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The purpose of this research is to evaluate the efficacy of multiple sessions of theta-gamma cross-frequency transcranial alternating current stimulation in patients with methamphetamine (MA) use disorders.
Previous evidence suggests that different aspects of cognitive function are associated with activities of distinct EEG frequency bands. Gamma oscillatory has been found in clinical studies to reflect the processing of rewards in patients with drug dependence, whereas medial prefrontal theta oscillatory characterizes prefrontal response inhibition capacity to downstream reward arousal. Interestingly, impaired response inhibition or impaired evaluation of rewards in patients with drug dependence have been found to correlate with the arousal of psychological craving and the emergence of relapse. Here we aim to find causal evidence supporting these previous correlational findings by applying cross-frequency transcranial alternating current stimulation (tACS) in the specific frequency bands (theta-gamma) previously shown to be addiction-relevant. In a randomized control clinical trial design, we stimulate subjects with either theta-gamma or sham tACS. Electroencephalography will be collected before and after each treatment session. Besides, the scale and behavior task data will also collected before and after the treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental: theta-gamma tACS | Experimental | The study is investigating the use of transcranial alternating current stimulation (tACS). For the experimental arm, the stimulation is delivered at 2 milliamperes (mA) with the stimulation electrode over the left prefrontal cortex (F3) and left orbitofrontal cortex (Fp1) using the cross-frequency stimulation waveform theta-gamma. |
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| Active-sham tACS | Sham Comparator | For the active sham stimulation, the stimulation is delivered for 12 seconds with the theta-gamma cross-frequency stimulation waveform and then returns to baseline. The stimulus parameter of the sham stimulation is designed to mimic the adaptive sensations experienced by the subject when receiving the real stimulation treatment settings, but no effective brain modulation will be produced, which assists with blinding the participant's assignment. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cross-frequency transcranial alternating current stimulation via the Neuroelectrics Starstim 32 transcranial electric stimulation device | Device | Stimulation will be delivered via the Neuroelectrics Starstim 32 transcranial electric stimulation device, an investigational electrical non-invasive brain stimulation device that is being used for clinical and translational research. |
| Measure | Description | Time Frame |
|---|---|---|
| Change of Craving assessed by Visual Analog Scale | evaluate all participants' craving for for methamphetamine assessed by Visual Analog Scales (VAS). Score of VAS range from 0 to 10, and higher values represent high level of craving. | baseline,0-2 days after treatment,1 months after treatment, 3 months after treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Depression status assessed by Beck Depression Inventory (BDI) | The reduction rate in the Beck Depression Inventory (BDI) scores was calculated before and after the treatment to evaluate the rate of reduction in their levels of depression. | baseline,0-2 days after treatment,1 months after treatment, 3 months after treatment |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Min Zhao, PhD | Contact | 021-54252689 | 18017311005@163.com | |
| Tianzhen Chen, PhD | Contact | +862134773146 | vomchan@hotmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Min Zhao, PhD | Shanghai Mental Health Center | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Wuhan Compulsory Rehabilitation Center | Recruiting | Wuhan | 430000 | China |
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| Anxiety status assessed by Beck Anxiety Inventory (BAI) |
The reduction rate in the Beck Anxiety Inventory (BAI) scores was calculated before and after treatment to assess the rate of decrease in anxiety levels among MA dependents. |
| baseline,0-2 days after treatment,1 months after treatment, 3 months after treatment |
| Sleep Quality Assessment | Sleep Quality is assessed by the scores of Insomnia Severity Index(ISI) and Pittsburgh Sleep Quality Index(PSQI). | baseline,0-2 days after treatment,1 months after treatment, 3 months after treatment |
| Brain oscillations | Assessed by Resting EEG task under the electroencephalogram recording to extract alpha, beta, theta, and gamma band energy. | baseline,within 30 minutes before and after each session of treatment |
| Reward learning | Learning rate and the sensitivity to rewards assessed by Monetary reinforcement learning task under the electroencephalogram recording, and the results will be derived from modeling. | baseline,0-2 days after treatment, 3 months after treatment |
| Spatial working memory | Working memory capacity is assessed by Spatial working memory under the electroencephalogram recording. The indicator is the correctness and response time. | baseline,0-2 days after treatment, 3 months after treatment |
| ID | Term |
|---|---|
| D019969 | Amphetamine-Related Disorders |
| ID | Term |
|---|---|
| D019966 | Substance-Related Disorders |
| D064419 | Chemically-Induced Disorders |
| D001523 | Mental Disorders |
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