School of Health Sciences, Western Sydney University, Sydney, NSW, Australia; Brain Stimulation and Rehabilitation (BrainStAR) Lab, Western Sydney University, Sydney, NSW, Australia.
School of Health Sciences, Western Sydney University, Sydney, NSW, Australia; College of Science, Health and Engineering, La Trobe University, Melbourne, VIC, Australia.
Neuromodulation. 2022 Jun;25(4):487-493. doi: 10.1111/ner.13461. Epub 2021 May 11.
To synthesize and critically appraise literature exploring patient perceptions regarding the therapeutic use of noninvasive brain stimulation.
A systematic search of CINHAL, PUBMED, Web of Science, and Medline was performed. Reference lists of relevant articles were also screened. Studies exploring participant perceptions regarding the therapeutic use of noninvasive brain stimulation were eligible for inclusion. Perceptions were divided into three domains: knowledge, experience, and attitudes. Noninvasive brain stimulation was defined as any neuromodulation technique that alters brain activity but does not require invasive methods such as surgery. No restrictions were placed upon study design or participant population. Two reviewers performed data extraction and risk of bias assessment. Data relating to methodological characteristics, participant demographics, type of noninvasive brain stimulation, and nature of perceptions (knowledge, experience, or attitudes) were extracted.
Four studies comprising data from 163 participants met the inclusion criteria. All studies investigated perceptions of repetitive transcranial magnetic stimulation (rTMS) in psychiatric populations. Most participants perceived rTMS to be safe and beneficial, demonstrated low levels of fear, and were willing to recommend the intervention to others. No studies were found investigating patient perception of transcranial direct current stimulation (tDCS).
The findings from this review suggest that rTMS is well accepted as a therapeutic treatment among psychiatric populations, providing support for its clinical utility. Future work is needed to determine if similar findings exist for other conditions (eg, chronic pain) and for other therapeutic forms of brain stimulation (eg, tDCS).
综合并批判性评价探索患者对非侵入性脑刺激治疗应用感知的文献。
对 CINHAL、PUBMED、Web of Science 和 Medline 进行了系统检索。还对相关文章的参考文献列表进行了筛选。符合纳入标准的研究需探索参与者对非侵入性脑刺激治疗应用的感知。感知分为三个领域：知识、经验和态度。非侵入性脑刺激是指任何改变大脑活动但不需要手术等侵入性方法的神经调节技术。研究设计或参与者人群不受限制。两位评审员进行了数据提取和偏倚风险评估。提取的数据涉及方法学特征、参与者人口统计学特征、非侵入性脑刺激类型以及感知的性质（知识、经验或态度）。
符合纳入标准的四项研究共纳入 163 名参与者。所有研究均调查了重复经颅磁刺激（rTMS）在精神科人群中的感知。大多数参与者认为 rTMS 安全且有益，恐惧程度低，愿意向他人推荐该干预措施。未发现研究调查经颅直流电刺激（tDCS）对患者感知的影响。
本综述的结果表明，rTMS 在精神科人群中作为治疗方法得到了很好的接受，为其临床应用提供了支持。需要进一步研究以确定是否存在类似的发现，适用于其他疾病（如慢性疼痛）和其他形式的治疗性脑刺激（如 tDCS）。
