A Clinical Trial with Combined Transcranial Direct Current Stimulation and Attentional Bias Modification in Alcohol‐Dependent Patients

作者: Tess E. den Uyl , Thomas E. Gladwin , Johannes Lindenmeyer , Reinout W. Wiers

DOI: 10.1111/ACER.13841

关键词:

摘要: Modifying attentional processes with bias modification (ABM) might be a relevant add-on to treatment in addiction. This study investigated whether influencing cortical plasticity transcranial direct current stimulation (tDCS) could increase training effects. tDCS also help alcohol-dependent patients overcome craving and reduce relapse, independent of training. These approaches were combined investigate effects the alcoholism. Ninety-eight (analytical sample = 83) randomly assigned 4 groups 2-by-2 factorial design. Patients received sessions ABM (control or real training) 2 mA (active: 20 minutes sham: 30 seconds) over left dorsolateral prefrontal cortex. Alcohol assessed, outcome was measured as relapse after 1 year. Attentional scores indicated that during only group active displayed an overall avoidance (p   0.2). However, on expected direction. There no evidence beneficial effect combination. Whether absence due issues measurements (e.g., lack craving, high dropout, unreliable measurements) aspects intervention should further investigated. [Abstract copyright: © 2018 The Authors Alcoholism: Clinical & Experimental Research published by Wiley Periodicals, Inc. behalf Society Alcoholism.]

参考文章(56)
Michael A. Nitsche, Walter Paulus, Transcranial direct current stimulation--update 2011. Restorative Neurology and Neuroscience. ,vol. 29, pp. 463- 492 ,(2011) , 10.3233/RNN-2011-0618
Bram Van Bockstaele, Elske Salemink, Susan M. Bögels, Reinout W. Wiers, Limited generalisation of changes in attentional bias following attentional bias modification with the visual probe task Cognition & Emotion. ,vol. 31, pp. 369- 376 ,(2017) , 10.1080/02699931.2015.1092418
B. A. Flannery, J. R. Volpicelli, H. M. Pettinati, Psychometric Properties of the Penn Alcohol Craving Scale Alcoholism: Clinical and Experimental Research. ,vol. 23, pp. 1289- 1295 ,(1999) , 10.1111/J.1530-0277.1999.TB04349.X
Patrick J.F. Clarke, Michael Browning, Geoff Hammond, Lies Notebaert, Colin MacLeod, The causal role of the dorsolateral prefrontal cortex in the modification of attentional bias: evidence from transcranial direct current stimulation. Biological Psychiatry. ,vol. 76, pp. 946- 952 ,(2014) , 10.1016/J.BIOPSYCH.2014.03.003
Colin MacLeod, Cognitive bias modification procedures in the management of mental disorders Current Opinion in Psychiatry. ,vol. 25, pp. 114- 120 ,(2012) , 10.1097/YCO.0B013E32834FDA4A
Jan Theeuwes, Artem V. Belopolsky, Reward grabs the eye: oculomotor capture by rewarding stimuli. Vision Research. ,vol. 74, pp. 80- 85 ,(2012) , 10.1016/J.VISRES.2012.07.024
Inga Dybek, Gallus Bischof, Janina Grothues, Susa Reinhardt, Christian Meyer, Ulfert Hapke, Ulrich John, Andreas Broocks, Fritz Hohagen, Hans-Jürgen Rumpf, The reliability and validity of the Alcohol Use Disorders Identification Test (AUDIT) in a German general practice population sample Journal of Studies on Alcohol and Drugs. ,vol. 67, pp. 473- 481 ,(2006) , 10.15288/JSA.2006.67.473
Amy F.T. Arnsten, Katya Rubia, Neurobiological Circuits Regulating Attention, Cognitive Control, Motivation, and Emotion: Disruptions in Neurodevelopmental Psychiatric Disorders Journal of the American Academy of Child and Adolescent Psychiatry. ,vol. 51, pp. 356- 367 ,(2012) , 10.1016/J.JAAC.2012.01.008
Paul Christiansen, Tim M. Schoenmakers, Matt Field, Less than meets the eye: reappraising the clinical relevance of attentional bias in addiction. Addictive Behaviors. ,vol. 44, pp. 43- 50 ,(2015) , 10.1016/J.ADDBEH.2014.10.005