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正念在治疗甲基苯丙胺成瘾症状中的有效性:神经可塑性起作用吗?

The Effectiveness of Mindfulness in the Treatment of Methamphetamine Addiction Symptoms: Does Neuroplasticity Play a Role?

作者信息

Chmiel James, Malinowska Agnieszka, Rybakowski Filip, Leszek Jerzy

机构信息

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

Institute of Psychology, University of Szczecin, 71-017 Szczecin, Poland.

出版信息

Brain Sci. 2024 Mar 27;14(4):320. doi: 10.3390/brainsci14040320.

Abstract

INTRODUCTION

Methamphetamine is a highly stimulating psychoactive drug that causes life-threatening addictions and affects millions of people around the world. Its effects on the brain are complex and include disturbances in the neurotransmitter systems and neurotoxicity. There are several known treatment methods, but their effectiveness is moderate. It must be emphasised that no drugs have been approved for treatment. For this reason, there is an urgent need to develop new, effective, and safe treatments for methamphetamine. One of the potential treatments is mindfulness meditation. In recent years, this technique has been researched extensively in the context of many neurological and psychiatric disorders.

METHODS

This review explores the use of mindfulness in the treatment of methamphetamine addiction. Searches were conducted in the PubMed/Medline, Research Gate, and Cochrane databases.

RESULTS

Ten studies were identified that used mindfulness-based interventions in the treatment of methamphetamine addiction. The results show that mindfulness is an effective form of reducing hunger, risk of relapses, stress indicators, depression, and aggression, alone or in combination with transcranial direct current stimulation (tDCS). Mindfulness also improved the cognitive function in addicts. The included studies used only behavioural measures. The potential mechanisms of mindfulness in addiction were explained, and it was proposed that it can induce neuroplasticity, alleviating the symptoms of addiction.

CONCLUSIONS

Evidence from the studies suggest that mindfulness may be an effective treatment option for methamphetamine addiction, used alone or in combination with tDCS. However, further high-quality research is required to establish the role of this treatment option in this field. The use of neuroimaging and neurophysiological measures is fundamental to understand the mechanisms of mindfulness.

摘要

引言

甲基苯丙胺是一种极具刺激性的精神活性药物,会导致危及生命的成瘾问题,影响着全球数百万人。它对大脑的影响很复杂,包括神经递质系统紊乱和神经毒性。已知有几种治疗方法,但其效果一般。必须强调的是,目前尚无获批用于治疗的药物。因此,迫切需要开发新的、有效且安全的甲基苯丙胺治疗方法。正念冥想是一种潜在的治疗方法。近年来,这项技术在许多神经和精神疾病的背景下得到了广泛研究。

方法

本综述探讨了正念在甲基苯丙胺成瘾治疗中的应用。在PubMed/Medline、Research Gate和Cochrane数据库中进行了检索。

结果

确定了10项使用基于正念的干预措施治疗甲基苯丙胺成瘾的研究。结果表明,正念是一种有效减轻饥饿感、复发风险、压力指标、抑郁和攻击性的方法,单独使用或与经颅直流电刺激(tDCS)联合使用均可。正念还改善了成瘾者的认知功能。纳入的研究仅使用了行为测量方法。解释了正念在成瘾中的潜在机制,并提出它可以诱导神经可塑性,减轻成瘾症状。

结论

研究证据表明,正念可能是一种治疗甲基苯丙胺成瘾的有效选择,可单独使用或与tDCS联合使用。然而,需要进一步的高质量研究来确定这种治疗选择在该领域的作用。使用神经影像学和神经生理学测量方法对于理解正念机制至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c40/11047954/468e00bfd9e4/brainsci-14-00320-g001.jpg

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