陈进,陆建霞,苏敏.高频重复经颅磁刺激对大学生网络成瘾的干预效果[J].中华物理医学与康复杂志,2022,44(2):153-156
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| 高频重复经颅磁刺激对大学生网络成瘾的干预效果 |
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| DOI：10.3760/cma.j.issn.0254-1424.2022.02.012 |
| 中文关键词: 网络成瘾 高频 经颅磁刺激 背外侧前额叶 |
| 英文关键词: Internet addiction Transcranial magnetic stimulation Dorsolateral prefrontal cortex |
| 基金项目:国家自然科学基金面上项目（81672244）；江苏省卫生厅指导性科研基金资助项目（Z201319） |
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| 中文摘要: |
| 目的 探讨高频重复经颅磁刺激（rTMS）对大学生网络成瘾程度及其相关症状的影响。 方法 选取不同程度的网络成瘾大学生受试者50例，按随机数字表法分为治疗组和对照组，每组受试者25例。2组均进行心理行为疗法治疗，治疗组同时接受40 d、频率10 Hz的rTMS治疗，刺激部位为左侧DLPFC区，对照组则接受伪rTMS刺激治疗。于治疗前、治疗4周和治疗8周后采用中文版网络成瘾诊断量表（IAT）、Barratt冲动性量表中文修订版（BIS-11）和视觉模拟评分法（VAS）分别评估2组受试者的网络成瘾程度、冲动性和主观网络渴求程度，并进行统计学分析。 结果 治疗4周后，治疗组的BIS-11注意因子评分、BIS-11总分和VAS评分分别为（20.47±4.14）分、（68.05±6.10）分和（6.67±0.65）分，与组内治疗前和对照组治疗4周后比较，差异均有统计学意义（P<0.05）；治疗8周后，治疗组的IAT评分、BIS-11各项评分和VAS评分与组内治疗前、组内治疗4周后以及对照组治疗8周后比较，差异均有统计学意义（P<0.05)。 结论 高频rTMS刺激网络成瘾大学生左侧DLPFC区可有效改善其网络成瘾症状，且安全性较高。 |
| 英文摘要: |
| Objective To explore the effect of repeated high-frequency transcranial magnetic stimulation over the left dorsolateral prefrontal cortex (DLPFC) on the severity and symptoms of Internet addiction. Methods Fifty college students with different degrees of Internet addiction were randomly divided into a treatment group and a control group, each of 25. In addition to psycho-behavioral therapy, the treatment group was given 10Hz rTMS over the left DLPFC for 40 days, while the control group was given sham stimulation. Before the experiment and after 4 and 8 weeks of treatment, both groups were evaluated using the Internet Addiction Diagnostic Scale (IAT), Barratt Impulsiveness Scale (BIS-11) and a visual analogue scale (VAS). Results After 4 weeks the average total BIS-11 score, attention factor score and VAS score of the treatment group were significantly better than the control group′s averages and better than before the treatment. After 8 weeks of treatment, the average IAT scores, BIS-11 scores on each item and VAS scores of the treatment group had decreased significantly more and were still significantly better than the control group′s averages. Conclusion High frequency rTMS can safely and effectively relieve the symptoms of Internet addiction, at least among college students. |
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