دورية أكاديمية

Transcranial alternating current stimulation for schizophrenia: a systematic review of randomized controlled studies

التفاصيل البيبلوغرافية
العنوان: Transcranial alternating current stimulation for schizophrenia: a systematic review of randomized controlled studies
المؤلفون: Wei, Xin, Shi, Zhan-Ming, Lan, Xian-Jun, Qin, Zhen-Juan, Mo, Yu, Wu, Hua-Wang, Huang, Xing-Bing, Zeng, Qing-Bin, Luo, Li-Xia, Yang, Xin-Hu, Zheng, Wei
المصدر: Frontiers in Psychiatry ; volume 14 ; ISSN 1664-0640
بيانات النشر: Frontiers Media SA
سنة النشر: 2024
المجموعة: Frontiers (Publisher - via CrossRef)
مصطلحات موضوعية: Psychiatry and Mental health
الوصف: Background In randomized clinical trials (RCTs) investigating the application of transcranial alternating current stimulation (tACS) in schizophrenia, inconsistent results have been reported. The purpose of this exploratory systematic review of RCTs was to evaluate tACS as an adjunct treatment for patients with schizophrenia based on its therapeutic effects, tolerability, and safety. Methods Our analysis included RCTs that evaluated adjunctive tACS’ effectiveness, tolerability, and safety in schizophrenia patients. Three independent authors extracted data and synthesized it using RevMan 5.3 software. Results Three RCTs involving 76 patients with schizophrenia were encompassed in the analysis, with 40 participants receiving active tACS and 36 receiving sham tACS. Our study revealed a significant superiority of active tACS over sham tACS in improving total psychopathology (standardized mean difference [SMD] = −0.61, 95% confidence interval [CI]: −1.12, −0.10; I 2 = 16%, p = 0.02) and negative psychopathology (SMD = −0.65, 95% CI: −1.11, −0.18; I 2 = 0%, p = 0.007) in schizophrenia. The two groups, however, showed no significant differences in positive psychopathology, general psychopathology, or auditory hallucinations (all p > 0.05). Two RCTs examined the neurocognitive effects of tACS, yielding varied findings. Both groups demonstrated similar rates of discontinuation due to any reason and adverse events (all p > 0.05). Conclusion Adjunctive tACS is promising as a viable approach for mitigating total and negative psychopathology in individuals diagnosed with schizophrenia. However, to gain a more comprehensive understanding of tACS’s therapeutic effects in schizophrenia, it is imperative to conduct extensive, meticulously planned, and well-documented RCTs.
نوع الوثيقة: article in journal/newspaper
اللغة: unknown
DOI: 10.3389/fpsyt.2023.1308437
DOI: 10.3389/fpsyt.2023.1308437/full
الإتاحة: https://doi.org/10.3389/fpsyt.2023.1308437Test
حقوق: https://creativecommons.org/licenses/by/4.0Test/
رقم الانضمام: edsbas.21AC33B6
قاعدة البيانات: BASE