非侵入性大脑刺激以改善注意力缺陷/多动障碍的认知缺陷和临床症状:系统性审查和元分析
Yao Yin1,2, Xueke Wang1,2, Tingyong Feng1,2
1Faculty of Psychology, Southwest University, Chongqing 400715, China.
Brain sciences
|January 8, 2025
概括
非侵入性脑刺激 (NIBS) 显示出对注意力缺陷/多动障碍 (ADHD) 的治疗有前途. 超直流刺激 (tDCS) 改善了认知功能和注意力不集中,这表明NIBS是ADHD的潜在辅助疗法.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 医疗技术 医疗技术 医学技术
背景情况:
- 注意缺陷/多动症 (ADHD) presents显著的认知挑战.
- 非侵入性脑刺激 (NIBS) 正被探索为一种补充性ADHD治疗方法.
- 在NIBS疗效的变化需要系统的评估.
研究的目的:
- 对NIBS在改善ADHD患者认知缺陷和临床症状方面的疗效进行元分析.
- 评估不同的NIBS模式,包括tDCS,rTMS,tRNS和tACS.
主要方法:
- 在2024年10月之前,对五个随机对照试验 (RCT) 数据库进行系统搜索.
- 包括符合ADHD的DSM/ICD标准的研究,重点关注认知功能和临床症状.
- 使用RevMan 5.4.1.1.进行的元分析.
主要成果:
- 与假的相比,活性横直流刺激 (tDCS) 显著改善了抑制控制,工作记忆和注意力不集中.
- 重复的横磁刺激 (rTMS) 对ADHD症状没有显著的治疗益处.
- 间随机噪声刺激 (tRNS) 和间交流电刺激 (tACS) 在执行功能和症状缓解方面显示出有前途的结果.
结论:
- 尼布斯,特别是tDCS,显示出作为ADHD管理的辅助疗法的潜力.
- 这些发现推动了对ADHD的理论理解和实际治疗选择.
- 对特定的NIBS协议进行进一步研究是有必要的.
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