Transcranial direct current stimulation (tDCS) in behavioral and food addiction: a systematic review of efficacy, technical, and methodological issues.
Transcranial direct current stimulation (tDCS) in behavioral and food addiction: a systematic review of efficacy, technical, and methodological issues.
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DOI：
10.3389/fnins.2015.00349
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发表时间：
2015
影响因子：
4.3
通讯作者：
Grall-Bronnec M
中科院分区：
文献类型：
--
作者：
Sauvaget A;Trojak B;Bulteau S;Jiménez-Murcia S;Fernández-Aranda F;Wolz I;Menchón JM;Achab S;Vanelle JM;Grall-Bronnec M
目的：行为成瘾(BA)是一种复杂的疾病，药物治疗和心理治疗已显示出其局限性。非侵入性脑刺激为成瘾治疗开辟了新的前景，经颅直流电刺激(TDC)是其中之一。这项工作的目的是对tdcs的有效性以及BA领域的技术和方法方面的考虑进行批判性和系统性的审查。方法：应用计算机检索Medline和Science Direct数据库，检索至2014年12月，检索标准如下：tdcs和BA的临床研究(即进食障碍、强迫购买、网络成瘾、病态赌博、性成瘾、运动成瘾、电子游戏成瘾)。根据PRISMA指南进行研究选择、数据分析和报告。结果：从402篇潜在文献中筛选出7篇研究。到目前为止，这些研究主要集中在不正常的饮食上，这些研究表明，tDC(右前额阳极/左前额阴极)可以减少视觉刺激引起的食物渴望。结论：尽管两项研究在方法和技术上存在差异，但结果是有希望的。到目前为止，关于BA中tdcs的研究还很少。除了进食障碍外，还推荐了一项关于tdcs在BA中使用的新研究。
Objectives: Behavioral addictions (BA) are complex disorders for which pharmacological and psychotherapeutic treatments have shown their limits. Non-invasive brain stimulation, among which transcranial direct current stimulation (tDCS), has opened up new perspectives in addiction treatment. The purpose of this work is to conduct a critical and systematic review of tDCS efficacy, and of technical and methodological considerations in the field of BA. Methods: A bibliographic search has been conducted on the Medline and ScienceDirect databases until December 2014, based on the following selection criteria: clinical studies on tDCS and BA (namely eating disorders, compulsive buying, Internet addiction, pathological gambling, sexual addiction, sports addiction, video games addiction). Study selection, data analysis, and reporting were conducted according to the PRISMA guidelines. Results: Out of 402 potential articles, seven studies were selected. So far focusing essentially on abnormal eating, these studies suggest that tDCS (right prefrontal anode/left prefrontal cathode) reduces food craving induced by visual stimuli. Conclusions: Despite methodological and technical differences between studies, the results are promising. So far, only few studies of tDCS in BA have been conducted. New research is recommended on the use of tDCS in BA, other than eating disorders.