Reducing craving and consumption in individuals with drug addiction, obesity or overeating through neuromodulation intervention: a systematic review and meta-analysis of its follow-up effects
Song, Sensen5; Zilverstand, Anna4; Gui, Wenjun2,3; Pan, Xuefei6; Zhou, Xiaolin1,5,6,7
刊名ADDICTION
2021-10-21
通讯作者邮箱xz104@pku.edu.cn
页码14
关键词Addiction brain stimulation dlPFC eating disorders neuromodulation rTMS tDCS
ISSN号0965-2140
DOI10.1111/add.15686
产权排序3
文献子类实证研究
英文摘要

Background and aims Non-invasive brain stimulation has shown potential in clinical applications aiming at reducing craving and consumption levels in individuals with drug addiction or overeating behaviour. However, it is unclear whether these intervention effects are maintained over time. This study aimed to measure the immediate, short- and long-term effects of excitatory transcranial direct current stimulation (tDCS) and high-frequency repetitive transcranial magnetic stimulation (rTMS) targeting at dorsolateral prefrontal cortex (dlPFC) in people with drug addiction or overeating. Methods A systematic review and random effects meta-analysis. We included 20 articles (total of 22 studies using randomized controlled trials: 3 alcohol dependence, 3 drug dependence, 12 smoking, 4 overeating; total: 720 participants) from January 2000 to June 2020, which reported at least one follow-up assessment of craving, consumption or abstinence levels after the intervention. We compared effects of active versus sham stimulation immediately after the intervention and at the last follow-up assessment, as compared with baseline. Results Excitatory neuromodulation of dlPFC activity reduced craving and consumption immediately after the intervention (craving: g = 0.734, CI = 0.447-1.021, P < 0.001; consumption: g = 0.527, CI = 0.309-0.745; P < 0.001), as well as during short-, mid- and long-term abstinence (craving: g = 0.677, CI = 0.440-0.914, P < 0.001; consumption: g = 0.445, CI = 0.245-0.645, P < 0.001; abstinence levels: g = 0.698, CI = 0.433-0.963, P < 0.001; average time of follow-up: 84 +/- 83 days after last stimulation). Additional analysis demonstrated that the intervention effects were sustained in all populations studied (food, nicotine, alcohol or drug abuse) and with both stimulation techniques used (rTMS, tDCS). Interventions targeting at the left (vs right) hemisphere may be more effective. Conclusions Excitatory neuromodulation targeting the dorsolateral prefrontal cortex appears to lead to a sustained reduction of craving and consumption in individuals with addiction or overeating behaviour.

收录类别SCI
资助项目National Natural Science Foundation of China[71942001] ; National Natural Science Foundation of China[31630034]
WOS关键词TRANSCRANIAL MAGNETIC STIMULATION ; THETA-BURST-STIMULATION ; PREFRONTAL CORTEX ; SMOKING-CESSATION ; BRAIN-STIMULATION ; FOOD CRAVINGS ; USE DISORDER ; BEHAVIORS ; EFFICACY ; ABUSE
WOS研究方向Substance Abuse ; Psychiatry
出版者WILEY
WOS记录号WOS:000710278500001
资助机构National Natural Science Foundation of China
内容类型期刊论文
源URL[http://ir.psych.ac.cn/handle/311026/40860]  
专题心理研究所_中国科学院心理健康重点实验室
通讯作者Zhou, Xiaolin
作者单位1.East China Normal Univ, Sch Psychol & Cognit Sci, Shanghai, Peoples R China
2.Univ Chinese Acad Sci, Dept Psychol, Beijing, Peoples R China
3.Chinese Acad Sci, Inst Psychol, Key Lab Mental Hlth, Beijing, Peoples R China
4.Univ Minnesota, Dept Psychiat & Behav Sci, Minneapolis, MN 55455 USA
5.Tongji Univ, Sch Humanities, Dept Psychol, Shanghai, Peoples R China
6.Peking Univ, Sch Psychol & Cognit Sci, Beijing 100871, Peoples R China
7.Peking Univ, PKU IDG McGovern Inst Brain Res, Beijing, Peoples R China
推荐引用方式
GB/T 7714
Song, Sensen,Zilverstand, Anna,Gui, Wenjun,et al. Reducing craving and consumption in individuals with drug addiction, obesity or overeating through neuromodulation intervention: a systematic review and meta-analysis of its follow-up effects[J]. ADDICTION,2021:14.
APA Song, Sensen,Zilverstand, Anna,Gui, Wenjun,Pan, Xuefei,&Zhou, Xiaolin.(2021).Reducing craving and consumption in individuals with drug addiction, obesity or overeating through neuromodulation intervention: a systematic review and meta-analysis of its follow-up effects.ADDICTION,14.
MLA Song, Sensen,et al."Reducing craving and consumption in individuals with drug addiction, obesity or overeating through neuromodulation intervention: a systematic review and meta-analysis of its follow-up effects".ADDICTION (2021):14.
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