Disrupted prefrontal regulation of striatum-related craving in Internet gaming disorder revealed by dynamic causal modeling: results from a cue-reactivity task.

Background: Studies of Internet gaming disorder (IGD) suggest an imbalanced relationship between cognitive control and reward processing in people with IGD. However, it remains unclear how these two systems interact with each other, and whether they could serve as neurobiological markers for IGD. Me...

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Published in:Psychological Medicine Vol. 51; no. 9; pp. 1549 - 1562
Main Authors: Dong, Guang-Heng, Wang, Min, Zheng, Hui, Wang, Ziliang, Du, Xiaoxia, Potenza, Marc N.
Format: diagnostic images pictorial research tables/charts Journal Article
Published: Cambridge University Press Jul2021
Online Access:View this record in EBSCOhost
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      dt: Jul2021
      vid: 51
      iid: 9
      pid: 15979
      pub: Cambridge University Press
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        10.1017/S003329172000032X
        151537994
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        atl: Disrupted prefrontal regulation of striatum-related craving in Internet gaming disorder revealed by dynamic causal modeling: results from a cue-reactivity task.
      aug:
        au:
          Dong, Guang-Heng
          Wang, Min
          Zheng, Hui
          Wang, Ziliang
          Du, Xiaoxia
          Potenza, Marc N.
        affil: Center for Cognition and Brain Disorders, The Affiliated Hospital of Hangzhou Normal University, Hangzhou, Zhejiang Province, PR China
      sug:
        subj:
          Frontal Lobe Physiology
          Craving
          Behavior, Addictive
          Internet Addiction
          Cues
          Task Performance and Analysis
          Causal Modeling
          Video Games Adverse Effects
          Human
          Recreation
          Cognition
          Reward
          Auditory Cortex Physiology
          Models, Statistical
      ab: Background: Studies of Internet gaming disorder (IGD) suggest an imbalanced relationship between cognitive control and reward processing in people with IGD. However, it remains unclear how these two systems interact with each other, and whether they could serve as neurobiological markers for IGD. Methods: Fifty IGD subjects and matched individuals with recreational game use (RGU) were selected and compared when they were performing a cue-craving task. Regions of interests [anterior cingulate cortex (ACC), lentiform nucleus] were selected based on the comparison between brain responses to gaming-related cues and neutral cues. Directional connectivities among these brain regions were determined using Bayesian estimation. We additionally examined the posterior cingulate cortex (PCC) in a separate analysis based on data implicating the PCC in craving in addiction. Results: During fixed-connectivity analyses, IGD subjects showed blunted ACC-to-lentiform and lentiform-to-ACC connectivity relative to RGU subjects, especially in the left hemisphere. When facing gaming cues, IGD subjects trended toward lower left-hemispheric modulatory effects in ACC-to-lentiform connectivity than RGU subjects. Self-reported cue-related craving prior to scanning correlated inversely with left-hemispheric modulatory effects in ACC-to-lentiform connectivity. Conclusions: The results suggesting that prefrontal-to-lentiform connectivity is impaired in IGD provides a possible neurobiological mechanism for difficulties in controlling gaming-cue-elicited cravings. Reduced connectivity ACC-lentiform connectivity may be a useful neurobiological marker for IGD.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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