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左背外侧前额叶皮层经颅直流电刺激对甲基苯丙胺成瘾者攻击行为的影响。

Effect of transcranial direct current stimulation over the left dorsolateral prefrontal cortex on the aggressive behavior in methamphetamine addicts.

机构信息

College of Management, Chengdu University of Traditional Chinese Medicine, Chengdu, China.

College of Basic Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, China.

出版信息

J Psychiatr Res. 2023 Aug;164:364-371. doi: 10.1016/j.jpsychires.2023.06.038. Epub 2023 Jun 28.

Abstract

Aggressive behavior of drug addicts threatens human security and social stability, and Methamphetamine (MA) addicts show especially aggressive behavior. Researches showed that the decreased activity of dorsolateral prefrontal cortex (DLPFC) is closely related to violence and aggression, and continuous transcranial direct current stimulation (tDCS) on DLPFC can increase the activity of this position. So, the purpose of this study was to investigate the effect of tDCS on DLPFC for the aggressive behavior of MA addicts. Ninety MA addicts were recruited and randomly divided into anodal tDCS group, cathode tDCS group and sham tDCS group (current intensity was set as 2 mA, 2 mA and 0 mA, respectively). The tDCS intervention was conducted twice a day for five consecutive days. Taylor Aggression Paradigm (TAP) was used to measure the proactive aggressiveness and reactive aggressiveness of MA addicts at different time points (Pretest, Day 1, and Day 5). At the same time, we also recruited 30 healthy adult males as healthy controls, and measured their aggressiveness through TAP for comparative analysis. The results showed that the aggressiveness of MA addicts was significantly higher than that of healthy controls. The aggressiveness of MA addicts was effectively reduced by the anode intervention of tDCS on the left DLPFC, especially when they were subjected to high-intensity provocation, the 2-way interaction between time and tDCS group was statistically significant (F = 2.939, P = 0.022, η = 0.067). This study can provide a reference for how to correct the aggressive behavior of MA addicts.

摘要

吸毒者的攻击行为威胁着人类安全和社会稳定,而甲基苯丙胺(MA)吸毒者表现出特别的攻击行为。研究表明,背外侧前额叶皮层(DLPFC)的活性降低与暴力和攻击行为密切相关,对 DLPFC 进行持续的经颅直流电刺激(tDCS)可以增加该部位的活性。因此,本研究旨在探讨 tDCS 对 DLPFC 对 MA 吸毒者攻击行为的影响。招募了 90 名 MA 吸毒者,并随机分为阳极 tDCS 组、阴极 tDCS 组和假刺激 tDCS 组(电流强度分别为 2mA、2mA 和 0mA)。tDCS 干预每天进行两次,连续进行 5 天。使用 Taylor 攻击范式(TAP)在不同时间点(前测、第 1 天和第 5 天)测量 MA 吸毒者的主动性攻击和反应性攻击。同时,我们还招募了 30 名健康成年男性作为健康对照组,通过 TAP 测量他们的攻击性进行比较分析。结果表明,MA 吸毒者的攻击性明显高于健康对照组。左 DLPFC 的阳极 tDCS 干预有效地降低了 MA 吸毒者的攻击性,尤其是在受到高强度挑衅时,时间和 tDCS 组之间的双向交互作用具有统计学意义(F=2.939,P=0.022,η=0.067)。这项研究为如何纠正 MA 吸毒者的攻击行为提供了参考。

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