结合认知训练和无创脑刺激的疗效:一项跨诊断的系统回顾和荟萃分析。

IF 17.3 1区 心理学 Q1 PSYCHOLOGY
Psychological bulletin Pub Date : 2024-02-01 Epub Date: 2023-11-13 DOI:10.1037/bul0000406
Anika Poppe, Franziska D E Ritter, Leonie Bais, James E Pustejovsky, Marie-José van Tol, Branislava Ćurčić-Blake, Gerdina H M Pijnenborg, Lisette van der Meer
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引用次数: 0

摘要

在过去的十年中,越来越多的研究探讨了认知训练(CT)与无创脑刺激(NIBS)相结合的创新方法,以增加对结果的影响。在这篇综述中,我们旨在总结这种联合治疗的证据。我们确定了72项已发表和未发表的研究(报告了773个效应大小),包括来自PubMed、MEDLINE、APA PsycInfo、ProQuest、Web of Science和https://ClinicalTrials.gov(最后一次检索:2022年8月9日)索引的健康和临床人群的2518名参与者,这些研究比较了NIBS联合CT在干预后和/或随访时对认知、症状和日常功能的影响。我们使用稳健方差估计进行随机效应荟萃分析,并使用Cochrane ROB工具评估偏倚风险。只有四项研究在所有领域具有低偏倚风险,许多研究缺乏标准控制,例如使结果评估者和培训师不知道治疗情况。根据敏感性分析,在干预后,与单独使用CT相比,CT联合NIBS仅显著改善了学习/记忆(g = 0.18, 95% CI[0.07, 0.29]),但长期没有改善。该效应很小,且受到异质性的限制。其他七个认知结果域、症状和日常功能并没有从将NIBS添加到CT中获益。鉴于先前研究的方法学局限性,需要更多高质量的试验来评估NIBS和CT联合使用在短期和长期日常功能方面的潜在益处,以评估NIBS和CT联合使用是否与临床实践相关。(PsycInfo数据库记录(c) 2023 APA,版权所有)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The efficacy of combining cognitive training and noninvasive brain stimulation: A transdiagnostic systematic review and meta-analysis.

Over the past decade, an increasing number of studies investigated the innovative approach of supplementing cognitive training (CT) with noninvasive brain stimulation (NIBS) to increase the effects on outcomes. In this review, we aim to summarize the evidence for this treatment combination. We identified 72 published and unpublished studies (reporting 773 effect sizes), including 2,518 participants from healthy and clinical populations indexed in PubMed, MEDLINE, APA PsycInfo, ProQuest, Web of Science, and https://ClinicalTrials.gov (last search: August 9, 2022) that compared the effects of NIBS combined with CT on cognitive, symptoms, and everyday functioning to CT alone at postintervention and/or follow-up. We performed random-effects meta-analyses with robust variance estimation and assessed risk of bias with the Cochrane ROB tool. Only four studies had low risk of bias in all domains, and many studies lacked standard controls such as keeping the outcome assessor and trainer unaware of the treatment condition. Following sensitivity analyses, only learning/memory robustly improved significantly more when CT was combined with NIBS compared to CT only (g = 0.18, 95% CI [0.07, 0.29]) at postintervention, but not in the long term. The effect was small and limited by substantial heterogeneity. The other seven cognitive outcome domains, symptoms, and everyday functioning did not benefit from adding NIBS to CT. Given the methodological limitation of prior studies, more high-quality trials that focus on the potential of combining NIBS and CT to enhance benefits in everyday functioning in the short and long term are needed to evaluate whether combining NIBS and CT is relevant for clinical practice. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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来源期刊
Psychological bulletin
Psychological bulletin 医学-心理学
CiteScore
33.60
自引率
0.90%
发文量
21
期刊介绍: Psychological Bulletin publishes syntheses of research in scientific psychology. Research syntheses seek to summarize past research by drawing overall conclusions from many separate investigations that address related or identical hypotheses. A research synthesis typically presents the authors' assessments: -of the state of knowledge concerning the relations of interest; -of critical assessments of the strengths and weaknesses in past research; -of important issues that research has left unresolved, thereby directing future research so it can yield a maximum amount of new information.
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