Evidence map›Paper›PMID 40722314›Full record

ReviewBrain sciences2025

Invasive and Non-Invasive Neuromodulation for the Treatment of Substance Use Disorders: A Review of Reviews.

Tyler S Oesterle, Nicholas L Bormann, Majd Al-Soleiti, Simon Kung, Balwinder Singh, Michele T McGinnis, Sabrina Correa da Costa, Teresa Rummans, Mohit Chauhan, Juan M Rojas Cabrera and 5 more

Abstract readReview
In one paragraph

Review in Brain sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Tyler S OesterleDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0000-0002-7363-8086
Nicholas L BormannDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0000-0001-8847-8727
Majd Al-SoleitiDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN 55905, USA.
Simon KungDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN 55905, USA.
Balwinder SinghDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0000-0001-7062-8192
Michele T McGinnisMayo Clinic Libraries, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0009-0005-4893-2530
Sabrina Correa da CostaDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN 55905, USA.
Teresa RummansDepartment of Psychiatry and Psychology, Mayo Clinic, Jacksonville, FL 32224, USA.ORCID 0000-0002-7967-4766
Mohit ChauhanDepartment of Psychiatry and Psychology, Mayo Clinic, Jacksonville, FL 32224, USA.ORCID 0000-0001-8848-4385
Juan M Rojas CabreraDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0000-0001-8131-5546
Sara A Vettleson-TrutzaDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0009-0005-7065-2439
Kristen M ScheitlerDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN 55905, USA.
Hojin ShinDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0000-0001-6095-5122
Kendall H LeeDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN 55905, USA.
Mark S GoldDepartment of Psychiatry, Washington University School of Medicine, Washington University in St. Louis, St. Louis, MO 63130, USA.

Funding

Institutional Career Development CoreKL2TR002379 · NCATS · MAYO CLINIC ROCHESTER · PI NILUFER ERTEKIN-TANER · 2017 to 2026
$14.9M
NCATS NIH HHS KL2 TR002379
6 · The paper itself

Abstract

backgroundInvasive and non-invasive neuromodulation in psychiatry represents a burgeoning field that leverages advanced neuromodulation techniques to address substance use disorders (SUDs).

aimsThis narrative review synthesizes findings from multiple reviews to evaluate the efficacy of neuromodulation in treating SUDs.

methodsA comprehensive literature search was conducted between December 2024 and April 2025, focusing on systematic reviews and meta-analyses that examined various neuromodulation modalities, including repetitive transcranial magnetic stimulation (rTMS), transcranial direct current stimulation (tDCS), and deep brain stimulation (DBS). The selected reviews were analyzed to identify common themes, outcomes, and gaps in the current understanding of these treatments for SUDs.

results11 reviews met the final inclusion criteria; 5 focused on non-invasive neuromodulation (rTMS, tDCS) and 6 on invasive neuromodulation (DBS). Non-invasive neurostimulation was associated with modest improvements in craving and cognitive dysfunction in individuals with SUDs. Similarly, invasive neuromodulation (DBS), through high-frequency stimulation of the bilateral nucleus accumbens, appeared to reduce cravings and improve comorbid psychiatric symptoms in both preclinical and human studies. Importantly, small sample sizes, heterogeneity in targets and stimulation protocols, and short follow-up periods significantly limit the generalizability of current findings from both non-invasive and invasive neuromodulation studies.

conclusionsAs novel and more effective therapies for the treatment of SUD are desperately needed, procedural interventional psychiatry holds promise. However, despite encouraging results, existing evidence is still preliminary, and larger, rigorously designed studies are warranted to further establish the safety and efficacy of neuromodulatory interventions for SUD treatment.

Indexed as

addiction medicineand deep brain stimulation (DBS)neuromodulationsubstance-related disorderstranscranial direct current stimulation (tDCS)transcranial magnetic stimulation (rTMS)

Identifiers

PMID40722314
PMCPMC12294003

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.