Skip to main content
Erschienen in:

21.05.2022 | Original Paper

“A Theta Burst Stimulation on Pre-SMA: Proof-of-Concept of Transcranial Magnetic Stimulation in Gambling Disorder”

verfasst von: Luana Salerno, Eleonora Grassi, Nikos Makris, Stefano Pallanti

Erschienen in: Journal of Gambling Studies | Ausgabe 4/2022

Einloggen, um Zugang zu erhalten

Abstract

Gambling Disorder (GD) is a condition constituting a public health concern, with a burden of harm which is much greater than that of drug addiction. Patients with GD are generally reluctant to pharmacologic treatment and seem to prefer nonpharmacological interventions. Therefore, this proof-of-concept study aimed to investigate the feasibility of continuous Theta Burst Stimulation (cTBS) on the pre-SMA in six patients (5 males, 1 female), aged 30–64 years, with a DSM-5 diagnosis of Gambling Disorder and no comorbid mood disorders. Participants received over 10 sessions of Continuous TBS (cTBS) over pre-SMA bilaterally and have been evaluated using rating scales, including the PG-YBOCS and the CGI, before treatment (T0), at day 10 of treatment (T1) and at day 30 after treatment (T2); cTBS intervention was safe and without side effects. Since the design of our study does not allow us to draw conclusions on the effectiveness of the intervention with respect to the improvement of the functioning of the subject with GD, a more in-depth study, including a sham condition, neurocognitive measures of disinhibition and decision making, and collecting follow-up data on the sustained effect of TBS over a longer period is ongoing.
Literatur
Zurück zum Zitat American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.) American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.)
Zurück zum Zitat Berlin, H. A., Braun, A., Simeon, D., Koran, L. M., Potenza, M. N., McElroy, S. L. … Hollander, E. (2013 Mar). A double-blind, placebo-controlled trial of topiramate for pathological gambling. World J Biol Psychiatry, 14(2), 121–128 Berlin, H. A., Braun, A., Simeon, D., Koran, L. M., Potenza, M. N., McElroy, S. L. … Hollander, E. (2013 Mar). A double-blind, placebo-controlled trial of topiramate for pathological gambling. World J Biol Psychiatry, 14(2), 121–128
Zurück zum Zitat Hollander, E., Buchsbaum, M. S., Haznedar, M. M., Berenguer, J., Berlin, H. A., Chaplin, W. … Pallanti, S. (2008). FDG-PET study in pathological gamblers. 1. Lithium increases orbitofrontal, dorsolateral and cingulate metabolism. Neuropsychobiology, 58(1), 37–47. https://doi.org/10.1159/000154478CrossRefPubMed Hollander, E., Buchsbaum, M. S., Haznedar, M. M., Berenguer, J., Berlin, H. A., Chaplin, W. … Pallanti, S. (2008). FDG-PET study in pathological gamblers. 1. Lithium increases orbitofrontal, dorsolateral and cingulate metabolism. Neuropsychobiology, 58(1), 37–47. https://​doi.​org/​10.​1159/​000154478CrossRefPubMed
Zurück zum Zitat Gay, A., Boutet, C., Sigaud, T., Kamgoue, A., Sevos, J., Brunelin, J., & Massoubre, C. (2017 Mar). A single session of repetitive transcranial magnetic stimulation of the prefrontal cortex reduces cue-induced craving in patients with gambling disorder. Eur Psychiatry, 41, 68–74 Gay, A., Boutet, C., Sigaud, T., Kamgoue, A., Sevos, J., Brunelin, J., & Massoubre, C. (2017 Mar). A single session of repetitive transcranial magnetic stimulation of the prefrontal cortex reduces cue-induced craving in patients with gambling disorder. Eur Psychiatry, 41, 68–74
Zurück zum Zitat Goudriaan, A. E., Oosterlaan, J., De Beurs, E., & Van Den Brink, W. (2008). The role of self-reported impulsivity and reward sensitivity versus neurocognitive measures of disinhibition and decision-making in the prediction of relapse in pathological gamblers. Psychological medicine, 38(1), 41?50. https://doi.org/10.1017/S0033291707000694. Goudriaan, A. E., Oosterlaan, J., De Beurs, E., & Van Den Brink, W. (2008). The role of self-reported impulsivity and reward sensitivity versus neurocognitive measures of disinhibition and decision-making in the prediction of relapse in pathological gamblers. Psychological medicine, 38(1), 41?50. https://​doi.​org/​10.​1017/​S003329170700069​4.
Zurück zum Zitat Obeso, I., Wilkinson, L., Teo, J. T., Talelli, P., Rothwell, J. C., & Jahanshahi, M. (2017 Sep-Oct). Theta burst magnetic stimulation over the pre-supplementary motor area improves motor inhibition. Brain Stimul, 10(5), 944–951 Obeso, I., Wilkinson, L., Teo, J. T., Talelli, P., Rothwell, J. C., & Jahanshahi, M. (2017 Sep-Oct). Theta burst magnetic stimulation over the pre-supplementary motor area improves motor inhibition. Brain Stimul, 10(5), 944–951
Zurück zum Zitat Pallanti, S., Haznedar, M. M., Hollander, E., Licalzi, E. M., Bernardi, S., Newmark, R., & Buchsbaum, M. S. (2010). Basal Ganglia activity in pathological gambling: a fluorodeoxyglucose-positron emission tomography study. Neuropsychobiology, 62(2), 132–138CrossRefPubMed Pallanti, S., Haznedar, M. M., Hollander, E., Licalzi, E. M., Bernardi, S., Newmark, R., & Buchsbaum, M. S. (2010). Basal Ganglia activity in pathological gambling: a fluorodeoxyglucose-positron emission tomography study. Neuropsychobiology, 62(2), 132–138CrossRefPubMed
Zurück zum Zitat Pallanti, S., Bernardi, S., Allen, A., & Hollander, E. (2010). Serotonin function in pathological gambling: blunted growth hormone response to sumatriptan. J Psychopharmacol, 24(12), 1802–1809 Pallanti, S., Bernardi, S., Allen, A., & Hollander, E. (2010). Serotonin function in pathological gambling: blunted growth hormone response to sumatriptan. J Psychopharmacol, 24(12), 1802–1809
Zurück zum Zitat Pallanti, S., Bernardi, S., Allen, A., Chaplin, W., Watner, D., DeCaria, C. M., & Hollander, E. (2010 Jun). Noradrenergic function in pathological gambling: blunted growth hormone response to clonidine. J Psychopharmacol, 24(6), 847–853 Pallanti, S., Bernardi, S., Allen, A., Chaplin, W., Watner, D., DeCaria, C. M., & Hollander, E. (2010 Jun). Noradrenergic function in pathological gambling: blunted growth hormone response to clonidine. J Psychopharmacol, 24(6), 847–853
Zurück zum Zitat Petry, N. M. (2005). Pathological gambling: Etiology, comorbidity, and treatment. Washington, DC: American Psychological AssociationCrossRef Petry, N. M. (2005). Pathological gambling: Etiology, comorbidity, and treatment. Washington, DC: American Psychological AssociationCrossRef
Zurück zum Zitat Pettorruso, M., Di Giuda, D., Martinotti, G., Cocciolillo, F., De Risio, L., Montemitro, C., Camardese, G., et al. (2019 Jun). Dopaminergic and clinical correlates of high-frequency repetitive transcranial magnetic stimulation in gambling addiction: a SPECT case study. Addict Behav, 93, 246–249 Pettorruso, M., Di Giuda, D., Martinotti, G., Cocciolillo, F., De Risio, L., Montemitro, C., Camardese, G., et al. (2019 Jun). Dopaminergic and clinical correlates of high-frequency repetitive transcranial magnetic stimulation in gambling addiction: a SPECT case study. Addict Behav, 93, 246–249
Zurück zum Zitat Pettorruso, M., Martinotti, G., Cocciolillo, F., De Risio, L., Cinquino, A., Di Nicola, M., Camardese, G., et al. (2019 Sep). Striatal presynaptic dopaminergic dysfunction in gambling disorder: A 123 I-FP-CIT SPECT study. Addict Biol, 24(5), 1077–1086 Pettorruso, M., Martinotti, G., Cocciolillo, F., De Risio, L., Cinquino, A., Di Nicola, M., Camardese, G., et al. (2019 Sep). Striatal presynaptic dopaminergic dysfunction in gambling disorder: A 123 I-FP-CIT SPECT study. Addict Biol, 24(5), 1077–1086
Zurück zum Zitat Pettorruso, M., Martinotti, G., Montemitro, C., De Risio, L., Spagnolo, P. A., Gallimberti, L., Fanella, F., et al. (2020). Multiple Sessions of High-Frequency Repetitive Transcranial Magnetic Stimulation as a Potential Treatment for Gambling Addiction: A 3-Month, Feasibility Study. Eur Addict Res, 26(1), 52–56CrossRefPubMed Pettorruso, M., Martinotti, G., Montemitro, C., De Risio, L., Spagnolo, P. A., Gallimberti, L., Fanella, F., et al. (2020). Multiple Sessions of High-Frequency Repetitive Transcranial Magnetic Stimulation as a Potential Treatment for Gambling Addiction: A 3-Month, Feasibility Study. Eur Addict Res, 26(1), 52–56CrossRefPubMed
Zurück zum Zitat Salerno, L., & Pallanti, S. COVID-19 Related Distress in Gambling Disorder.Front Psychiatry. 2021 Feb25; 12:620661 Salerno, L., & Pallanti, S. COVID-19 Related Distress in Gambling Disorder.Front Psychiatry. 2021 Feb25; 12:620661
Zurück zum Zitat Schedlowski, M., Enck, P., Rief, W., & Bingel, U. (2015 Jul;67(3):697–730). Neuro-Bio-Behavioral Mechanisms of Placebo and Nocebo Responses: Implications for Clinical Trials and Clinical Practice. Pharmacol Rev. doi: https://doi.org/10.1124/pr.114.009423. PMID: 26126649 Schedlowski, M., Enck, P., Rief, W., & Bingel, U. (2015 Jul;67(3):697–730). Neuro-Bio-Behavioral Mechanisms of Placebo and Nocebo Responses: Implications for Clinical Trials and Clinical Practice. Pharmacol Rev. doi: https://​doi.​org/​10.​1124/​pr.​114.​009423. PMID: 26126649
Zurück zum Zitat Sheffer, C. E., Mennemeier, M., Landes, R. D., Bickel, W. K., Brackman, S., Dornhoffer, J. … Brown, G. (2013 Aug). Neuromodulation of delay discounting, the reflection effect, and cigarette consumption. J Subst Abuse Treat, 45(2), 206–214 Sheffer, C. E., Mennemeier, M., Landes, R. D., Bickel, W. K., Brackman, S., Dornhoffer, J. … Brown, G. (2013 Aug). Neuromodulation of delay discounting, the reflection effect, and cigarette consumption. J Subst Abuse Treat, 45(2), 206–214
Zurück zum Zitat Slutske, W. S. (2006). Natural recovery and treatment-seeking in pathological gambling: results of two US national surveys. American Journal of Psychiatry, 163(2), 297–302CrossRefPubMed Slutske, W. S. (2006). Natural recovery and treatment-seeking in pathological gambling: results of two US national surveys. American Journal of Psychiatry, 163(2), 297–302CrossRefPubMed
Zurück zum Zitat Stein, E. R., Gibson, B. C., Votaw, V. R., Wilson, A. D., Clark, V. P., & Witkiewitz, K. (2019). Non-invasive brain stimulation in substance use disorders: implications for dissemination to clinical settings. Curr Opin Psychol, 30, 6–10CrossRefPubMed Stein, E. R., Gibson, B. C., Votaw, V. R., Wilson, A. D., Clark, V. P., & Witkiewitz, K. (2019). Non-invasive brain stimulation in substance use disorders: implications for dissemination to clinical settings. Curr Opin Psychol, 30, 6–10CrossRefPubMed
Zurück zum Zitat Tosun, T., Berkay, D., Sack, A. T., Çakmak, Y., & Balcı, F. (2017 Aug). Inhibition of Pre-Supplementary Motor Area by Continuous Theta Burst Stimulation Leads to More Cautious Decision-making and More Efficient Sensory Evidence Integration. J Cogn Neurosci, 29(8), 1433–1444 Tosun, T., Berkay, D., Sack, A. T., Çakmak, Y., & Balcı, F. (2017 Aug). Inhibition of Pre-Supplementary Motor Area by Continuous Theta Burst Stimulation Leads to More Cautious Decision-making and More Efficient Sensory Evidence Integration. J Cogn Neurosci, 29(8), 1433–1444
Zurück zum Zitat Verdejo-Garcia, A., & Manning, V. (2015). Executive Functioning in Gambling Disorder: Cognitive Profiles and Associations with Clinical Outcomes. Curr. Addict. Rep, 2, 214–219CrossRef Verdejo-Garcia, A., & Manning, V. (2015). Executive Functioning in Gambling Disorder: Cognitive Profiles and Associations with Clinical Outcomes. Curr. Addict. Rep, 2, 214–219CrossRef
Zurück zum Zitat Ioannidis, K., Hook, R., Wickham, K., Grant, J. E., & Chamberlain, S. R. (2019). Impulsivity in Gambling Disorder and problem gambling: a meta-analysis. Neuropsychopharmacolog: official publication of the American College of Neuropsychopharmacology, 44(8), 1354–1361CrossRef Ioannidis, K., Hook, R., Wickham, K., Grant, J. E., & Chamberlain, S. R. (2019). Impulsivity in Gambling Disorder and problem gambling: a meta-analysis. Neuropsychopharmacolog: official publication of the American College of Neuropsychopharmacology, 44(8), 1354–1361CrossRef
Zurück zum Zitat Victorri-Vigneau, C., Spiers, A., Caillet, P., et al. (2018). Opioid Antagonists for Pharmacological Treatment of Gambling Disorder: Are they Relevant? Curr Neuropharmacol, 16(10), 1418–1432CrossRefPubMedPubMedCentral Victorri-Vigneau, C., Spiers, A., Caillet, P., et al. (2018). Opioid Antagonists for Pharmacological Treatment of Gambling Disorder: Are they Relevant? Curr Neuropharmacol, 16(10), 1418–1432CrossRefPubMedPubMedCentral
Zurück zum Zitat Zack, M., Cho, S. S., Parlee, J., Jacobs, M., Li, C., Boileau, I., & Strafella, A. (2016). Effects of High Frequency Repeated Transcranial Magnetic Stimulation and Continuous Theta Burst Stimulation on Gambling Reinforcement, Delay Discounting, and Stroop Interference in Men with Pathological Gambling. Brain Stimul. Nov-Dec;9(6):867–875 Zack, M., Cho, S. S., Parlee, J., Jacobs, M., Li, C., Boileau, I., & Strafella, A. (2016). Effects of High Frequency Repeated Transcranial Magnetic Stimulation and Continuous Theta Burst Stimulation on Gambling Reinforcement, Delay Discounting, and Stroop Interference in Men with Pathological Gambling. Brain Stimul. Nov-Dec;9(6):867–875
Metadaten
Titel
“A Theta Burst Stimulation on Pre-SMA: Proof-of-Concept of Transcranial Magnetic Stimulation in Gambling Disorder”
verfasst von
Luana Salerno
Eleonora Grassi
Nikos Makris
Stefano Pallanti
Publikationsdatum
21.05.2022
Verlag
Springer US
Erschienen in
Journal of Gambling Studies / Ausgabe 4/2022
Elektronische ISSN: 1573-3602
DOI
https://doi.org/10.1007/s10899-022-10129-3

Neu im Fachgebiet Psychiatrie

Demenz-Leitlinie aktualisiert

  • 13.03.2025
  • Demenz
  • Nachrichten

Empfohlen wird jetzt auch eine Musiktherapie sowie bei unklarem diagnostischem Befund ein Tau-PET, und Depressive mit leichten kognitiven Störungen sollten eine Verhaltenstherapie erhalten – das sind einige wichtige Änderungen der aktuellen S3-Leitlinie Demenzen.

Positive Signale für Semaglutid bei Alkoholabhängigkeit

Daten einer kleinen Phase-II-Studie sprechen dafür, GLP-1-Rezeptoragonisten in der Behandlung von Alkoholabhängigkeit weiter zu untersuchen.

Wer hat Angst vorm elektromagnetischen Feld?

Ist elektromagnetische Strahlung auch unterhalb von gesetzlichen Grenzwerten gesundheitsschädlich? Ein kleiner Teil der Ärzteschaft hält das für möglich, wobei eher an psychosomatische Effekte gedacht wird, wie eine deutsche Studie nahelegt. Das selbst eingeschätzte Wissen zum Thema ist indes gering.

Crohn und Colitis: Medikamente sind nicht alles

Chronisch-entzündliche Darmerkrankungen erfordern medizinisches Handeln auf vielen Ebenen. Schübe können durch zahlreiche Faktoren beeinflusst werden. Und vielleicht gelingt es bald sogar, einen Teil der Erkrankungsfälle zu antizipieren.