Divarco Rebecca, Ramasawmy Perianen, Petzke Frank, Antal Andrea
Department of Neurology, University Medical Center Göttingen, Georg-August University, Robert-Koch-Straße 40, Göttingen 37075, Germany.
Pain Clinic, Department of Anesthesiology, University Medical Center Göttingen, Georg-August University, Göttingen, Germany.
Int J Clin Health Psychol. 2023 Jul-Sep;23(3):100369. doi: 10.1016/j.ijchp.2023.100369. Epub 2023 Feb 3.
Low intensity transcranial electrical stimulation (tES) and meditation are two promising, yet variable, non-pharmacological interventions. Growing research is investigating combined effects of both techniques on one's cognitive, emotional, and physical health.
This article reviews the current research that combines tES and meditation interventions in healthy and diseased participants. The review considers the intervention parameters and their effects in a well-organized manner.
A systematic search for clinical and experimental published studies was conducted in the PubMed, Cochrane, and transcranial direct current stimulation (tDCS) databases using common keywords for tES and for meditation techniques well defined by previous studies. Unpublished ongoing studies were identified with the ClinicalTrials.gov and DRKS.de clinical trial websites.
20 published studies and 13 ongoing studies were included for qualitative analysis. 13 published articles studied patients with chronic pain, psychological disorders, cognitive impairment, and movement disorders. Anodal tDCS was the only tES technique while mindfulness meditation was the most common meditation type. Eight studies had a main group effect, with outcome improvement in the active combined intervention. However, most published studies showed improvements after at least one combined intervention with variable effects.
Pairing anodal tDCS with meditation shows promising improvements of the physical, mental, and emotional aspects of daily life. Further studies are required to confirm the relevance of this combination in the clinic.
低强度经颅电刺激(tES)和冥想是两种有前景但效果各异的非药物干预措施。越来越多的研究正在探究这两种技术对人的认知、情绪和身体健康的综合影响。
本文综述了当前关于在健康和患病参与者中联合应用tES和冥想干预的研究。该综述以有条不紊的方式考虑了干预参数及其效果。
在PubMed、Cochrane和经颅直流电刺激(tDCS)数据库中,使用先前研究明确界定的tES和冥想技术的常用关键词,对已发表的临床和实验研究进行系统检索。通过ClinicalTrials.gov和DRKS.de临床试验网站识别未发表的正在进行的研究。
纳入20项已发表研究和13项正在进行的研究进行定性分析。13篇已发表文章研究了慢性疼痛、心理障碍、认知障碍和运动障碍患者。阳极性tDCS是唯一的tES技术,而正念冥想是最常见的冥想类型。八项研究有主要的组间效应,主动联合干预使结果得到改善。然而,大多数已发表研究表明,至少经过一次联合干预后有改善,但效果各异。
将阳极性tDCS与冥想相结合,有望改善日常生活的身体、心理和情感方面。需要进一步研究以证实这种联合在临床中的相关性。