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
刊名BRAIN STIMULATION
2019-05-01
卷号12期号:3页码:606-618
关键词Brain stimulation tDCS rTMS dlPFC Addiction Eating disorders
ISSN号1935-861X
DOI10.1016/j.brs.2018.12.975
产权排序4
文献子类article
英文摘要

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.

资助项目National Basic Research Program of China[2015CB856400] ; National Natural Science Foundation of China[31630034]
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
语种英语
出版者ELSEVIER SCIENCE INC
WOS记录号WOS:000465395800002
资助机构National Basic Research Program of China ; National Natural Science Foundation of China
内容类型期刊论文
源URL[http://ir.psych.ac.cn/handle/311026/29045]  
专题心理研究所_中国科学院心理健康重点实验室
心理研究所_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
推荐引用方式
GB/T 7714
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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