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接受网瘾心理治疗的患者使用互联网的神经关联。

Neural correlate of Internet use in patients undergoing psychological treatment for Internet addiction.

作者信息

Lai Carlo, Altavilla Daniela, Mazza Marianna, Scappaticci Silvia, Tambelli Renata, Aceto Paola, Luciani Massimiliano, Corvino Stefano, Martinelli David, Alimonti Flaminia, Tonioni Federico

机构信息

a Department of Dynamic and Clinical Psychology , Sapienza University , Rome , Italy.

b Institute of Psychiatry and Psychology, Department of Geriatrics, Neuroscience and Orthopedics , and.

出版信息

J Ment Health. 2017 Jun;26(3):276-282. doi: 10.1080/09638237.2017.1294745. Epub 2017 Feb 28.

Abstract

BACKGROUND

The new version of Diagnostic and Statistical Manual of Mental Disorders (DSM-5th) proposed the Internet Gaming Disorder for the diagnosis of Internet addiction (IA) considering the neurobiological evidence of the craving.

AIMS

The aim was to test the neural correlate in response to the Internet cue in patients with IA.

METHODS

Sixteen males with IA diagnosis (clinical group) and 14 healthy male (control group) were recruited for an experimental visual task composed of Internet images and emotional images. During the visual presentation of Internet cue, electroencefalographic data were recorded using Net Station 4.5.1 with a 256-channels HydroCel Geodesic Sensor Net. Event-related potential (ERP) components and low-resolution electromagnetic tomography (sLoreta) were analysed.

RESULTS

sLoreta analyses showed that patients from the clinical group presented a higher primary somatosensorial cortex and lower paralimbic, temporal and orbito-frontal activation in response to both Internet and emotional images compared to those of the control group.

CONCLUSIONS

These results suggest that clinically recognized pathological use of Internet could be linked to dissociative symptoms.

摘要

背景

新版《精神疾病诊断与统计手册》(DSM - 第5版)考虑到成瘾渴望的神经生物学证据,提出将网络游戏障碍作为网络成瘾(IA)的诊断标准。

目的

旨在测试IA患者对网络线索的神经关联。

方法

招募16名被诊断为IA的男性(临床组)和14名健康男性(对照组)参与一项由网络图像和情感图像组成的实验性视觉任务。在网络线索的视觉呈现过程中,使用配备256通道HydroCel Geodesic Sensor Net的Net Station 4.5.1记录脑电图数据。分析事件相关电位(ERP)成分和低分辨率电磁断层扫描(sLoreta)。

结果

sLoreta分析显示,与对照组相比,临床组患者在对网络图像和情感图像的反应中,初级体感皮层激活更高,而边缘旁、颞叶和眶额部激活更低。

结论

这些结果表明,临床上公认的网络病理性使用可能与分离症状有关。

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