Transcranial magnetic stimulation for the treatment of cocaine addiction: evidence to date

There is a common consensus in considering substance-use disorders (SUDs) a devastating chronic illness with social and psychological impact. Despite significant progress in understanding the neurobiology of SUDs, therapeutic advances have proceeded at a slower pace, in particular for cocaine-use di...

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Bibliographic Details
Published in:Substance abuse and rehabilitation 2018-01, Vol.9, p.11-21
Main Authors: Bolloni, Corinna, Badas, Paola, Corona, Giorgio, Diana, Marco
Format: Article
Language:English
Subjects:
Addiction
Addictions
Alcohol
Care and treatment
Chronic diseases
Cocaine
Cocaine abuse
cocaine use disorders
craving
Dopamine
Drug abuse
intake
Magnetic brain stimulation
Medical research
Methamphetamine
Neuropathology
Neurophysiology
Neurosciences
Nicotine
pfCx
Phenols (Class of compounds)
Psychiatry
Retirement benefits
Review
Schizophrenia
Substance abuse
Substance abuse treatment
Transcranial Magnetic Stimulation
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Summary:There is a common consensus in considering substance-use disorders (SUDs) a devastating chronic illness with social and psychological impact. Despite significant progress in understanding the neurobiology of SUDs, therapeutic advances have proceeded at a slower pace, in particular for cocaine-use disorder (CUD). Transcranial magnetic stimulation (TMS) is gaining support as a safe and cost-effective tool in the treatment of SUDs. In this review, we consider human studies that have investigated the efficacy of TMS in achieving therapeutic benefits in treating CUD. All studies conducted to date that have evaluated the therapeutic effect of TMS in CUD are included. We focus on the protocol of stimulation applied, emphasizing the neurophysiological effects of coils employed related to outcomes. Moreover, we examine the subjective and objective measurements used to assess the therapeutic effects along the timeline considered. The revision of scientific literatures underscores the therapeutic potential of TMS in treating CUD. However, the variability in stimulation protocols applied and the lack of methodological control do not allow us to draw firm conclusions, and further studies are warranted to examine the interaction between TMS patterns of stimulation relative to clinical outcomes in depth.
ISSN:1179-8467
1179-8467
DOI:10.2147/SAR.S161206