The effects of repetitive transcranial magnetic stimulation on cue-induced craving in male patients with heroin use disorder

被引：32
|
作者：
Liu, Xiaoli [1 ,2 ,3 ,10 ]
Zhao, Xiwen [4 ]
Liu, Ting [1 ,2 ]
Liu, Qingming [1 ,2 ]
Tang, Li [5 ]
Zhang, Hui [6 ]
Luo, Wenbo [7 ,11 ]
Daskalakis, Zafiris J. [8 ,9 ]
Yuan, Ti-Fei [1 ,3 ]
机构：
[1] Shanghai Jiao Tong Univ, Shanghai Mental Hlth Ctr, Shanghai Key Lab Psychot Disorders, Sch Med, Shanghai, Peoples R China
[2] Nanjing Normal Univ, Sch Psychol, Nanjing, Jiangsu, Peoples R China
[3] Nantong Univ, Coinnovat Ctr Neuroregenerat, Nantong, Jiangsu, Peoples R China
[4] Yale Univ, Yale Ctr Analyt Sci, Sch Publ Hlth, New Haven, CT USA
[5] St Jude Childrens Res Hosp, Dept Biostat, 332 N Lauderdale St, Memphis, TN 38105 USA
[6] Northwestern Univ, Feinberg Sch Med, Dept Prevent Med, Chicago, IL 60611 USA
[7] Liaoning Normal Univ, Res Ctr Brain & Cognit Neurosci, Dalian, Peoples R China
[8] Univ Toronto, Temerty Ctr Therapeut Brain Intervent, Ctr Addict & Mental Hlth, Toronto, ON, Canada
[9] Univ Toronto, Dept Psychiat, Toronto, ON, Canada
[10] Ningbo Kangning Hosp, Ningbo Key Lab Sleep Med, Ningbo, Zhejiang, Peoples R China
[11] Key Lab Brain & Cognit Neurosience, Dalian, Peoples R China
来源：
EBIOMEDICINE | 2020年 / 56卷
基金：
加拿大健康研究院;
关键词：
Transcranial magnetic stimulation; Craving; Addiction; Heroin; Opioid; DORSOLATERAL PREFRONTAL CORTEX; STRIATAL DOPAMINE; ADDICTION; COCAINE; BRAIN; RTMS; NEUROBIOLOGY; ABSTINENCE; INCUBATION; PLASTICITY;
D O I：
10.1016/j.ebiom.2020.102809
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Background: Craving is a central feature of addiction. Early evidence suggests that repetitive transcranial magnetic stimulation is effective in reducing cue induced craving for patients with opioid use disorder (OUD). However, trials in large populations of patients with OUDs are lacking. Methods: We randomly assigned 118 male heroin patients into three groups (i.e., 10 Hz rTMS, 1 Hz rTMS and a wait-list control group) from two addiction rehabilitation centers. rTMS was applied to the left dorsolateral prefrontal cortex (DLPFC) for 20 daily consecutive sessions. Findings: Results showed that 10 Hz rTMS and 1 Hz rTMS were both effective in reducing cue-induced craving scores in heroin users when compared to the wait list group. The treatment effects lasted for up to 60 days after rTMS treatment cessation. Interpretation: Our results suggest that rTMS applied to the DLPFC is effective in reducing craving severity in heroin use disorder patients. Our results also suggest that such treatment effects can last for up to 60 days after treatment cessation. (C) 2020 The Author(s). Published by Elsevier B.V.
引用
收藏
页数：7
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