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中华临床医师杂志(电子版) ›› 2021, Vol. 15 ›› Issue (02) : 144 -148. doi: 10.3877/cma.j.issn.1674-0785.2021.02.012

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综述

经颅直流电刺激在抑郁症中的治疗进展
张钰1, 雷蕾1, 张爱霞1, 杨春霞1, 张克让1,()   
  1. 1. 030000 太原,山西医科大学第一医院精神卫生科
  • 收稿日期:2020-08-31 出版日期:2021-02-15
  • 通信作者: 张克让

Progress of transcranial direct current stimulation in treatment of depression

Yu Zhang1, Lei Lei1, Aixia Zhang1, Chunxia Yang1, Kerang. Zhang1,()   

  1. 1. Department of Mental Health, First Hospital of Shanxi Medical University, Taiyuan 030000, China
  • Received:2020-08-31 Published:2021-02-15
  • Corresponding author: Kerang. Zhang
引用本文:

张钰, 雷蕾, 张爱霞, 杨春霞, 张克让. 经颅直流电刺激在抑郁症中的治疗进展[J]. 中华临床医师杂志(电子版), 2021, 15(02): 144-148.

Yu Zhang, Lei Lei, Aixia Zhang, Chunxia Yang, Kerang. Zhang. Progress of transcranial direct current stimulation in treatment of depression[J]. Chinese Journal of Clinicians(Electronic Edition), 2021, 15(02): 144-148.

抑郁症是以显著而持久的心境低落为主要临床特征的一种精神障碍。经颅直流电刺激(tDCS)作为常用的非侵入式神经活动调节手段,其作用机制与疗效仍存在争议,本文通过比较单一tDCS与药物以及两者联合作用效果,从tDCS作用机制、安全性、未来发展前景等方面综述tDCS在抑郁症治疗中的应用和进展。

Depression is a kind of mental disorder characterized by significant and persistent low mood. Transcranial direct current stimulation (tDCS) is commonly used as a noninvasive neural activity regulating means, and its mechanism of action and efficacy remain controversial. In this paper, we review the application of tDCS in the treatment of depression from the perspectives of mechanism, safety, and future prospects by comparing the efficacy of tDCS alone and in combination with drugs.

1
De Aguiar Neto FS, Rosa JLG. Depression biomarkers using non-invasive EEG: a review [J]. Neurosci Biobehav Rev, 2019, 105: 83-93.
2
Pacheco-Barrios K, Cardenas-Rojas A, Thibaut A, et al. Methods and strategies of tDCS for the treatment of pain: current status and future directions [J]. Expert Rev Med Devices, 2020, 17(9): 879-898.
3
张力新, 郭冬月, 刘爽, 等. 经颅直流电刺激(tDCS)用于抑郁症治疗研究进展 [J]. 中国生物医学工程学报, 2018, 37(5): 616-624.
4
Lefaucheur JP, Antal A, Ayache SS, et al. Evidence-based guidelines on the therapeutic use of transcranial direct current stimulation (tDCS) [J]. Clin Neurophysiol, 2017, 128(1): 56-92.
5
Russo C, Souza Carneiro MI, Bolognini N, et al. Safety review of transcranial direct current stimulation in stroke [J]. Neuromodulation, 2017, 20(3): 215-222.
6
Zewdie E, Ciechanski P, Kuo HC, et al. Safety and tolerability of transcranial magnetic and direct current stimulation in children: Prospective single center evidence from 3.5 million stimulations [J]. Brain Stimul, 2020, 13(3): 565-575.
7
Cleland BT, Galick M, Huckstep A, et al. Feasibility and safety of transcranial direct current stimulation in an outpatient rehabilitation setting after stroke [J]. Brain Sci, 2020, 10(10): 719.
8
Moffa AH, Brunoni AR, Fregni F, et al. Safety and acceptability of transcranial direct current stimulation for the acute treatment of major depressive episodes: analysis of individual patient data [J]. J Affect Disord, 2017, 221: 1-5.
9
Valiengo L, Goerigk S, Gordon PC, et al. Efficacy and safety of transcranial direct current stimulation for treating negative symptoms in schizophrenia: a randomized clinical trial [J]. JAMA Psychiatry, 2020, 77(2): 121-129.
10
Wang Z, Zhu R, Rehman AU, et al. Dorsolateral prefrontal cortex and task-switching performance: effects of anodal transcranial direct current stimulation [J]. Neuroscience, 2020, 446: 94-101.
11
Stagg CJ, Antal A,Nitsche MA. Physiology of transcranial direct current stimulation [J]. J ECT, 2018, 34(3): 144-152.
12
Liu WZ, Zhang WH, Zheng ZH, et al. Identification of a prefrontal cortex-to-amygdala pathway for chronic stress-induced anxiety [J]. Nat Commun, 2020, 11(1): 2221.
13
Kummer KK, Mitrić M, Kalpachidou T, et al. The medial prefrontal cortex as a central hub for mental comorbidities associated with chronic pain [J]. Int J Mol Sci, 2020, 21(10): 3440.
14
Hare BD, Duman RS. Prefrontal cortex circuits in depression and anxiety: contribution of discrete neuronal populations and target regions [J]. Mol Psychiatry, 2020, 25(11): 2742-2758.
15
Fröhlich F, McCormick DA. Endogenous electric fields may guide neocortical network activity [J]. Neuron, 2010, 67(1): 129-143.
16
Goerigk S, Cretaz E, Sampaio-Junior B, et al. Effects of tDCS on neuroplasticity and inflammatory biomarkers in bipolar depression: Results from a sham-controlled study [J]. Prog Neuropsychopharmacol Biol Psychiatry, 2021, 105: 110119.
17
Brunoni AR, Moffa AH, Fregni F, et al. Transcranial direct current stimulation for acute major depressive episodes: meta-analysis of individual patient data [J]. Br J Psychiatry, 2016, 208(6): 522-531.
18
Shiozawa P, Fregni F, Benseñor IM, et al. Transcranial direct current stimulation for major depression:an updated systematic review and meta-analysis [J]. Int J Neuropsychopharmacol, 2014, 17(9): 1443-1452.
19
Berlim MT, Van den Eynde F, Daskalakis ZJ. Clinical utility of transcranial direct current stimulation (tDCS) for treating major depression: a systematic review and meta-analysis of randomized, double-blind and sham-controlled trials [J]. J Psychiatr Res, 2013,47(1): 1-7.
20
Loo CK, Alonzo A, Martin D, et al. Transcranial direct current stimulation for depression: 3-week, randomised, sham-controlled trial [J]. Br J Psychiatry, 2012, 200(1): 52-59.
21
Ferrucci R, Bortolomasi M, Brunoni AR, et al. Comparative benefits of transcranial direct current stimulation (tDCS) treatment in patients with mild/moderate vs. severe depression [J]. Clin Neuropsychiatry, 2009, 6(6): 246-251.
22
Boggio PS, Rigonatti SP, Ribeiro RB, et al. A randomized, double-blind clinical trial on the efficacy of cortical direct current stimulation for the treatment of major depression [J]. Int J Neuropsychopharmacol, 2008, 11(2): 249-254.
23
Dell′Osso B, Dobrea C, Arici C, et al. Augmentative transcranial direct current stimulation (tDCS) in poor responder depressed patients: a follow-up study [J]. CNS Spectrums, 2014, 19(4): 347-354.
24
Bennabi D, Carvalho N, Bisio A, et al. Influence of transcranial direct current stimulation on psychomotor symptoms in major depression [J]. Brain Sci, 2020,10(11): 792.
25
Li MS, Du XD, Chu HC, et al. Delayed effect of bifrontal transcranial direct current stimulation in patients with treatment-resistant depression: a pilot study [J]. BMC Psychiatry, 2019, 19(1): 180.
26
Mutz J, Edgcumbe DR, Brunoni AR, et al. Efficacy and acceptability of non-invasive brain stimulation for the treatment of adult unipolar and bipolar depression: A systematic review and meta-analysis of randomised sham-controlled trials [J]. Neurosci Biobehav Rev, 2018, 92: 291-303.
27
Lefaucheur JP, Antal A, Ayache SS, et al. Evidence-based guidelines on the therapeutic use of transcranial direct current stimulation (tDCS) [J]. Clin Neurophysiol, 2017, 128(1): 56-92.
28
Hassan AB, Danazumi MS, Abdullahi A, et al. Effect of transcranial direct current stimulation (tDCS) delivered via dorsolateral prefrontal cortex on central post-stroke pain and depression: a case report [J]. Physiother Theory Pract, 2021: 1-8. Online ahead of print.
29
Bares M, Brunovsky M, Stopkova P, et al. Transcranial direct-current stimulation (tDCS) versus Venlafaxine ER in the treatment of depression: a randomized, double-blind, single-center study with open-label, follow-up [J]. Neuropsychiatr Dis Treat, 2019, 15: 3003-3014.
30
Brunoni AR, Valiengo L,Baccaro A, et al. The sertraline vs. electrical current therapy for treating depression clinical study: results from a factorial, randomized, controlled trial [J]. JAMA Psychiatry, 2013, 70(4): 383-391.
31
Goerigk SA, Padberg F, Bühner M,et al. Distinct trajectories of response to prefrontal tDCS in major depression: results from a 3-arm randomized controlled trial [J]. Neuropsychopharmacology, 2021, 46(4): 774-782.
32
Brunoni AR, Moffa AH, Sampaio-Junior B, et al. Trial of Electrical direct-current therapy versus escitalopram for depression [J]. N Engl J Med, 2017, 376(26): 2523-2533.
33
Brunoni AR, Boggio PS, De Raedt R, et al. Cognitive control therapy and transcranial direct current stimulation for depression: a randomized, double-blinded, controlled trial [J]. J Affect Disord, 2014,162: 43-49.
34
Kolskår KK, Richard G, Alnaes D, et al. Reliability, sensitivity, and predictive value of fMRI during multiple object tracking as a marker of cognitive training gain in combination with tDCS in stroke survivors [J]. Hum Brain Mapp, 2021, 42(4): 1167-1181.
35
Vestito L, Trombini M, Mori L, et al. Improved visuospatial neglect after tDCS and computer-assisted cognitive training in posterior cortical atrophy: a single-case study [J]. Neurocase, 2020: 1-7. Online ahead of print.
36
Callejón-Leblic MA, Miranda PC. A computational parcellated brain model for electric field analysis in transcranial direct current stimulation [C]. Brain and Human Body Modeling 2020: Computational Human Models Presented at EMBC 2019 and the BRAIN Initiative® 2019 Meeting, 2021: 81-99.
37
Filmer HL, Ballard T, Ehrhardt SE, et al. Dissociable effects of tDCS polarity on latent decision processes are associated with individual differences in neurochemical concentrations and cortical morphology [J]. Neuropsychologia, 2020, 141: 107-433.
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