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右侧阳极/左侧阴极经颅直流电刺激背外侧前额叶皮层对甲基苯丙胺成瘾者冲动性的不良影响。

The Counterproductive Effect of Right Anodal/Left Cathodal Transcranial Direct Current Stimulation Over the Dorsolateral Prefrontal Cortex on Impulsivity in Methamphetamine Addicts.

作者信息

Jiang Xiaoyu, Tian Yu, Zhang Zhiling, Zhou Changwei, Yuan Jiajin

机构信息

The Affect Cognition and Regulation Laboratory (ACRLab), Institute of Brain and Psychological Sciences, Sichuan Normal University, Chengdu, China.

Psychological Correction Center, Sichuan Ziyang Drug Rehabilitation Center, Ziyang, China.

出版信息

Front Psychiatry. 2022 Jun 22;13:915440. doi: 10.3389/fpsyt.2022.915440. eCollection 2022.

Abstract

The current study aimed to evaluate the effect of transcranial direct current stimulation (tDCS) over the dorsolateral prefrontal cortex (DLPFC) on behavioral impulsivity in methamphetamine addicts. Forty-five methamphetamine addicts were recruited and randomly divided into active tDCS and sham tDCS groups to receive a daily tDCS intervention for 5 days, with the intensity set to 2 mA for the active group and 0 mA for the sham group. Anodal and cathodal electrodes were, respectively, placed over the right and left DLPFC. Behavioral impulsivity in methamphetamine addicts was examined by the 2-choice oddball task at 3-time points: before tDCS intervention (baseline), after the first intervention (day 1), and after 5 repeated interventions (day 5). Besides, twenty-four healthy male participants were recruited as the healthy controls who completed a 2-choice oddball task. Analysis of accuracy for the 2-choice oddball task showed that behavioral impulsivity was counterproductively increased in the active group, which was shown by the decreased accuracy for the deviant stimulus. The results suggested that the present protocol may not be optimal and other protocols should be considered for the intervention of methamphetamine addicts in the future.

摘要

本研究旨在评估经颅直流电刺激(tDCS)作用于背外侧前额叶皮质(DLPFC)对甲基苯丙胺成瘾者行为冲动性的影响。招募了45名甲基苯丙胺成瘾者,随机分为tDCS治疗组和假刺激组,接受为期5天的每日tDCS干预,治疗组强度设定为2 mA,假刺激组为0 mA。阳极和阴极电极分别置于右侧和左侧DLPFC。通过二选一Oddball任务在3个时间点检测甲基苯丙胺成瘾者的行为冲动性:tDCS干预前(基线)、首次干预后(第1天)和5次重复干预后(第5天)。此外,招募了24名健康男性参与者作为健康对照,他们完成了二选一Oddball任务。对二选一Oddball任务准确性的分析表明,治疗组的行为冲动性反而增加,表现为对偏差刺激的准确性降低。结果表明,本方案可能并非最佳方案,未来对甲基苯丙胺成瘾者的干预应考虑其他方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8961/9257135/610cb87ce460/fpsyt-13-915440-g001.jpg

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