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经颅直流电刺激治疗精神分裂症的文献综述

A Literature Mini-Review of Transcranial Direct Current Stimulation in Schizophrenia.

作者信息

Stuchlíková Zuzana, Klírová Monika

机构信息

National Institute of Mental Health, Klecany, Czechia.

Third Faculty of Medicine, Charles University, Prague, Czechia.

出版信息

Front Psychiatry. 2022 Apr 21;13:874128. doi: 10.3389/fpsyt.2022.874128. eCollection 2022.

Abstract

Transcranial direct current stimulation (tDCS) is a non-invasive neurostimulation method that utilizes the effect of low-current on brain tissue. In recent years, the effect of transcranial direct current stimulation has been investigated as a therapeutic modality in various neuropsychiatric indications, one of them being schizophrenia. This article aims to provide an overview of the potential application and effect of tDCS in treating patients with schizophrenia. A literature search was performed using the PubMed, Web of Science, and Google Scholar databases for relevant research published from any date until December 2021. Eligible studies included those that used randomized controlled parallel-group design and focused on the use of transcranial direct current stimulation for the treatment of positive, negative, or cognitive symptoms of schizophrenia. Studies were divided into groups based on the focus of research and an overview is provided in separate sections and tables in the article. The original database search yielded 705 results out of which 27 randomized controlled trials met the eligibility criteria and were selected and used for the purpose of this article. In a review of the selected trials, transcranial direct current stimulation is a safe and well-tolerated method that appears to have the potential as an effective modality for the treatment of positive and negative schizophrenic symptoms and offers promising results in influencing cognition. However, ongoing research is needed to confirm these conclusions and to further specify distinct application parameters.

摘要

经颅直流电刺激(tDCS)是一种非侵入性神经刺激方法,它利用低电流对脑组织的作用。近年来,经颅直流电刺激的效果已作为一种治疗方式在各种神经精神疾病适应症中进行研究,精神分裂症就是其中之一。本文旨在概述经颅直流电刺激在治疗精神分裂症患者中的潜在应用和效果。使用PubMed、科学网和谷歌学术数据库对截至2021年12月的任何日期发表的相关研究进行了文献检索。符合条件的研究包括那些采用随机对照平行组设计并专注于使用经颅直流电刺激治疗精神分裂症的阳性、阴性或认知症状的研究。根据研究重点将研究分为不同组,并在文章的单独章节和表格中提供概述。最初的数据库搜索产生了705个结果,其中27项随机对照试验符合纳入标准,并被选中用于本文。在对所选试验的综述中,经颅直流电刺激是一种安全且耐受性良好的方法,似乎有潜力作为治疗精神分裂症阳性和阴性症状的有效方式,并在影响认知方面提供了有前景的结果。然而,需要进行持续研究以证实这些结论并进一步明确不同的应用参数。

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