مقایسه اثربخشی تحریک جریان متناوب فراجمجمه‌ای و تحریک جریان مستقیم فراجمجمه‌ای بر کاهش ولع مصرف و کارکردهای شناختی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 کارشناسی ارشد مشاوره توانبخشی، گروه مشاوره، دانشکده علوم تربیتی و روانشناسی، تهران، ایران. ،

2 استادیار گروه مشاوره، دانشکده علوم تربیتی و ‌‌روان‌شناسی، دانشگاه شهید بهشتی، تهران،‌‌ایران

3 استادیار گروه روانشناسی، دانشکده علوم تربیتی و ‌‌روان‌شناسی، دانشگاه شهید بهشتی، تهران،‌‌ایران،

4 استادیار گروه روانشناسی، دانشکده علوم انسانی، دانشگاه زنجان، زنجان، ‌‌ایران.

چکیده

هدف: بر اساس مدل عصب‌شناختی اعتیاد، ایجاد و تداوم اعتیاد به مواد با نقص‌های شناختی و کاهش فعالیت در نواحی پیش‌پیشانی، به‌ویژه DLPFC، ارتباط دارد. این مطالعه به‌دنبال بررسی کارآمدی تحریک DLPFC در اعتیاد به مت‌آمفتامین و مقایسه اثربخشی تکنیک‌های تحریک غیرتهاجمی tDCS و tACS  بر کاهش ولع مصرف، تجارب هیجانی منفی و بهبود کارکردهای شناختی است. روش: اثربخشی 10 جلسه تحریک با جریان متناوب tACS  و تحریک با جریان مستقیم tDCS بر DLPFC و تأثیر آن بر بهبود کارکردهای شناختی و کاهش ولع مصرف در بیماران مصرف‌کننده مت‌آمفتامین بررسی شد. 45 جوان مصرف‌کننده که به یک کمپ درمانی مراجعه کرده بودند، به‌طور تصادفی در سه گروه tACS، tDCS  و گروه شم قرار گرفتند و در طی 5 هفته، 10 جلسه تحریک دریافت کردند. یافته‌ها: گروه‌هایی که tDCS و tACS دریافت کردند، در مقایسه با گروه شم و خط پایه، در کارکردهای شناختی بلافاصله پس از مداخله و یک ماه بعد، به‌طور معناداری بهبود یافتند. نتیجه‌گیری: این مطالعه نشان داد که تحریک مکرر DLPFC می‌تواند به بهبود کارکردهای شناختی و کاهش ولع مصرف در مبتلایان به مت‌آمفتامین کمک کند. برای تایید این یافته‌ها، مطالعات با پیگیری طولانی‌تر نیاز است.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Comparison of the Effectiveness of tACS and tDCS on Craving Reduction and Cognitive Functions

نویسندگان [English]

  • Farnush Bagheban-Sadati 1
  • Saeed Imani 2
  • Vahid Sadeghi-Firoozabadi 3
  • Jaber Alizadehgoradel 4
1 Master’s Student in Rehabilitation Counseling, Department of Counseling, Faculty of Educational Sciences and Psychology, Tehran, Iran.
2 Assistant Professor, Department of Counseling, Faculty of Educational Sciences and Psychology, Shahid Beheshti University, Tehran, Iran
3 Assistant Professor, Department of Psychology, Faculty of Educational Sciences and Psychology, Shahid Beheshti University, Tehran, Iran
4 Assistant Professor, Department of Psychology, Faculty of Humanities, University of Zanjan, Zanjan, Iran.
چکیده [English]

Abstract: Objective: According to the neurocognitive model of addiction, the initiation and persistence of substance use disorders are associated with cognitive deficits and reduced activity in the prefrontal regions, especially the DLPFC. This study aims to assess the therapeutic efficacy of DLPFC stimulation in methamphetamine addiction and compare the effectiveness of non-invasive techniques, tDCS and tACS, in reducing craving, negative emotional experiences, and improving cognitive functions. Method: The study compared the effectiveness of 10 sessions of transcranial stimulation using alternating current (tACS) and direct current (tDCS) on the DLPFC and its impact on cognitive function improvement and craving reduction in methamphetamine users. Forty-five young participants attending a rehabilitation center were randomly assigned to three groups: tACS, tDCS, and sham. They received 10 sessions of stimulation over 5 weeks. Results: The groups receiving tDCS and tACS showed significant improvements in cognitive functions immediately after the intervention and one month later, compared to the baseline and the sham group. Conclusion: This study demonstrates that repeated DLPFC stimulation can improve cognitive functions and reduce craving in methamphetamine users. Further studies with longer follow-up are needed to confirm these findings.

کلیدواژه‌ها [English]

  • Methamphetamine
  • tACS
  • tDCS
  • Cognitive Functions
  • Craving

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