XV. brain stimulation therapeutics

This chapter covers how repetitive transcranial magnetic stimulation (rTMS) or transcranial direct current stimulation (tDCS) presently affects smoking cessation. 14 human studies have examined the efficacy of rTMS on cue craving, cigarette consumption, or smoking cessation using a variety of differ...

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Main Authors: Xingbao Li, Mark S George, Abraham Zangen
Format: Article
Language:English
Published: Elsevier 2023-06-01
Series:Addiction Neuroscience
Online Access:http://www.sciencedirect.com/science/article/pii/S2772392523000202
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author Xingbao Li
Mark S George
Abraham Zangen
author_facet Xingbao Li
Mark S George
Abraham Zangen
author_sort Xingbao Li
collection DOAJ
description This chapter covers how repetitive transcranial magnetic stimulation (rTMS) or transcranial direct current stimulation (tDCS) presently affects smoking cessation. 14 human studies have examined the efficacy of rTMS on cue craving, cigarette consumption, or smoking cessation using a variety of different coils, locations, and treatment parameters. These studies included 7 randomized-controlled trials (RCT) and 7 experimental studies. Most studies (12/14) reported that rTMS reduced cue-induced craving, 5 showed that it decreased cigarette consumption, and 3/4 reported that multiple sessions of rTMS increased the quit rate. In contrast to rTMS, tDCS has 6 RCT studies, of which only 2 studies reported that tDCS reduced craving, and only 1 reported that it reduced cigarette consumption. Three studies failed to find an effect of tDCS on cravings. No tDCS studies reported changing quitting rates in people who smoke. Despite the early positive results of tDCS on nicotine dependence symptoms, 2 larger RCTs recently failed to find a therapeutic effect of tDCS for smoking cessation. In conclusion, rTMS studies demonstrate that multiple sessions help quit smoking, and it has gained FDA approval for that purpose. However, more studies are needed to examine the effect of tDCS with different treatment parameters.
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spelling doaj.art-1d219881aa8e4db99eca7b7385c10df52023-04-13T04:27:32ZengElsevierAddiction Neuroscience2772-39252023-06-016100080XV. brain stimulation therapeuticsXingbao Li0Mark S George1Abraham Zangen2Brain Stimulation Division, Psychiatry Department, Medical University of South Carolina, Charleston, SC, USA; Corresponding author at: Brain Stimulation Division, Department of Psychiatry, Medical University of South Carolina, 67 President St., 505N, Charleston, SC 29425, USA.Brain Stimulation Division, Psychiatry Department, Medical University of South Carolina, Charleston, SC, USA; Ralph H. Johnson VA Medical Center, Charleston, SC, USABen-Gurion University of the Negev, Beer-Sheva, IsraelThis chapter covers how repetitive transcranial magnetic stimulation (rTMS) or transcranial direct current stimulation (tDCS) presently affects smoking cessation. 14 human studies have examined the efficacy of rTMS on cue craving, cigarette consumption, or smoking cessation using a variety of different coils, locations, and treatment parameters. These studies included 7 randomized-controlled trials (RCT) and 7 experimental studies. Most studies (12/14) reported that rTMS reduced cue-induced craving, 5 showed that it decreased cigarette consumption, and 3/4 reported that multiple sessions of rTMS increased the quit rate. In contrast to rTMS, tDCS has 6 RCT studies, of which only 2 studies reported that tDCS reduced craving, and only 1 reported that it reduced cigarette consumption. Three studies failed to find an effect of tDCS on cravings. No tDCS studies reported changing quitting rates in people who smoke. Despite the early positive results of tDCS on nicotine dependence symptoms, 2 larger RCTs recently failed to find a therapeutic effect of tDCS for smoking cessation. In conclusion, rTMS studies demonstrate that multiple sessions help quit smoking, and it has gained FDA approval for that purpose. However, more studies are needed to examine the effect of tDCS with different treatment parameters.http://www.sciencedirect.com/science/article/pii/S2772392523000202
spellingShingle Xingbao Li
Mark S George
Abraham Zangen
XV. brain stimulation therapeutics
Addiction Neuroscience
title XV. brain stimulation therapeutics
title_full XV. brain stimulation therapeutics
title_fullStr XV. brain stimulation therapeutics
title_full_unstemmed XV. brain stimulation therapeutics
title_short XV. brain stimulation therapeutics
title_sort xv brain stimulation therapeutics
url http://www.sciencedirect.com/science/article/pii/S2772392523000202
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