The role of repetitive transcranial magnetic stimulation (rTMS) in the treatment of behavioral addictions: Two case reports and review of the literature

Autor: Michela Sarlo, Luigi Gallimberti, Diego Cuppone, Graziella Madeo, Nicola Cellini, L J Gómez Pérez, S Soldatesca, Sonia Chindamo, Stefano Cardullo
Rok vydání: 2021
Předmět:
Male
Behavioral addiction (BA)
Compulsive sexual behavior disorder (CSBD)
Dorsolateral prefrontal cortex (DLPFC)
Internet gaming disorder (IGD)
Repetitive transcranial magnetic stimulation (rTMS)
Behavior
Addictive
Erotica
Humans
Internet Addiction Disorder
Middle Aged
Prefrontal Cortex
Treatment Outcome
Young Adult
Transcranial Magnetic Stimulation
medicine.medical_treatment
media_common.quotation_subject
internet gaming disorder (IGD)
Psychological intervention
Medicine (miscellaneous)
Behavioral addictions
medicine
Addictive
Effective treatment
Pornography
repetitive transcranial magnetic stimulation (rTMS)
compulsive sexual behavior disorder (CSBD)
Pathological
media_common
Behavior
behavioral addiction (BA)
business.industry
Addiction
General Medicine
Transcranial magnetic stimulation
Psychiatry and Mental health
Clinical Psychology
dorsolateral prefrontal cortex (DLPFC)
The Internet
Psychology
business
Clinical psychology
Zdroj: Journal of Behavioral Addictions. 10:361-370
ISSN: 2063-5303
2062-5871
DOI: 10.1556/2006.2021.00032
Popis: BackgroundSeveral behaviors, besides consumption of psychoactive substances, produce short-term reward that may lead to persistent aberrant behavior despite adverse consequences. Growing evidence suggests that these behaviors warrant consideration as nonsubstance or “behavioral” addictions, such as pathological gambling, internet gaming disorder and internet addiction.Case presentationHere, we report two cases of behavioral addictions (BA), compulsive sexual behavior disorder for online porn use and internet gaming disorder. A 57-years-old male referred a loss of control over his online pornography use, started 15 years before, while a 21-years-old male university student reported an excessive online gaming activity undermining his academic productivity and social life. Both patients underwent a high-frequency repetitive transcranial magnetic stimulation (rTMS) protocol over the left dorsolateral prefrontal cortex (l-DLPFC) in a multidisciplinary therapeutic setting. A decrease of addictive symptoms and an improvement of executive control were observed in both cases.DiscussionStarting from these clinical observations, we provide a systematic review of the literature suggesting that BAs share similar neurobiological mechanisms to those underlying substance use disorders (SUD). Moreover, we discuss whether neurocircuit-based interventions, such as rTMS, might represent a potential effective treatment for BAs.
Databáze: OpenAIRE
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