-Controlled Trial in Alcohol Use Disorder.

Front Pharmacol. 2018-7-3

[7]
Effects of neuromodulation on cognitive performance in individuals exhibiting addictive behaviour: a systematic review protocol.

Syst Rev. 2018-6-26

[8]
Repetitive transcranial magnetic stimulation (rTMS) in alcohol dependence: study protocol of a randomized controlled clinical trial of efficacy and working mechanisms.

BMC Psychiatry. 2018-6-4

[9]
Transcranial magnetic stimulation for the treatment of cocaine addiction: evidence to date.

Subst Abuse Rehabil. 2018-5-21

[10]
High-frequency repetitive transcranial magnetic stimulation of the left dorsolateral prefrontal cortex restores attention bias to negative information in methamphetamine addicts.

Psychiatry Res. 2018-4-21

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