مقایسه اثربخشی تحریک جریان متناوب فراجمجمهای و تحریک جریان مستقیم فراجمجمهای بر کاهش ولع مصرف و کارکردهای شناختی | ||
| فصلنامه روانشناسی کاربردی | ||
| مقاله 2، دوره 19، شماره 3 - شماره پیاپی 75، شهریور 1404، صفحه 30-54 اصل مقاله (712.97 K) | ||
| نوع مقاله: مقاله پژوهشی | ||
| شناسه دیجیتال (DOI): 10.48308/apsy.2025.236989.1709 | ||
| نویسندگان | ||
| فرنوش باغبان ساداتی1؛ سعید ایمانی* 2؛ وحید صادقی فیروزآبادی* 3؛ جابر علیزاده گورادل4 | ||
| 1کارشناسی ارشد مشاوره توانبخشی، گروه مشاوره، دانشکده علوم تربیتی و روانشناسی، تهران، ایران. | ||
| 2استادیار گروه مشاوره، دانشکده علوم تربیتی و روانشناسی، دانشگاه شهید بهشتی، تهران،ایران. | ||
| 3استادیار گروه روانشناسی، دانشکده علوم تربیتی و روانشناسی، دانشگاه شهید بهشتی، تهران،ایران. | ||
| 4استادیار 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 تأیید این یافتهها، مطالعات با پیگیری طولانیتر نیاز است. | ||
| کلیدواژهها | ||
| متآمفتامین؛ تحریک الکتریکی فراجمجمهای با جریان متناوب؛ تحریک الکتریکی مستقیم فراجمجمهای با جریان مستقیم؛ کارکردهای شناختی؛ ولع مصرف | ||
| عنوان مقاله [English] | ||
| Comparison of the Effectiveness of tACS and tDCS on Craving Reduction and Cognitive Functions | ||
| نویسندگان [English] | ||
| Farnush Bagheban-Sadati1؛ Saeed Imani2؛ Vahid Sadeghi-Firoozabadi3؛ Jaber Alizadehgoradel4 | ||
| 1Master’s Student in Rehabilitation Counseling, Department of Counseling, Faculty of Educational Sciences and Psychology, Tehran, Iran. | ||
| 2Assistant Professor, Department of Counseling, Faculty of Educational Sciences and Psychology, Shahid Beheshti University, Tehran, Iran | ||
| 3Assistant Professor, Department of Psychology, Faculty of Educational Sciences and Psychology, Shahid Beheshti University, Tehran, Iran | ||
| 4Assistant Professor, Department of Psychology, Faculty of Humanities, University of Zanjan, Zanjan, Iran. | ||
| چکیده [English] | ||
| Aim: According to neurocognitive models of addiction, the initiation and persistence of substance use disorders are associated with cognitive deficits and reduced activity in prefrontal regions, particularly the dorsolateral prefrontal cortex (DLPFC). This study aimed to evaluate the therapeutic effects of DLPFC stimulation in methamphetamine addiction and to compare the effectiveness of transcranial direct current stimulation (tDCS) and transcranial alternating current stimulation (tACS) in reducing craving, negative emotional experiences, and cognitive deficits. Methods: Forty-five individuals undergoing treatment at a rehabilitation center were randomly assigned to three groups: tDCS, tACS, and sham stimulation. Participants received ten stimulation sessions over five weeks. Cognitive functions and craving levels were assessed at baseline, immediately after the intervention, and one month later. Results: Both the tDCS and tACS groups demonstrated significant improvements in cognitive functioning and reductions in craving compared to baseline and the sham group, both immediately post-intervention and at one-month follow-up. Conclusion: Repeated DLPFC stimulation using tDCS or tACS appears to improve cognitive functions and reduce craving in individuals with methamphetamine use disorder. Further studies with longer follow-up periods are recommended. | ||
| کلیدواژهها [English] | ||
| Methamphetamine, tACS, tDCS, Cognitive Functions, Craving | ||
| مراجع | ||
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