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Brain stimulation reduces cigarette craving but not anxiety symptoms

Nicotine withdrawal and anxiety symptoms are overlapping barriers to smoking cessation. We examined the effects of a smoking cessation treatment — noninvasive neuromodulation — on nicotine withdrawal and anxiety symptoms, which revealed information on how neuromodulation can treat substance use disorders.

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Fig. 1: Neuromodulation reduces cravings.

References

  1. Zangen, A. et al. Repetitive transcranial magnetic stimulation for smoking cessation: a pivotal multicenter double-blind randomized controlled trial. World Psychiatry 20, 397–404 (2021). This paper led to FDA approval for a noninvasive neuromodulation treatment for smoking cessation.

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  2. Abdelrahman, A. A. et al. A double-blind randomized clinical trial of high frequency rTMS over the DLPFC on nicotine dependence, anxiety and depression. Sci. Rep. 11, 1640 (2021). This paper reports that neuromodulation reduces nicotine withdrawal.

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  3. Li, X. et al. Repetitive transcranial magnetic stimulation of the dorsolateral prefrontal cortex reduces nicotine cue craving. Biol. Psychiatry 73, 714–720 (2013). This paper finds that neuromodulation reduces cigarette craving.

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  4. Bystritsky, A. et al. A preliminary study of fMRI-guided rTMS in the treatment of generalized anxiety disorder. J. Clin. Psychiatry 69, 15243 (2008). This article probes neuromodulation for anxiety.

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  5. Piper, M. E., Cook, J. W., Schlam, T. R., Jorenby, D. E. & Baker, T. B. Anxiety diagnoses in smokers seeking cessation treatment: relations with tobacco dependence, withdrawal, outcome and response to treatment. Addiction 106, 418–427 (2011). This paper examined the relationship between anxiety and smoking.

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This is a summary of: Apostol, M. R. et al. Effects of transcranial magnetic stimulation to the dorsolateral prefrontal cortex on craving and state anxiety in tobacco use disorder. Nat. Mental Health https://doi.org/10.1038/s44220-023-00154-5 (2023).

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Brain stimulation reduces cigarette craving but not anxiety symptoms. Nat. Mental Health 1, 926–927 (2023). https://doi.org/10.1038/s44220-023-00155-4

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