Abstract

BackgroundRecent studies suggest that internet addiction disorder (IAD) is associated with structural abnormalities in brain gray matter. However, few studies have investigated the effects of internet addiction on the microstructural integrity of major neuronal fiber pathways, and almost no studies have assessed the microstructural changes with the duration of internet addiction.Methodology/Principal FindingsWe investigated the morphology of the brain in adolescents with IAD (N = 18) using an optimized voxel-based morphometry (VBM) technique, and studied the white matter fractional anisotropy (FA) changes using the diffusion tensor imaging (DTI) method, linking these brain structural measures to the duration of IAD. We provided evidences demonstrating the multiple structural changes of the brain in IAD subjects. VBM results indicated the decreased gray matter volume in the bilateral dorsolateral prefrontal cortex (DLPFC), the supplementary motor area (SMA), the orbitofrontal cortex (OFC), the cerebellum and the left rostral ACC (rACC). DTI analysis revealed the enhanced FA value of the left posterior limb of the internal capsule (PLIC) and reduced FA value in the white matter within the right parahippocampal gyrus (PHG). Gray matter volumes of the DLPFC, rACC, SMA, and white matter FA changes of the PLIC were significantly correlated with the duration of internet addiction in the adolescents with IAD.ConclusionsOur results suggested that long-term internet addiction would result in brain structural alterations, which probably contributed to chronic dysfunction in subjects with IAD. The current study may shed further light on the potential brain effects of IAD.

Highlights

  • As an important period between childhood and adulthood, adolescence is encompassed by alterations in physical, psychological, and social development [1]

  • Our results suggested that long-term internet addiction would result in brain structural alterations, which probably contributed to chronic dysfunction in subjects with internet addiction disorder (IAD)

  • We investigated the morphology of the brain in adolescents with IAD using an optimized voxel-based morphometry (VBM) technique and studied white matter fractional anisotropy (FA) changes using the diffusion tensor imaging (DTI) method, and linked these brain structural measures to the duration of IAD

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Summary

Introduction

As an important period between childhood and adulthood, adolescence is encompassed by alterations in physical, psychological, and social development [1]. During this developmental stage, more time is spent with peers and adults to face the variant social environment where more conflicts arise [2]. As one of the common mental health problems amongst Chinese adolescents, internet addiction disorder (IAD) is currently becoming more and more serious [11]. Recent studies suggest that internet addiction disorder (IAD) is associated with structural abnormalities in brain gray matter. Few studies have investigated the effects of internet addiction on the microstructural integrity of major neuronal fiber pathways, and almost no studies have assessed the microstructural changes with the duration of internet addiction

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