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网络成瘾障碍患者的额眶部-纹状体网络与冲动性的相关性。

The Correlation between the Frontostriatal Network and Impulsivity in Internet Gaming Disorder.

机构信息

Department of Psychiatry, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Republic of Korea.

Department of Psychology, Korea University, Seoul, Republic of Korea.

出版信息

Sci Rep. 2019 Feb 4;9(1):1191. doi: 10.1038/s41598-018-37702-4.

Abstract

As excessive use of internet gaming has become a serious public health concern, increasing studies have revealed that impulsivity is one of the important risk factors of internet gaming disorder (IGD). This study was designed to investigate the altered resting-state functional connectivity (FC) of the bilateral orbitofrontal cortex (OFC) in IGD participants and to examine its relationship with impulsivity compared with the normal controls (NC). Seed-based analyses verified that participants with IGD displayed decreased FC between the OFC and frontal, striatal, temporal and occipital regions different from NC. Moreover, IGD participants showed weankened FC from the OFC with dorsal anterior cingulate cortex as well as with dorsolateral prefrontal cortex and dorsal striatum as the results of group difference. These results could suggest that the decreased frontostriatal connectivity was associated with excessive internet gaming. Also, the increased FC in frontostriatal regions was correlated with impulse control in the NC but not the IGD participants. Further insight into the brain circuitry on frontostriatal could provide the target for developing treatment approaches of impulse control in IGD.

摘要

由于过度使用互联网游戏已成为一个严重的公共卫生问题,越来越多的研究表明冲动性是互联网游戏障碍(IGD)的重要风险因素之一。本研究旨在调查 IGD 参与者双侧眶额皮层(OFC)静息状态功能连接(FC)的改变,并与正常对照组(NC)相比,检查其与冲动性的关系。基于种子的分析证实,与 NC 不同,IGD 参与者的 OFC 与额叶、纹状体、颞叶和枕叶之间的 FC 降低。此外,IGD 参与者的 OFC 与背侧前扣带回、背外侧前额叶皮质和背侧纹状体的 FC 减弱,这是组间差异的结果。这些结果表明,额纹状体连接的减少与过度的网络游戏有关。此外,NC 参与者中,额纹状体区域的 FC 增加与冲动控制相关,但 IGD 参与者中则没有。进一步深入了解额纹状体的大脑回路可能为开发 IGD 冲动控制的治疗方法提供目标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fd6/6361914/39c72238a4a6/41598_2018_37702_Fig1_HTML.jpg

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