METHODS: A scoping review of the literature was conducted in five databases. Eligibility criteria were original articles reporting TCC based interventions or included TCC techniques and provided any assessment on impulsivity or related measures, impulse control disorders, or other psychiatric disorders related to impulsivity (e.g., addictive disorders, ADHD, and other conduct disorders). Twenty-eight out of 304 studies initially retrieved were reviewed. The reports concentrated mostly on neurodegenerative conditions, cognitive decline, and substance use disorders (SUD).
RESULTS: TCC had several positive effects in cognitive domains resulting in improvements in memory, executive functions, inhibitory control, attention, and verbal fluency. These improvements in memory, executive function, including inhibitory control and attention, and verbal fluency were associated with changes in the brain plasticity, resting activity, and other neurobiological markers.
CONCLUSIONS: Albeit no study was found on the use of TCC in impulse control disorders or impulse related conditions, other than SUD, the findings suggest that considering the behavioral impact of TCC, especially the improvement of executive functions, it could be a valuable therapeutic tool for approaching impulse control related disorders.
方法:在五个数据库中对文献进行范围审查。合格标准是报告基于TCC的干预措施或包括TCC技术的原始文章,并提供了对冲动或相关措施的任何评估,冲动控制障碍,或与冲动性相关的其他精神疾病(例如,成瘾性障碍,多动症,和其他行为障碍)。对最初检索的304项研究中的28项进行了审查。这些报告主要集中在神经退行性疾病上,认知能力下降,和物质使用障碍(SUD)。
结果:TCC在认知领域有几个积极的影响,从而改善了记忆,执行功能,抑制控制,注意,和口头流利。这些内存的改进,执行功能,包括抑制控制和注意力,语言流畅性与大脑可塑性的变化有关,休息活动,和其他神经生物学标记。
结论:尽管没有发现在冲动控制障碍或冲动相关疾病中使用TCC的研究,除了SUD,研究结果表明,考虑到TCC的行为影响,特别是行政职能的改善,它可能是一个有价值的治疗工具,以接近冲动控制相关疾病。