Gersner Roman, Barnea-Ygael Noam, Tendler Aron
BrainsWay, Burlington, VT, United States.
Department of Life Sciences, Ben-Gurion University of the Negev, Be'er Sheva, Israel.
Front Psychiatry. 2023 Jan 9;13:1079138. doi: 10.3389/fpsyt.2022.1079138. eCollection 2022.
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.
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。
Front Psychiatry. 2023-1-9
Front Pharmacol. 2022-9-8
Cochrane Database Syst Rev. 2015-5-18
Neurosci Biobehav Rev. 2022-11
Am J Psychiatry. 2022-2
Exp Clin Psychopharmacol. 2022-6
Nordisk Alkohol Nark. 2018-10
Pain. 2020-8