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吸烟成瘾深度经颅磁刺激反应的调节因素。

Moderators of the response to deep TMS for smoking addiction.

作者信息

Gersner Roman, Barnea-Ygael Noam, Tendler Aron

机构信息

BrainsWay, Burlington, VT, United States.

Department of Life Sciences, Ben-Gurion University of the Negev, Be'er Sheva, Israel.

出版信息

Front Psychiatry. 2023 Jan 9;13:1079138. doi: 10.3389/fpsyt.2022.1079138. eCollection 2022.


DOI:10.3389/fpsyt.2022.1079138
PMID:36699493
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9869803/
Abstract

INTRODUCTION: Deep repetitive transcranial magnetic stimulation (Deep TMS™) was recently cleared by the FDA as a short-term treatment for smoking cessation. However, it is unknown which participants are more likely to benefit from the treatment. METHODS: We evaluated the data from the published randomized controlled trial of 262 participants 22-70 years old that led to the FDA clearance to characterize demographic and smoking history factors that moderate Deep TMS treatment efficacy. The current analysis included 75 completers in the active TMS group and 94 completers in the sham TMS group. RESULTS: We found that participants younger than 40 had four times the quit rate than those older than 40. Additionally, participants who quit following treatment smoked 10 years less than non-quitters. Moreover, Caucasian participants had two times the quit rate than African-American participants. Strikingly, participants with more than 12 years of education had 7 times the quit rate than participants with less education. CONCLUSION: Three weeks of Deep TMS has a higher smoking addiction quit rate in participants who are younger, more educated, Caucasian and with less extensive smoking history. Participants who are older, with less education and more extensive smoking history may need a longer treatment course and/or combined treatment modalities. Potential reasons may be related to the challenges of inducing neuronal modifications in those with greater physical and psychological dependence. Further investigation is warranted.

摘要

引言:深部重复经颅磁刺激(Deep TMS™)最近获得美国食品药品监督管理局(FDA)批准,可作为戒烟的短期治疗方法。然而,尚不清楚哪些参与者更可能从该治疗中获益。 方法:我们评估了一项已发表的随机对照试验的数据,该试验有262名年龄在22至70岁之间的参与者,该试验促使FDA批准该疗法,以确定影响深部重复经颅磁刺激治疗效果的人口统计学和吸烟史因素。当前分析包括75名接受主动经颅磁刺激组的完成者和94名接受假经颅磁刺激组的完成者。 结果:我们发现,40岁以下的参与者戒烟率是40岁以上参与者的四倍。此外,治疗后戒烟的参与者比未戒烟者吸烟时间少10年。此外,白人参与者的戒烟率是非裔美国参与者的两倍。引人注目的是,受教育年限超过12年的参与者的戒烟率是受教育年限较少的参与者的7倍。 结论:对于年龄较小、受教育程度较高、为白人且吸烟史较短的参与者,为期三周的深部重复经颅磁刺激治疗有较高的戒烟成瘾率。年龄较大、受教育程度较低且吸烟史较长的参与者可能需要更长的疗程和/或联合治疗方式。潜在原因可能与在身体和心理依赖程度较高的人群中诱导神经元改变的挑战有关。有必要进行进一步调查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f091/9869803/320d766c6421/fpsyt-13-1079138-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f091/9869803/147bce1906e3/fpsyt-13-1079138-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f091/9869803/161659350fe7/fpsyt-13-1079138-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f091/9869803/320d766c6421/fpsyt-13-1079138-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f091/9869803/147bce1906e3/fpsyt-13-1079138-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f091/9869803/161659350fe7/fpsyt-13-1079138-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f091/9869803/320d766c6421/fpsyt-13-1079138-g003.jpg

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引用本文的文献

[1]
Tobacco use disorder in patients with other mental disorders: a dual disorder perspective from clinical neuroscience.

Front Psychiatry. 2024-10-11

[2]
Biomarker development perspective: Exploring comorbid chronic pain in depression through deep transcranial magnetic stimulation.

J Transl Int Med. 2024-5-21

[3]
Transcranial Magnetic Stimulation as a Tool to Promote Smoking Cessation and Decrease Drug and Alcohol Use.

Brain Sci. 2023-7-14

本文引用的文献

[1]
Boosting psychological change: Combining non-invasive brain stimulation with psychotherapy.

Neurosci Biobehav Rev. 2022-11

[2]
The Role of Financial Strain and Educational Attainment on Smoking Abstinence of African Americans and Whites Who Smoke.

Ethn Dis. 2022

[3]
Brain lesions disrupting addiction map to a common human brain circuit.

Nat Med. 2022-6

[4]
What Do Placebo and Nocebo Effects Have to Do With Health Equity? The Hidden Toll of Nocebo Effects on Racial and Ethnic Minority Patients in Clinical Care.

Front Psychol. 2021-12-23

[5]
Stanford Neuromodulation Therapy (SNT): A Double-Blind Randomized Controlled Trial.

Am J Psychiatry. 2022-2

[6]
Repetitive transcranial magnetic stimulation for smoking cessation: a pivotal multicenter double-blind randomized controlled trial.

World Psychiatry. 2021-10

[7]
The effect of area-level disadvantage and race on smoking abstinence in a clinical trial.

Exp Clin Psychopharmacol. 2022-6

[8]
Assessment of Racial Differences in Pharmacotherapy Efficacy for Smoking Cessation: Secondary Analysis of the EAGLES Randomized Clinical Trial.

JAMA Netw Open. 2021-1-4

[9]
Weight concerns as a predictor of smoking cessation according to nicotine dependence: A population-based study.

Nordisk Alkohol Nark. 2018-10

[10]
Placebo hypoalgesia: racial differences.

Pain. 2020-8

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