Stanković Marija, Bjekić Jovana, Filipović Saša R
Human Neuroscience Group, Institute for Medical Research, University of Belgrade, 11000 Belgrade, Serbia.
J Clin Med. 2023 May 11;12(10):3407. doi: 10.3390/jcm12103407.
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.
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。
J Behav Addict. 2017-12-1
Front Neurosci. 2020-8-18
Eur Arch Psychiatry Clin Neurosci. 2018-10-26
Drug Alcohol Depend. 2018-10-3
J Korean Acad Child Adolesc Psychiatry. 2025-7-1
Front Hum Neurosci. 2025-4-7
J Behav Addict. 2025-3-10
Lancet Child Adolesc Health. 2022-6
Neuropsychopharmacology. 2022-1