Transcranial electrical and magnetic stimulation (tES and TMS) for addiction medicine: A consensus paper on the present state of the science and the road ahead

Hamed Ekhtiari*, Hosna Tavakoli, Giovanni Addolorato, Chris Baeken, Antonello Bonci, Salvatore Campanella, Luis Castelo-Branco, Gaëlle Challet-Bouju, Vincent P. Clark, Eric Claus, Pinhas N. Dannon, Alessandra Del Felice, Tess den Uyl, Marco Diana, Massimo di Giannantonio, John R. Fedota, Paul Fitzgerald, Luigi Gallimberti, Marie Grall-Bronnec, Sarah C. HerremansMartin J. Herrmann, Asif Jamil, Eman Khedr, Christos Kouimtsidis, Karolina Kozak, Evgeny Krupitsky, Claus Lamm, William V. Lechner, Graziella Madeo, Nastaran Malmir, Giovanni Martinotti, William M. McDonald, Chiara Montemitro, Ester M. Nakamura-Palacios, Mohammad Nasehi, Xavier Noël, Masoud Nosratabadi, Martin Paulus, Mauro Pettorruso, Basant Pradhan, Samir K. Praharaj, Haley Rafferty, Gregory Sahlem, Betty jo Salmeron, Anne Sauvaget, Renée S. Schluter, Carmen Sergiou, Alireza Shahbabaie, Christine Sheffer, Primavera A. Spagnolo, Vaughn R. Steele, Ti fei Yuan, Josanne D.M. van Dongen, Vincent Van Waes, Ganesan Venkatasubramanian, Antonio Verdejo-García, Ilse Verveer, Justine W. Welsh, Michael J. Wesley, Katie Witkiewitz, Fateme Yavari, Mohammad Reza Zarrindast, Laurie Zawertailo, Xiaochu Zhang, Yoon Hee Cha, Tony P. George, Flavio Frohlich, Anna E. Goudriaan, Shirley Fecteau, Stacey B. Daughters, Elliot A. Stein, Felipe Fregni, Michael A. Nitsche, Abraham Zangen, Marom Bikson, Colleen A. Hanlon

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

196 Scopus citations

Abstract

There is growing interest in non-invasive brain stimulation (NIBS) as a novel treatment option for substance-use disorders (SUDs). Recent momentum stems from a foundation of preclinical neuroscience demonstrating links between neural circuits and drug consuming behavior, as well as recent FDA-approval of NIBS treatments for mental health disorders that share overlapping pathology with SUDs. As with any emerging field, enthusiasm must be tempered by reason; lessons learned from the past should be prudently applied to future therapies. Here, an international ensemble of experts provides an overview of the state of transcranial-electrical (tES) and transcranial-magnetic (TMS) stimulation applied in SUDs. This consensus paper provides a systematic literature review on published data – emphasizing the heterogeneity of methods and outcome measures while suggesting strategies to help bridge knowledge gaps. The goal of this effort is to provide the community with guidelines for best practices in tES/TMS SUD research. We hope this will accelerate the speed at which the community translates basic neuroscience into advanced neuromodulation tools for clinical practice in addiction medicine.

Original languageEnglish
Pages (from-to)118-140
Number of pages23
JournalNeuroscience and Biobehavioral Reviews
Volume104
DOIs
StatePublished - Sep 2019

Funding

FundersFunder number
Australian Medical Research Future FundMRF1141214
Belgian Fund for Scientific ResearchPDR/OL T.0146.18, 91713354
Fondation pour la Recherche en Alcoologie
GCBS
Netherlands Health Research Organization
Neurocare Group
Ontario Ministry of Health
Tal Medical
National Institutes of Health
National Institute on Drug AbuseR01DA047368, R01DA045023, R01DA04447, K01DA043652, ZIADA000470
National Institute on Alcohol Abuse and AlcoholismP50AA010761
Brain and Behavior Research Foundation
California Department of Fish and Game
Canadian Institutes of Health Research
Canadian Cancer Society
Human Frontier Science Program
Department of Science and Technology, Ministry of Science and Technology, India
Deutsche ForschungsgemeinschaftSFB 1280
Canada Research ChairsR01DA026424
ZonMw
Bundesministerium für Bildung und Forschung01EE1403C
Conseil régional de Bourgogne-Franche-ComtéDST/SJF/LSA-02/2014-15
Norges Idrettshøgskole

    Keywords

    • Addiction
    • NIBS
    • Non-invasive brain stimulation
    • Psychiatry
    • Substance use disorder
    • Transcranial electrical stimulation
    • Transcranial magnetic stimulation
    • rTMS
    • tDCS
    • tES

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