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经颅直流电刺激(tDCS)对可卡因成瘾的影响:一项叙述性综述。

The Effect of Transcranial Direct Current Stimulation (tDCS) on Cocaine Addiction: A Narrative Review.

作者信息

Chmiel James, Chojdak-Łukasiewicz Justyna, Leszek Jerzy

机构信息

Institute of Neurofeedback and tDCS Poland, 70-393 Szczecin, Poland.

Department and Clinic of Neurology, Wrocław Medical University, 54-235 Wrocław, Poland.

出版信息

J Clin Med. 2023 Oct 13;12(20):6511. doi: 10.3390/jcm12206511.

DOI:10.3390/jcm12206511
PMID:37892650
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10607438/
Abstract

Cocaine addiction is a significant problem worldwide. The development of addiction involves a reward system, which consists of certain brain regions like the ventral tegmental area, nucleus accumbens, and prefrontal cortex. Currently, there are no approved medications for treating cocaine dependence, so researchers are actively searching for effective treatments that can impact the brain. One potential treatment under investigation is transcranial direct current stimulation (tDCS), a non-invasive method of stimulating the brain to modulate its activity. In this review, we explore the use of tDCS in treating cocaine addiction. We found nine relevant articles via a literature search, and the results indicate that applying tDCS to the right dorsolateral prefrontal cortex (DLPFC) holds promise for reducing drug cravings in individuals with cocaine addiction. The review also discusses the possible mechanisms by which tDCS works and provides recommendations for future research in this field.

摘要

可卡因成瘾是一个全球性的重大问题。成瘾的发展涉及一个奖赏系统,该系统由某些脑区组成,如腹侧被盖区、伏隔核和前额叶皮质。目前,尚无获批用于治疗可卡因依赖的药物,因此研究人员正在积极寻找能够影响大脑的有效治疗方法。正在研究的一种潜在治疗方法是经颅直流电刺激(tDCS),这是一种刺激大脑以调节其活动的非侵入性方法。在本综述中,我们探讨了tDCS在治疗可卡因成瘾中的应用。我们通过文献检索找到了9篇相关文章,结果表明,将tDCS应用于右侧背外侧前额叶皮质(DLPFC)有望减少可卡因成瘾者的药物渴望。该综述还讨论了tDCS起作用的可能机制,并为该领域的未来研究提供了建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8ef/10607438/548cdf7b4c42/jcm-12-06511-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8ef/10607438/548cdf7b4c42/jcm-12-06511-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8ef/10607438/548cdf7b4c42/jcm-12-06511-g001.jpg

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Biol Psychiatry Cogn Neurosci Neuroimaging. 2023 Feb;8(2):151-161. doi: 10.1016/j.bpsc.2022.09.014. Epub 2022 Oct 13.
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Meta-Analysis of Structural and Functional Brain Abnormalities in Cocaine Addiction.可卡因成瘾中脑结构和功能异常的Meta分析
Front Psychiatry. 2022 Jun 24;13:927075. doi: 10.3389/fpsyt.2022.927075. eCollection 2022.
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The potential of brain stimulation techniques for substance use disorder treatment.
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Braz J Psychiatry. 2022 May-Jun;44(3):239-241. doi: 10.1590/1516-4446-2021-0040.
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A double-blind sham-controlled phase 1 clinical trial of tDCS of the dorsolateral prefrontal cortex in cocaine inpatients: Craving, sleepiness, and contemplation to change.一项关于经颅直流电刺激(tDCS)对可卡因住院患者背外侧前额叶皮质的双盲假手术对照 1 期临床试验:渴求、困倦和改变的思考。
Eur J Neurosci. 2021 May;53(9):3212-3230. doi: 10.1111/ejn.15172. Epub 2021 Mar 18.
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Multi-session electrical neuromodulation effects on craving, relapse and cognitive functions in cocaine use disorder: A randomized, sham-controlled tDCS study.多疗程电神经调节对可卡因使用障碍者的渴求、复吸和认知功能的影响:一项随机、假刺激对照 tDCS 研究。
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