Abstract

BackgroundIt has been reported that internet gaming disorder (IGD) and smokers with nicotine dependence (SND) share clinical characteristics, such as over-engagement despite negative consequences and cravings. This study is to investigate the alterations in the resting-state functional connectivity (rsFC) of the dorsolateral prefrontal cortex (DLPFC) observed in SND and IGD. In this study, 27 IGD, 29 SND, and 33 healthy controls (HC) underwent a resting-state functional magnetic resonance imaging (rs-fMRI) scan. DLPFC connectivity was determined in all participates by investigating the synchronized low-frequency fMRI signal fluctuations using a temporal seed-based correlation method.ResultsCompared with the HC group, the IGD and SND groups showed decreased rsFC with DLPFC in the right insula and left inferior frontal gyrus with DLPFC. Compared with SND group, the IGD subjects exhibited increased rsFC in the left inferior temporal gyrus and right inferior orbital frontal gyrus and decreased rsFC in the right middle occipital gyrus, supramarginal gyrus, and cuneus with DLPFC.ConclusionOur results confirmed that SND and IGD share similar neural mechanisms related to craving and impulsive inhibitions. The significant difference in rsFC with DLPFC between the IGD and SND subjects may be attributed to the visual and auditory stimulation generated by long-term internet gaming.

Highlights

  • It has been reported that internet gaming disorder (IGD) and smokers with nicotine dependence (SND) share clinical characteristics, such as over-engagement despite negative consequences and cravings

  • IGD is different from substance abuse or drug addiction such that no substance or chemical intake is involved; excessive internet use may lead to physical dependence similar to that observed in other addictions [2]

  • As described in our previously study [9], the IGD subjects who met the diagnostic questionnaire for internet addiction (i.e., YDQ) test modified by Beard and Wolf [19] were recruited from the psychological outpatient clinic at the Shanghai Mental Health Center

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Summary

Introduction

It has been reported that internet gaming disorder (IGD) and smokers with nicotine dependence (SND) share clinical characteristics, such as over-engagement despite negative consequences and cravings. This study is to investigate the alterations in the resting-state functional connectivity (rsFC) of the dorsolateral prefrontal cortex (DLPFC) observed in SND and IGD. Our previous study revealed that smokers with IGD exhibited decreased resting-state functional connectivity (rsFC) in the right rectus gyrus and increased rsFC in the left middle frontal gyrus with post cingulate cortex (PCC), compared with nonsmokers with IGD. The angular gyrus showed hyper-connectivity with the precuneus linked to smoking and significantly correlated with the severity of nicotine dependence These results suggested that particular effects of alcohol and nicotine can be separated and identified. The AD group was found to have positive rsFC values between the DLPFC, striatal areas, and temporal lobe, whereas the IGD group shows negative rsFC values among these areas They concluded that the both groups may have deficits in executive function

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