Section of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King's College London, SE5 8AF, London, UK.
Maudsley Hospital, South London and Maudsley NHS Foundation Trust, Denmark Hill, SE5 8AZ, London, UK.
Neuropsychiatr. 2021 Jun;35(2):84-91. doi: 10.1007/s40211-020-00372-8. Epub 2020 Nov 24.
Neuromodulation techniques, such as repetitive transcranial magnetic stimulation (rTMS), transcranial direct current stimulation (tDCS) and deep brain stimulation (DBS), are emerging as promising treatment options in eating disorders (EDs). To date, the views of ED clinicians regarding these interventions have not been explored.
Eighteen clinicians were recruited from a specialist ED Service in London, UK. Following a short educational presentation on rTMS, tDCS and DBS, they completed a semi-structured interview to explore their views on the use of these treatment options in EDs.
Clinician knowledge of neuromodulation techniques was low. They raised safety and ethical (particularly capacity to consent) concerns mainly with regard to DBS. Neuromodulation treatments were considered most appropriate as an adjunct to psychotherapy and for patients with severe, enduring illness (who had completed previous psychological treatments).
Improving clinicians' knowledge and understanding of neuromodulation is fundamental for bridging the gap between research and clinical work. This is especially so given the predominance of psychological theory and practice in the treatment of EDs.
神经调节技术，如重复经颅磁刺激（rTMS）、经颅直流电刺激（tDCS）和深部脑刺激（DBS），作为治疗饮食失调（ED）的有前途的选择方法正在出现。迄今为止，ED 临床医生对这些干预措施的看法尚未得到探讨。
从英国伦敦的一家 ED 专科服务机构招募了 18 名临床医生。在接受了关于 rTMS、tDCS 和 DBS 的简短教育介绍后，他们完成了半结构化访谈，以探讨他们对这些治疗选择在 ED 中的应用的看法。
临床医生对神经调节技术的了解程度较低。他们主要对 DBS 提出了安全性和伦理（特别是同意能力）方面的担忧。神经调节治疗被认为最适合作为心理治疗的辅助手段，适用于患有严重、持久疾病（已完成以前的心理治疗）的患者。
提高临床医生对神经调节的知识和理解对于弥合研究和临床工作之间的差距至关重要。鉴于心理理论和实践在 ED 治疗中的主导地位，情况更是如此。
