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2023, Number 1

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Rev Neurol Neurocir Psiquiat 2023; 51 (1)

Adjuvant treatments and their impact on adult cognitive flexibility with diverse psychopathology: a systematic scoping review

Medina-Rodríguez JC, Vera-Sordo M

Language: Spanish
References: 40
Page: 19-29
PDF size: 225.61 Kb.


ABSTRACT

Introduction: mental health is in a boom period, in which psychopathology is reconceptualized as both dimensions and transdiagnostic phenomena. Coadjuvant treatments have been consolidated as an additive measure that aim to treat these and to be added to already known evidence-based interventions, with the aim of personalizing people's psychiatric and psychological care. Cognitive flexibility is a transdiagnostic dimension that can dysfunction and is present in several neuropsychiatric disorders. Objectives: to carry out an exploratory systematic review that seeks to identify the impact that coadjuvant treatments may have on cognitive flexibility. Material and methods: a literature research and meta-aggregation were performed according to the criteria of the preferred method for exploratory systematic reviews (PRISMA-ScR). Results: twelve clinical trials were integrated for this review with a total of 585 participants. Conclusions: the results of this review suggest that interventions based on branched-chain fatty acids such as ketone bodies, transcranial magnetic stimulation, mindfulness, and physical activity have therapeutic potential as coadjuvant treatments in cognitive flexibility.


REFERENCES

  1. Bhugra D, Tasman A, Pathare S, Priebe S, Smith S, Torous J et al. The WPA-lancet psychiatry commission on the future of psychiatry. Lancet Psychiatry [Internet]. 2017; 4 (10): 775-818. Available in: https://linkinghub.elsevier.com/retrieve/pii/S2215036617303334

  2. Avasthi A, Sarkar S, Grover S. Approaches to psychiatric nosology: a viewpoint. Indian J Psychiatry [Internet]. 2014; 56 (3): 301-304. Available in: https://journals.lww.com/10.4103/0019-5545.120560

  3. Westen D. Prototype diagnosis of psychiatric syndromes. World Psychiatry [Internet]. 2012; 11 (1): 16-21. Available in: http://doi.wiley.com/10.1016/j.wpsyc.2012.01.004

  4. Alexander LM, Salum GA, Swanson JM, Milham MP. Measuring strengths and weaknesses in dimensional psychiatry. J Child Psychol Psychiatry [Internet]. 2020; 61 (1): 40-50. Available in: https://onlinelibrary.wiley.com/doi/10.1111/jcpp.13104

  5. Krueger RF, Bezdjian S. Enhancing research and treatment of mental disorders with dimensional concepts: toward DSM-V and ICD-11. World Psychiatry [Internet]. 2009; 8 (1): 3-6. Available in: https://onlinelibrary.wiley.com/doi/10.1002/j.2051-5545.2009.tb00197.x

  6. Kotov R, Krueger RF, Watson D, Achenbach TM, Althoff RR, Bagby RM et al. The hierarchical taxonomy of psychopathology (HiTOP): a dimensional alternative to traditional nosologies. J Abnorm Psychol [Internet]. 2017; 126 (4): 454-477. Available in: http://doi.apa.org/getdoi.cfm?doi=10.1037/abn0000258

  7. Buttelmann F, Karbach J. Development and plasticity of cognitive flexibility in early and middle childhood. Front Psychol [Internet]. 2017; 8: 1040. Available in: http://journal.frontiersin.org/article/10.3389/fpsyg.2017.01040/full

  8. Armbruster DJN, Ueltzhoffer K, Basten U, Fiebach CJ. Prefrontal cortical mechanisms underlying individual differences in cognitive flexibility and stability. J Cogn Neurosci [Internet]. 2012; 24 (12): 2385-2399. Available in: https://direct.mit.edu/jocn/article/24/12/2385/27872/Prefrontal-Cortical-Mechanisms-Underlying

  9. Uddin LQ. Cognitive and behavioural flexibility: neural mechanisms and clinical considerations. Nat Rev Neurosci [Internet]. 2021; 22 (3): 167-179. Available in: http://www.nature.com/articles/s41583-021-00428-w

  10. Dajani DR, Uddin LQ. Demystifying cognitive flexibility: implications for clinical and developmental neuroscience. Trends Neurosci [Internet]. 2015; 38 (9): 571-578. Available in: https://linkinghub.elsevier.com/retrieve/pii/S016622361500154X

  11. de la Peña FR, Bernal-Santamaría N, Villalobos-Montero JN. Priorities in psychiatry for the next decade: challenges for research. Salud Ment [Internet]. 2019; 42 (6): 259-260. Available in: http://revistasaludmental.mx/index.php/salud_mental/article/view/SM.0185-3325.2019.033

  12. Flores-Medina Y. Tratamientos coadyuvantes no farmacológicos en psiquiatría. En: Rosel Vales M, De la Peña Olvera F, Becerra Palars C, editores. Tratamientos coadyuvantes para los trastornos psiquiátricos. New York: Springer Nature; 2020. pp. 7-16.

  13. Tricco AC, Lillie E, Zarin W, O'Brien KK, Colquhoun H, Levac D et al. PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Ann Intern Med. 2018; 169 (7): 467-473.

  14. University of Adelaide. Critical appraisal tools [Internet]. Joanna Briggs Institute (JBI). 2022. Available in: https://jbi.global/critical-appraisal-tools

  15. Jordan Z, Lockwood C, Munn Z, Aromataris E. The updated Joanna Briggs Institute model of evidence-based healthcare. Int J Evid Based Healthc [Internet]. 2019; 17 (1): 58-71. Available in: https://journals.lww.com/01787381-201903000-00008

  16. Walach H. Psychiatry is Broadening the biological paradigm at last - a commentary on Hoffmann et al. "Dietary supplements in psychiatric treatment - a narrative review". Pharmacopsychiatry [Internet]. 2019; 52 (6): 282-283. Available in: http://www.thieme-connect.de/DOI/DOI?10.1055/a-0987-0366

  17. Lim LW, Aquili L. GABA supplementation negatively affects cognitive flexibility independent of tyrosine. J Clin Med [Internet]. 2021; 10 (9): 1807. Available in: https://www.mdpi.com/2077-0383/10/9/1807

  18. Fortier M, Castellano CA, St-Pierre V, Myette-Coté E, Langlois F, Roy M et al. A ketogenic drink improves cognition in mild cognitive impairment: results of a 6-month RCT. Alzheimers Dement [Internet]. 2021; 17 (3): 543-552. Available in: https://onlinelibrary.wiley.com/doi/10.1002/alz.12206

  19. Choudhary D, Bhattacharyya S, Bose S. Efficacy and safety of Ashwagandha (Withania somnifera (L.) Dunal) root extract in improving memory and cognitive functions. J Diet Suppl [Internet]. 2017; 14 (6): 599-612. Available in: https://www.tandfonline.com/doi/full/10.1080/19390211.2017.1284970

  20. Dean AJ, Bellgrove MA, Hall T, Phan WMJ, Eyles DW, Kvaskoff D et al. Effects of Vitamin D supplementation on cognitive and emotional functioning in young adults - a randomised controlled trial. Hashimoto K, editor. PLoS One [Internet]. 2011; 6 (11): e25966. Available in: https://dx.plos.org/10.1371/journal.pone.0025966

  21. Zortea K, Franco VC, Guimaraes P, Belmonte-de-Abreu PS. Resveratrol supplementation did not improve cognition in patients with schizophrenia: results from a randomized clinical trial. Front Psychiatry [Internet]. 2016; 7: 159. Available in: http://journal.frontiersin.org/Article/10.3389/fpsyt.2016.00159/abstract

  22. Praharaj S, Diwedi S, Mishra B, Sarkar S, Mehta V, Nizamie SH. Repetitive transcranial magnetic stimulation in psychiatry. Ann Indian Acad Neurol [Internet]. 2011; 14 (4): 245-251. Available in: http://www.annalsofian.org/text.asp?2011/14/4/245/91935

  23. Lee SA, Kim MK. Effect of low frequency repetitive transcranial magnetic stimulation on depression and cognition of patients with traumatic brain injury: a randomized controlled trial. Med Sci Monit [Internet]. 2018; 24: 8789-8794. Available in: https://www.medscimonit.com/abstract/index/idArt/911385

  24. Ghacibeh GA, Shenker JI, Shenal B, Uthman BM, Heilman KM. Effect of vagus nerve stimulation on creativity and cognitive flexibility. Epilepsy Behav [Internet]. 2006; 8 (4): 720-725. Available in: https://linkinghub.elsevier.com/retrieve/pii/S1525505006000849

  25. Witt K, Pulkowski U, Herzog J, Lorenz D, Hamel W, Deuschl G et al. Deep Brain stimulation of the subthalamic nucleus improves cognitive flexibility but impairs response inhibition in parkinson disease. Arch Neurol [Internet]. 2004; 61 (5): 697-700. Available in: http://archneur.jamanetwork.com/article.aspx?doi=10.1001/archneur.61.5.697

  26. Shapero BG, Greenberg J, Pedrelli P, de Jong M, Desbordes G. Mindfulness-based interventions in psychiatry. Focus (Madison) [Internet]. 2018; 16 (1): 32-39. Available in: https://psychiatryonline.org/doi/10.1176/appi.focus.20170039

  27. Sanabria-Mazo JP, Montero-Marin J, Feliu-Soler A, Gasión V, Navarro-Gil M, Morillo-Sarto H et al. Mindfulness-based program plus amygdala and insula retraining (MAIR) for the treatment of women with fibromyalgia: a pilot randomized controlled trial. J Clin Med [Internet]. 2020; 9 (10): 3246. Available in: https://www.mdpi.com/2077-0383/9/10/3246

  28. Greenberg J, Reiner K, Meiran N. "Mind the trap": mindfulness practice reduces cognitive rigidity. Fontenelle L, editor. PLoS One [Internet]. 2012; 7 (5): e36206. Available in: https://dx.plos.org/10.1371/journal.pone.0036206

  29. Cabral DF, Rice J, Morris TP, Rundek T, Pascual-Leone A, Gomes-Osman J. Exercise for brain health: an investigation into the underlying mechanisms guided by dose. Neurotherapeutics [Internet]. 2019 Jul 13;16(3):580-599. Available in: http://link.springer.com/10.1007/s13311-019-00749-w

  30. Sañudo B, Abdi E, Bernardo-Filho M, Taiar R. Aerobic exercise with superimposed virtual reality improves cognitive flexibility and selective attention in young males. Appl Sci [Internet]. 2020; 10 (22): 8029. Available in: https://www.mdpi.com/2076-3417/10/22/8029

  31. Morkl S, Butler MI, Holl A, Cryan JF, Dinan TG. Probiotics and the microbiota-gut-brain axis: focus on psychiatry. Curr Nutr Rep [Internet]. 2020; 9 (3): 171-182. Available in: https://link.springer.com/10.1007/s13668-020-00313-5

  32. Rudzki L, Ostrowska L, Pawlak D, Ma?us A, Pawlak K, Waszkiewicz N et al. Probiotic Lactobacillus plantarum 299v decreases kynurenine concentration and improves cognitive functions in patients with major depression: A double-blind, randomized, placebo controlled study. Psychoneuroendocrinology [Internet]. 2019; 100: 213-222. Available in: https://linkinghub.elsevier.com/retrieve/pii/S0306453018302695

  33. Myette-Coté E, Soto-Mota A, Cunnane SC. Ketones: potential to achieve brain energy rescue and sustain cognitive health during ageing. Br J Nutr [Internet]. 2022; 128 (3): 407-423. Available in: https://www.cambridge.org/core/product/identifier/S0007114521003883/type/journal_article

  34. Schur RR, Draisma LWR, Wijnen JP, Boks MP, Koevoets MGJC, Joels M et al. Brain GABA levels across psychiatric disorders: A systematic literature review and meta-analysis of 1 H-MRS studies. Hum Brain Mapp [Internet]. 2016; 37 (9): 3337-3352. Available in: https://onlinelibrary.wiley.com/doi/10.1002/hbm.23244

  35. Chiesa A, Calati R, Serretti A. Does mindfulness training improve cognitive abilities? A systematic review of neuropsychological findings. Clin Psychol Rev [Internet]. 2011; 31 (3): 449-464. Available in: https://linkinghub.elsevier.com/retrieve/pii/S027273581000173X

  36. Schuch FB, Stubbs B. The role of exercise in preventing and treating depression. Curr Sports Med Rep [Internet]. 2019; 18 (8): 299-304. Available in: http://journals.lww.com/00149619-201908000-00006

  37. Ludyga S, Puhse U, Gerber M, Kamijo K. How children with neurodevelopmental disorders can benefit from the neurocognitive effects of exercise. Neurosci Biobehav Rev [Internet]. 2021; 127: 514-519. Available in: https://linkinghub.elsevier.com/retrieve/pii/S0149763421002074

  38. Berding K, Vlckova K, Marx W, Schellekens H, Stanton C, Clarke G et al. Diet and the microbiota-gut-brain axis: sowing the seeds of good mental health. Adv Nutr [Internet]. 2021; 12 (4): 1239-1285. Available in: https://academic.oup.com/advances/article/12/4/1239/6164875

  39. Roine E, Roine RP, Rasanen P, Vuori I, Sintonen H, Saarto T. Cost-effectiveness of interventions based on physical exercise in the treatment of various diseases: A systematic literature review. Int J Technol Assess Health Care [Internet]. 2009; 25 (4): 427-454. Available in: https://www.cambridge.org/core/product/identifier/S0266462309990353/type/journal_article

  40. Bermúdez-Humarán LG, Salinas E, Ortiz GG, Ramirez-Jirano LJ, Morales JA, Bitzer-Quintero OK. From probiotics to psychobiotics: live beneficial bacteria which act on the brain-gut axis. Nutrients [Internet]. 2019; 11 (4): 890. Available in: https://www.mdpi.com/2072-6643/11/4/890




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