Transcranial magnetic stimulation for the treatment of cocaine addiction: evidence to date.

IF 5.1 Q1 SUBSTANCE ABUSE Substance Abuse and Rehabilitation Pub Date : 2018-05-21 eCollection Date: 2018-01-01 DOI:10.2147/SAR.S161206
Corinna Bolloni, Paola Badas, Giorgio Corona, Marco Diana
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Abstract

There is a common consensus in considering substance-use disorders (SUDs) a devastating chronic illness with social and psychological impact. Despite significant progress in understanding the neurobiology of SUDs, therapeutic advances have proceeded at a slower pace, in particular for cocaine-use disorder (CUD). Transcranial magnetic stimulation (TMS) is gaining support as a safe and cost-effective tool in the treatment of SUDs. In this review, we consider human studies that have investigated the efficacy of TMS in achieving therapeutic benefits in treating CUD. All studies conducted to date that have evaluated the therapeutic effect of TMS in CUD are included. We focus on the protocol of stimulation applied, emphasizing the neurophysiological effects of coils employed related to outcomes. Moreover, we examine the subjective and objective measurements used to assess the therapeutic effects along the timeline considered. The revision of scientific literatures underscores the therapeutic potential of TMS in treating CUD. However, the variability in stimulation protocols applied and the lack of methodological control do not allow us to draw firm conclusions, and further studies are warranted to examine the interaction between TMS patterns of stimulation relative to clinical outcomes in depth.

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经颅磁刺激治疗可卡因成瘾:迄今为止的证据。
人们普遍认为药物滥用障碍(SUD)是一种具有破坏性的慢性疾病,会对社会和心理造成影响。尽管在了解药物滥用障碍的神经生物学方面取得了重大进展,但治疗方面的进展却较为缓慢,尤其是在可卡因使用障碍(CUD)方面。经颅磁刺激(TMS)作为一种安全且具有成本效益的治疗 SUDs 的工具,正在获得越来越多的支持。在这篇综述中,我们将探讨 TMS 在治疗 CUD 方面的疗效。迄今为止对 TMS 治疗 CUD 的疗效进行评估的所有研究均被纳入其中。我们将重点放在所采用的刺激方案上,强调所采用线圈的神经生理效应与治疗效果的关系。此外,我们还研究了用于评估治疗效果的主观和客观测量方法。科学文献的修订强调了 TMS 在治疗 CUD 方面的治疗潜力。然而,由于所采用的刺激方案各不相同,且缺乏方法学控制,我们无法得出肯定的结论,因此有必要开展进一步研究,深入探讨 TMS 刺激模式与临床疗效之间的相互作用。
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9
审稿时长
16 weeks
期刊最新文献
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