Synergistic effect of combined transcranial direct current stimulation and Matrix ‎Model on the reduction of methamphetamine craving and improvement of cognitive ‎functioning: a randomized sham-controlled study

Feyzi, Yasha Fayaz; Vahed, Neda; Nikraftar, Nazanin Sadeghamal; Arezoomandan, Reza

doi:10.1080/00952990.2021.2015771

Cited by 8 publications

(3 citation statements)

References 43 publications

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“…In addition to rTMS, non-invasive brain stimulation like tDCS have shown promising effect in substance use disorder ( 10 ). A randomized and sham-controlled trial including 60 male patients showed that the combination of Matrix Model psychotherapy and tDCS may improve cognition and craving in MUD ( 9 ). Further trials are suggested to evaluate the treatment effect of rTMS and tDCS in patients with MUD.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Repetitive Transcranial Magnetic Stimulation in Patients With Methamphetamine Use Disorder: A Systematic Review and Meta-Analysis of Double-Blind Randomized Controlled Trials

et al. 2022

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BackgroundRepetitive transcranial magnetic stimulation (rTMS) has demonstrated therapeutic potential for treating patients with methamphetamine use disorder (MUD). However, the most effective target and stimulation frequency of rTMS for treating MUD remains unclear. This meta-analysis explored the effect of rTMS on MUD.MethodsIn this study, PubMed, Cochrane Systematic Reviews, and the Cochrane Collaboration Central Register of Controlled Clinical Trials were searched electronically for double-blind randomized controlled trials that used rTMS for treating MUD. We used published trials to investigate the efficacy of rTMS in MUD up to March 5, 2022, and pooled studies using a random-effect model to compare rTMS treatment effects. Patients who were diagnosed with MUD according to the criteria of the Diagnostic and Statistical Manual of Mental Disorders were recruited. Clinical craving scores between baseline and after rTMS were compared using the standardized mean difference (SMD) with 95% confidence intervals (CIs). The heterogeneity of the included trials was evaluated through a visual inspection of funnel plots and the I2 statistic.ResultsWe identified seven trials with 462 participants with MUD that met the inclusion criteria. All the studies evaluated craving scores, with rTMS demonstrating a more significant effect than the sham treatment on reducing craving scores (SMD = 0.983, CI = 0.620–1.345, p ≤ 0.001). A subgroup meta-analysis revealed that intermittent theta-burst stimulation (iTBS) had a greater positive effect than 10-Hz rTMS. A metaregression revealed that the SMDs increased with the increase in baseline craving scores, whereas they decreased with the increase in the proportion of men and duration of abstinence.ConclusionThe meta-analysis suggests that rTMS may be associated with treatment effect on craving symptoms in patients with MUD. iTBS may have a greater positive effect on craving reduction than 10-z rTMS.

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Section: Discussionmentioning

confidence: 99%

Efficacy of Repetitive Transcranial Magnetic Stimulation in Patients With Methamphetamine Use Disorder: A Systematic Review and Meta-Analysis of Double-Blind Randomized Controlled Trials

et al. 2022

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“…The application of tDCS has also shown interesting results with respect to other conditions closely related to forms of cognitive impairments, more specifically in the domains of executive functions and working memory, such as substance use disorder and Craving (Martinotti G, et al, 2019;Lupi M, et al, 2017;Fayaz Feyzi et al, 2022) 10,11,12 . Furthermore, tDCS is safe and easy to use, which makes it suitable for applications at home even for patients with cognitive decline (Park et al, 2019) 13 .…”

Section: Introductionmentioning

confidence: 99%

“…9 The application of tDCS has also shown interesting results with respect to other conditions closely related to forms of cognitive impairments, more specifically in the domains of executive functions and working memory, such as substance use disorder and craving. [10][11][12] Furthermore, tDCS is safe and easy to use, which makes it suitable for applications at home even for patients with cognitive decline. 13 tDCS studies on individuals with MCI demonstrated a beneficial effect of single or repeated administrations of anodal tDCS on a wide range of outcome variables, from subjective memory, 14 to episodic verbal memory abilities, language, and global cognitive functioning.…”

Section: Introductionmentioning

confidence: 99%

Transcranial direct current stimulation in combination with cognitive training in individuals with mild cognitive impairment: a controlled 3-parallel-arm study

et al. 2022

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Objective Several studies showed that transcranial direct current stimulation (tDCS) enhances cognition in patients with mild cognitive impairment (MCI), however, whether tDCS leads to additional gains when combined with cognitive training remains unclear. This study aims to compare the effects of a concurrent tDCS-cognitive training intervention with either tDCS or cognitive training alone on a group of patients with MCI. Methods The study was a 3-parallel-arm study. The intervention consisted of 20 daily sessions of 20 minutes each. Patients (n = 62) received anodal tDCS to the left dorsolateral prefrontal cortex, cognitive training on 5 cognitive domains (orientation, attention, memory, language, and executive functions), or both. To examine intervention gains, we examined global cognitive functioning, verbal short-term memory, visuospatial memory, and verbal fluency pre- and post-intervention. Results All outcome measures improved after the intervention in the 3 groups. The improvement in global cognitive functioning and verbal fluency was significantly larger in patients who received the combined intervention. Instead, the intervention gain in verbal short-term memory and visuospatial memory was similar across the 3 groups. Discussion tDCS, regardless of the practicalities, could be an efficacious treatment in combination with cognitive training given the increased effectiveness of the combined treatment. Conclusions Future studies will need to consider individual differences at baseline, including genetic factors and anatomical differences that impact the electric field generated by tDCS and should also consider the feasibility of at-home treatments consisting of the application of tDCS with cognitive training.

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Association between rumination and drug craving in Chinese male methamphetamine use disorder patients with childhood trauma

Wang

Ren

et al. 2023

Child Abuse & Neglect

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Synergistic effect of combined transcranial direct current stimulation and Matrix ‎Model on the reduction of methamphetamine craving and improvement of cognitive ‎functioning: a randomized sham-controlled study

Cited by 8 publications

References 43 publications

Efficacy of Repetitive Transcranial Magnetic Stimulation in Patients With Methamphetamine Use Disorder: A Systematic Review and Meta-Analysis of Double-Blind Randomized Controlled Trials

Efficacy of Repetitive Transcranial Magnetic Stimulation in Patients With Methamphetamine Use Disorder: A Systematic Review and Meta-Analysis of Double-Blind Randomized Controlled Trials

Transcranial direct current stimulation in combination with cognitive training in individuals with mild cognitive impairment: a controlled 3-parallel-arm study

Association between rumination and drug craving in Chinese male methamphetamine use disorder patients with childhood trauma

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