大脑调节训练可提高酒精使用障碍患者的情绪能力。

Ramona L Hack, Martin Aigner, Michael Musalek, Richard Crevenna, Lilian Konicar
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引用次数: 0

摘要

酒精使用障碍(AUD)被定义为在对社会、职业或健康造成不利影响的情况下仍能停止或控制饮酒的能力受损,它仍然是社会在健康状况、社会后果和经济成本方面面临的最大挑战之一,包括传统酒精康复治疗后的高复发率。特别是,据说情感能力不足在 AUD 的发展中起着关键作用,阻碍了药物强迫的中断,往往导致复发的恶性循环。尽管有关酒精使用障碍的神经生理学基础的实证证据十分可靠,而且还在进一步增加,但基于神经生理学的临床干预措施对于酒精使用障碍患者来说仍然十分罕见。这项随机对照试验研究了酒精康复治疗前后(对照组,nCG = 29)与优化的附加神经反馈训练前后(实验组:nEG = 27)情绪能力、酒精相关认知和饮酒行为的变化。实验组在接受脑电图-神经反馈训练后,临床心理水平得到改善,即情绪能力和生活满意度均有所提高。通过静息状态脑电图进行的神经生理学测量显示,低β频段有所下降,而α和θ频段未受影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Brain regulation training improves emotional competences in patients with alcohol use disorder.

Alcohol use disorder (AUD) is defined as the impaired ability to stop or control alcohol use despite adverse social, occupational, or health consequences and still represents one of the biggest challenges for society regarding health conditions, social consequences, and financial costs, including the high relapse rates after traditional alcohol rehabilitation treatment. Especially, the deficient emotional competence in AUD is said to play a key role in the development of AUD and hinders the interruption of substance compulsion, often leading to a viscous circle of relapse. Although the empirical evidence of a neurophysiological basis of AUD is solid and increases even further, clinical interventions based on neurophysiology are still rare for individuals with AUD. This randomized controlled trial investigates changes in emotional competences, alcohol-related cognitions, and drinking behavior before and after an established alcohol rehabilitation treatment (control group: nCG = 29) compared to before and after an optimized, add-on neurofeedback (NF) training (experimental group: nEG = 27). Improvements on the clinical-psychological level, i.e. increases in emotional competences as well as life satisfaction, were found after the experimental electroencephalography (EEG) NF training. Neurophysiological measurements via resting-state EEG indicate decreases in low beta frequency band, while alpha and theta bands remained unaffected.

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