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Addiction to gambling, help by brain stimulation

THE THOUGHT is always to place bets. According to estimates from the national Institute of Health, one and a half million italians have a problem with the game

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Addiction to gambling, help by brain stimulation
THE THOUGHT is always to place bets. According to estimates from the national Institute of Health, one and a half million italians have a problem with the game of chance . Among them there are those who develop a dependency, or ludopatia . Several tools exist to treat this disorder: it's psychotherapy or medications. But today's research is studying new ways. An Italian study has just highlighted the effectiveness of a technique called “ transcranial magnetic stimulation repeated ” (abbreviation rTMS) in a group of eight patients with ludopatia. According to the authors, the procedure is completely non-invasive, it could open new therapeutic perspectives promising for this and other disorders. The research, which took part in the University G. D'annunzio of Chieti, together with other hospitals and centres, international and Italian, is published in the journal European Addiction Research.
transcranial magnetic stimulation This method has been approved in Canada and the United States for the treatment of depression and in migraine . In Italy it is still under study even though there are already other evidence of the fact that it may be effective and without important side effects. “Made use of magnets in close proximity to the skin, that stimulate certain areas of the brain,” explains Fabrizio Fanella , medical director of the Center, The Promise, the center for the treatment of pathological addictions, who took part in the study. “Therefore, it is not for nothing invasive.” And the results are seen, continue Fanella. “It is not the first time that we employ in the context of the research: our previous study has shown the effects of bless for cocaine dependence”.
The search for The authors involved eight people with a disorder gambling in the trial. All the volunteers were playing daily, several hours per day. The first two weeks were treated in an intensive manner, twice per day, five days a week, while for three months after the treatment was maintained one day per week to two times. “Already after the first two weeks, the benefits were obvious,” he explained Fanella, “with a reduction of more than 70% of the score Gambling Symptom Assessment Scale, which assesses the compulsion to the game. In practice, reduced a lot of the episodes of the game to almost play no more”. And the benefit is maintained over time, even in the months of follow-up, while there were no significant side effects.

The research is now at the beginning and on a few patients, commented the experts, but the results are encouraging. “Our idea is to extend the study to a larger number of people,” added Fanella, “and possibly to ensure that in the future this treatment can be provided by the health care system”. Already now, however, there are already weapons that are important to the patient, as it clarifies the expert. “It is important to put in place a multi-disciplinary approach, with treatments combined pharmacological treatment with psycho-behavioural, involving the family where possible”.
The mechanisms of the stimulation, The technique stimulates a distance, with magnets, a small area of the prefrontal cortex. The prefrontal cortex is an area of the brain involved in planning behavior and inhibiting impulses associated with the action. The reduced activity of pathways prefrontal decreases the control on the desire and compulsion to the game. For this, enable it can help to raise the threshold of control. “The action, in particular, is directed on the neuronal circuits associated with the dependencies”, stresses Fanella, “such as dopamine”. Dopamine is a molecule that is essential produced in the brain and is associated with the reward and gratification. And it is the same that induces us to repeat a behavior that produces pleasant feelings and that in some cases is linked to the development of real dependencies.

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