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Brain stimulation therapeutics.
Li, Xingbao; George, Mark S; Zangen, Abraham.
Affiliation
  • Li X; Brain Stimulation Division, Psychiatry Department, Medical University of South Carolina, Charleston, SC, USA.
  • George MS; Brain Stimulation Division, Psychiatry Department, Medical University of South Carolina, Charleston, SC, USA.
  • Zangen A; Ralph H. Johnson VA Medical Center, Charleston, SC, USA.
Addict Neurosci ; 62023 Jun.
Article in En | MEDLINE | ID: mdl-38770029
ABSTRACT
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.
Key words

Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: Addict Neurosci Year: 2023 Document type: Article Affiliation country: Country of publication:

Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: Addict Neurosci Year: 2023 Document type: Article Affiliation country: Country of publication: