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经皮耳迷走神经刺激治疗人格解体-现实解体障碍患者的安全性和有效性:一项随机对照试验的研究方案

Safety and effectiveness of transcutaneous auricular vagus nerve stimulation on patients with depersonalization-derealization disorder: study protocol for a randomized controlled trial.

作者信息

Zhao Yan, Zheng Sisi, Zhu Hong, Yin Dongqing, Fang Meng, Jia Hongxiao

机构信息

Beijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders & National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, 100088, China.

Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, 100069, China.

出版信息

Trials. 2024 Dec 5;25(1):812. doi: 10.1186/s13063-024-08658-w.

Abstract

BACKGROUND

Depersonalization-derealization disorder (DPD) is a complex psychiatric condition marked by profound and often relentless feelings of detachment from one's self and surroundings. Transcranial electrical stimulation (taVNS) holds promise as a potential therapeutic approach for DPD. This study aims to investigate the safety and efficacy of taVNS in treating DPD.

METHODS

DPD patients were recruited as research subjects and randomly allocated to the experimental and control groups, with the former receiving active-taVNS treatment and the latter receiving sham stimulation treatment for 6 weeks. The efficacy of taVNS in treating DPD was evaluated by comparing scores for DPD symptoms, depression and anxiety symptoms, cognitive function, and social function before and after treatment between the two groups. The safety of taVNS in treating DPD was assessed by comparing general safety assessment results between the two groups of DPD patients.

DISCUSSION

This study will assess taVNS as a potential treatment for DPD, evaluating its safety, efficacy, and impact on patient outcomes and societal burden.

TRIAL REGISTRATION

Chinese Clinical Trial Registry, ChiCTR2300078183, Registered on 30 November, 2023, https://www.chictr.org.cn/showproj.html?proj=206119.

摘要

背景

人格解体-现实解体障碍(DPD)是一种复杂的精神疾病,其特征是存在深刻且常常持续不断的与自我及周围环境脱离的感觉。经颅电刺激(taVNS)有望成为治疗DPD的一种潜在治疗方法。本研究旨在探讨taVNS治疗DPD的安全性和有效性。

方法

招募DPD患者作为研究对象,随机分为实验组和对照组,前者接受主动taVNS治疗,后者接受假刺激治疗,为期6周。通过比较两组治疗前后DPD症状、抑郁和焦虑症状、认知功能及社会功能的评分,评估taVNS治疗DPD的疗效。通过比较两组DPD患者的总体安全性评估结果,评估taVNS治疗DPD的安全性。

讨论

本研究将评估taVNS作为DPD的一种潜在治疗方法,评估其安全性、有效性以及对患者结局和社会负担的影响。

试验注册

中国临床试验注册中心,ChiCTR2300078183,于2023年11月30日注册,https://www.chictr.org.cn/showproj.html?proj=206119

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98f1/11619410/6757fb09f1d4/13063_2024_8658_Fig1_HTML.jpg

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