A perfect match: noninvasive brain stimulation and psychotherapy
A perfect match: noninvasive brain stimulation and psychotherapy
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DOI：
10.1007/s00406-014-0540-6
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发表时间：
2014-11-01
影响因子：
4.7
通讯作者：
Padberg, Frank
中科院分区：
文献类型：
--
作者：
Bajbouj, Malek;Padberg, Frank
四分之一的精神疾病患者无法耐受标准治疗或对标准治疗没有充分反应，导致生活质量受损、发病率和死亡率显着以及社会经济成本高昂。越来越多的证据表明，除了精神药理学和心理治疗干预之外，通过脑刺激技术对神经网络进行有针对性的调节可能会成为第三种治疗方式。在整个治疗方式中，组合方法通常用于治疗难以治疗的患者。与单一疗法相比，它们可能是更好的策略，并且还可能包括脑刺激干预措施。然而，对于后一个问题缺乏系统的研究。特别是，非侵入性脑刺激（NIBS），例如经颅直流电刺激（tDCS）可以很容易地与心理治疗方法相结合。在这里，我们介绍用于启动和增强心理治疗的 NIBS 技术，回顾初步数据并提出未来的研究策略。有趣的是，这一策略与神经病学和神经康复领域的有希望的发展并行，其中 tDCS 目前与功能训练任务相结合，以增强运动或认知表现。
One out of four patients with a psychiatric disorder does not tolerate or sufficiently respond to standard treatments, leading to impaired quality of life, significant morbidity and mortality, as well as high socioeconomic costs. There is increasing evidence that-apart from psychopharmacologic and psychotherapeutic interventions-targeted modulation of neural networks by brain stimulation techniques might serve as a third treatment modality. In the whole spectrum of treatment modalities, combined approaches are often used for difficult-to-treat patients. They may be superior strategies compared to monotherapy and could possible also include brain stimulation interventions. However, systematic research is lacking for the latter issue. Particularly, non-invasive brain stimulation (NIBS), e.g., transcranial direct current stimulation (tDCS) can be easily combined with psychotherapy approaches. Here, we introduce NIBS techniques for priming and augmenting psychotherapy, review preliminary data and propose a future research strategy. Interestingly, this strategy parallels the promising development in neurology and neurorehabilitation where tDCS is currently combined with functional training tasks to enhance motor or cognitive performance.