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Effects of single-session versus multi-session non-invasive brain stimulation on craving and consumption in individuals with drug addiction, eating disorders or obesity: A meta-analysis
Song, Sensen1,2; Zilverstand, Anna3; Gui, Wenjun4,6; Li, Hui-jie5,6; Zhou, Xiaolin1,2,7,8
第一作者Song, Sensen
通讯作者邮箱x. zhou(xz104@pku.edu.cn )
心理所单位排序4
摘要

Background: Brain stimulation interventions are increasingly used to reduce craving and consumption in individuals with drug addiction or excessive eating behavior. However, the efficacy of these novel treatments and whether effect sizes are affected by the length of the intervention has not been comprehensively evaluated. Objective: A meta-analytical approach was employed to evaluate the effectiveness of non-invasive excitatory brain stimulation [transcranial Direct Current Stimulation (tDCS) and high-frequency repetitive Transcranial Magnetic Stimulation (rTMS)] targeted at dorsolateral prefrontal cortex (dlPFC) for reducing craving and consumption levels in drug and eating addiction, including both single- and multi-session protocols. Methods: After a comprehensive literature search, 48 peer-reviewed studies (1095 participants in total) were included in the current meta-analysis. We computed Hedge's g as a conservative measure for evaluating effect sizes. Results: Random effects analyses revealed a small effect of neuromodulation interventions on craving and a medium effect on consumption, favoring active over sham stimulation. These effects did not differ across the different populations investigated (alcohol, nicotine, illicit drugs, eating addictions) or by the used technique (rTMS/tDCS, left/right hemisphere). Multi-session protocols showed a larger effect size for reducing craving and consumption than single-session protocols, with a positive linear association between the number of sessions or administered pulses and craving reduction, indicating a dose-response effect. Conclusions: Our results provide compelling evidence that novel non-invasive brain stimulation targeted at dlPFC reduces craving and consumption levels (providing the first meta-analytical evidence for the latter effect in drug addiction), with larger effects in multi-session as compared to single-session interventions. (C) 2018 Elsevier Inc. All rights reserved.

关键词Brain stimulation tDCS rTMS dlPFC Addiction Eating disorders
2019-05-01
语种英语
DOI10.1016/j.brs.2018.12.975
发表期刊BRAIN STIMULATION
ISSN1935-861X
卷号12期号:3页码:606-618
期刊论文类型article
收录类别SCI
资助项目National Basic Research Program of China[2015CB856400] ; National Natural Science Foundation of China[31630034]
出版者ELSEVIER SCIENCE INC
WOS关键词TRANSCRANIAL MAGNETIC STIMULATION ; DORSOLATERAL PREFRONTAL CORTEX ; ALCOHOL-DEPENDENT PATIENTS ; SUBSTANCE USE DISORDERS ; FOOD CRAVINGS ; CORTICAL STIMULATION ; SMOKING ; RTMS ; METHAMPHETAMINE ; MODULATION
WOS研究方向Neurosciences & Neurology
WOS类目Clinical Neurology ; Neurosciences
WOS记录号WOS:000465395800002
Q分类Q1
资助机构National Basic Research Program of China ; National Natural Science Foundation of China
引用统计
被引频次:86[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.psych.ac.cn/handle/311026/29046
专题中国科学院心理健康重点实验室
中国科学院行为科学重点实验室
通讯作者Zhou, Xiaolin
作者单位1.Tongji Univ, Sch Humanities, Shanghai 200092, Peoples R China
2.Peking Univ, Sch Psychol & Cognit Sci, 5 Yiheyuan Rd, Beijing 100871, Peoples R China
3.Univ Minnesota, Dept Psychiat, Minneapolis, MN 55414 USA
4.Chinese Acad Sci, Inst Psychol, Key Lab Mental Hlth, Beijing 100101, Peoples R China
5.Chinese Acad Sci, Inst Psychol, CAS Key Lab Behav Sci, Beijing 100101, Peoples R China
6.Univ Chinese Acad Sci, Dept Psychol, Beijing 100101, Peoples R China
7.Peking Univ, Beijing Key Lab Behav & Mental Hlth, Beijing 100871, Peoples R China
8.Peking Univ, PKU IDG McGovern Inst Brain Res, Beijing 100871, Peoples R China
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Song, Sensen,Zilverstand, Anna,Gui, Wenjun,et al. Effects of single-session versus multi-session non-invasive brain stimulation on craving and consumption in individuals with drug addiction, eating disorders or obesity: A meta-analysis[J]. BRAIN STIMULATION,2019,12(3):606-618.
APA Song, Sensen,Zilverstand, Anna,Gui, Wenjun,Li, Hui-jie,&Zhou, Xiaolin.(2019).Effects of single-session versus multi-session non-invasive brain stimulation on craving and consumption in individuals with drug addiction, eating disorders or obesity: A meta-analysis.BRAIN STIMULATION,12(3),606-618.
MLA Song, Sensen,et al."Effects of single-session versus multi-session non-invasive brain stimulation on craving and consumption in individuals with drug addiction, eating disorders or obesity: A meta-analysis".BRAIN STIMULATION 12.3(2019):606-618.
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