| Objective: To study the effects of repeated transcranial magnetic stimulation (rTMS) on psychological craving, self-efficacy and relapse of alcohol dependence. Methods: A total of 86 alcohol-dependent patients treated in our hospital from April 2021 to June 2022 were selected and divided into rTMS group (n=43) and control group (n=43) by the random number table method. The control group received routine support and alternative therapy, and the rTMS group received rTMS therapy on the basis of the control group. Alcohol dependence, psychological craving, self-efficacy and relapse were observed before treatment, after treatment and 6 months after treatment. Relapse and re-hospitalization after 6 months of treatment were observed in both groups. Results: After treatment, CIWA-Ar, MAST, PSQI and PACS scores in both groups were lower than those before treatment, and CIWA-Ar, MAST, PSQI and PACS scores in the rTMS group were lower than those in the control group. After 6 months of treatment, CIWA-Ar, MAST, PSQI and PACS scores in the rTMS group were lower than those in the control group (P<0.05). CIWA-Ar, MAST, PSQI and PACS scores in the rTMS group were not different from those after treatmen, while CIWA-Ar, MAST, PSQI and PACS scores in the control group were higher than those after treatment. After treatment, GSES scores in both groups were higher than those before treatment, and GSES scores in the rTMS group were higher than those in the control group. After 6 months of treatment, GSES score in the rTMS group was higher than that in the control group (P<0.05). There was no significant difference in the GSES scores in the rTMS bctween 6 months of treatment and after treatment completion, while the GSES scores in the control group were lower than those after treatment. During treatment, no significant side effects occurred in both groups. After 6 months of treatment, the rates of re-drinking and re-hospitalization in rTMS group were lower than those in the control group (P<0.05). Conclusion: rTMS can help reduce the degree of alcohol dependence and psychological thirst for alcohol, relieve the physiological and psychological pain of patients, enhance their SE, and reduce the rate of relapse and re-hospitalization. |
