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经颅电刺激对赌博和游戏的影响:对健康对照者、患有赌博/游戏障碍者及物质使用障碍者的研究的系统评价

Effects of Transcranial Electrical Stimulation on Gambling and Gaming: A Systematic Review of Studies on Healthy Controls, Participants with Gambling/Gaming Disorder, and Substance Use Disorder.

作者信息

Stanković Marija, Bjekić Jovana, Filipović Saša R

机构信息

Human Neuroscience Group, Institute for Medical Research, University of Belgrade, 11000 Belgrade, Serbia.

出版信息

J Clin Med. 2023 May 11;12(10):3407. doi: 10.3390/jcm12103407.


DOI:10.3390/jcm12103407
PMID:37240512
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10218894/
Abstract

Gambling disorder (GD) and internet gaming disorder (IGD) are formally recognized behavioral addictions with a rapidly growing prevalence and limited treatment options. Recently, transcranial electrical stimulation (tES) techniques have emerged as potentially promising interventions for improving treatment outcomes by ameliorating cognitive functions implicated in addictive behaviors. To systematize the current state of evidence and better understand whether and how tES can influence gambling and gaming-related cognitive processes, we conducted a PRISMA-guided systematic review of the literature, focusing on tES effects on gaming and gambling in a diverse range of population samples, including healthy participants, participants with GD and IGD, as well as participants with substance abuse addictions. Following the literature search in three bibliographic databases (PubMed, Web of Science, and Scopus), 40 publications were included in this review, with 26 conducted on healthy participants, 6 focusing on GD and IGD patients, and 8 including participants with other addictions. Most of the studies targeted the dorsolateral prefrontal cortex, using transcranial direct current stimulation (tDCS), and assessed the effects on cognition, using gaming and gambling computerized cognitive tasks measuring risk taking and decision making, e.g., balloon analogue risk task, Iowa gambling task, Cambridge gambling task, etc. The results indicated that tES could change gambling and gaming task performances and positively influence GD and IGD symptoms, with 70% of studies showing neuromodulatory effects. However, the results varied considerably depending on the stimulation parameters, sample characteristics, as well as outcome measures used. We discuss the sources of this variability and provide further directions for the use of tES in the context of GD and IGD treatment.

摘要

赌博障碍(GD)和网络赌博障碍(IGD)是已被正式认可的行为成瘾,其患病率迅速上升且治疗选择有限。最近,经颅电刺激(tES)技术已成为潜在的有前景的干预措施,有望通过改善与成瘾行为相关的认知功能来提高治疗效果。为了系统整理当前的证据状况,并更好地理解tES是否以及如何影响与赌博和游戏相关的认知过程,我们在PRISMA指南的指导下对文献进行了系统综述,重点关注tES对包括健康参与者、患有GD和IGD的参与者以及患有药物滥用成瘾的参与者在内的各种人群样本中的游戏和赌博的影响。在三个文献数据库(PubMed、科学网和Scopus)中进行文献检索后,本综述纳入了40篇出版物,其中26篇针对健康参与者,6篇关注GD和IGD患者,8篇包括患有其他成瘾症的参与者。大多数研究针对背外侧前额叶皮层,使用经颅直流电刺激(tDCS),并使用测量冒险和决策的游戏和赌博计算机化认知任务(如气球模拟风险任务、爱荷华赌博任务、剑桥赌博任务等)评估对认知的影响。结果表明,tES可以改变赌博和游戏任务表现,并对GD和IGD症状产生积极影响,70%的研究显示有神经调节作用。然而,结果因刺激参数、样本特征以及所使用的结果测量方法而有很大差异。我们讨论了这种变异性的来源,并为在GD和IGD治疗背景下使用tES提供了进一步的方向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f0c/10218894/0636b62df7dd/jcm-12-03407-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f0c/10218894/36010de65fc7/jcm-12-03407-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f0c/10218894/0636b62df7dd/jcm-12-03407-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f0c/10218894/36010de65fc7/jcm-12-03407-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f0c/10218894/0636b62df7dd/jcm-12-03407-g002.jpg

相似文献

[1]
Effects of Transcranial Electrical Stimulation on Gambling and Gaming: A Systematic Review of Studies on Healthy Controls, Participants with Gambling/Gaming Disorder, and Substance Use Disorder.

J Clin Med. 2023-5-11

[2]
Non-invasive brain stimulation targets and approaches to modulate gambling-related decisions: A systematic review.

Addict Behav. 2021-1

[3]
Discounting delayed monetary rewards and decision making in behavioral addictions - A comparison between patients with gambling disorder and internet gaming disorder.

Addict Behav. 2020-9

[4]
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J Behav Addict. 2017-12-1

[5]
Non-invasive Brain Stimulation for Gambling Disorder: A Systematic Review.

Front Neurosci. 2020-8-18

[6]
Effect of transcranial direct current stimulation on decision making and cognitive flexibility in gambling disorder.

Eur Arch Psychiatry Clin Neurosci. 2018-10-26

[7]
The role of repetitive transcranial magnetic stimulation (rTMS) in the treatment of behavioral addictions: Two case reports and review of the literature.

J Behav Addict. 2021-7-6

[8]
Effects of neuromodulation on cognitive performance in individuals exhibiting addictive behaviors: A systematic review.

Drug Alcohol Depend. 2018-10-3

[9]
Efficacy of single-session transcranial direct current stimulation on addiction-related inhibitory control and craving: a randomized trial in males with Internet gaming disorder.

J Psychiatry Neurosci. 2021-1-4

[10]
Similarities and differences among Internet gaming disorder, gambling disorder and alcohol use disorder: a focus on impulsivity and compulsivity.

J Behav Addict. 2014-12

引用本文的文献

[1]
Treatment of Gaming Disorder in Children and Adolescents: A Systematic Review.

J Korean Acad Child Adolesc Psychiatry. 2025-7-1

[2]
How short video addiction affects risk decision-making behavior in college students based on fNIRS technology.

Front Hum Neurosci. 2025-4-7

[3]
Current interpretations of the I-PACE model of behavioral addictions.

J Behav Addict. 2025-3-10

本文引用的文献

[1]
A minimum effective dose for (transcranial) alternating current stimulation.

Brain Stimul. 2022

[2]
Gamblification: risks of digital gambling games to adolescents.

Lancet Child Adolesc Health. 2022-6

[3]
Effects of theta transcranial alternating current stimulation (tACS) on exploration and exploitation during uncertain decision-making.

Behav Brain Res. 2022-5-24

[4]
The Effects of a Single Transcranial Direct Current Stimulation Session on Impulsivity and Risk Among a Sample of Adult Recreational Cannabis Users.

Front Hum Neurosci. 2022-2-8

[5]
High-definition transcranial direct current stimulation of the dorsal anterior cingulate cortex modulates decision-making and executive control.

Brain Struct Funct. 2022-6

[6]
Identifying regions in prefrontal cortex related to working memory improvement: A novel meta-analytic method using electric field modeling.

Neurosci Biobehav Rev. 2021-11

[7]
The role of prefrontal cortex in cognitive control and executive function.

Neuropsychopharmacology. 2022-1

[8]
Neuromodulatory Effect of Transcranial Direct Current Stimulation on Resting-State EEG Activity in Internet Gaming Disorder: A Randomized, Double-Blind, Sham-Controlled Parallel Group Trial.

Cereb Cortex Commun. 2021-1-4

[9]
The PRISMA 2020 statement: an updated guideline for reporting systematic reviews.

BMJ. 2021-3-29

[10]
Reduced risk-taking behavior during frontal oscillatory theta band neurostimulation.

Brain Res. 2021-5-15

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