Department of Psychiatry, University of Cambridge, Cambridge, United Kingdom.
Cambridge and Peterborough NHS Foundation Trust, Cambridge, United Kingdom.
CNS Spectr. 2020 Jun;25(3):409-418. doi: 10.1017/S1092852919001019. Epub 2019 Jun 4.
Problematic internet users suffer from impairment in a variety of cognitive domains. Research suggests that COMT haplotypes exert differential effects on cognition. We sought to investigate differences in the genetic profiles of problematic internet users and whether those could shed light on potential cognitive differences.
We recruited 206 non-treatment seeking participants with heightened impulsive traits and obtained cross-sectional demographic, clinical, and cognitive data as well as the genetic haplotypes of COMT rs4680 and rs4818. We identified 24 participants who presented with problematic internet use (PIU) and compared PIU and non-PIU participants using one-way analysis of variance (ANOVA) and chi square as appropriate.
PIU was associated with worse performance on decision making, rapid visual processing, and spatial working memory tasks. Genetic variants were associated with altered cognitive performance, but rates of PIU did not statistically differ for particular haplotypes of COMT.
This study indicates that PIU is characterized by deficits in decision making and working memory domains; it also provides evidence for elevated impulsive responses and impaired target detection on a sustained attention task, which is a novel area worth exploring further in future work. The effects observed in the genetic influences on cognition of PIU subjects imply that the genetic heritable components of PIU may not lie within the genetic loci influencing COMT function and cognitive performance; or that the genetic component in PIU involves many genetic polymorphisms each conferring only a small effect.
有问题的互联网用户在各种认知领域都存在障碍。研究表明,COMT 单倍型对认知有不同的影响。我们试图研究有问题的互联网用户的遗传特征是否存在差异,以及这些差异是否能揭示潜在的认知差异。
我们招募了 206 名具有高冲动特质的非治疗性寻求者,并获得了横断面人口统计学、临床和认知数据以及 COMT rs4680 和 rs4818 的遗传单倍型。我们确定了 24 名有问题的互联网使用者(PIU),并使用单向方差分析(ANOVA)和适当的卡方检验比较了 PIU 和非-PIU 参与者。
PIU 与决策、快速视觉处理和空间工作记忆任务的表现较差有关。遗传变异与认知表现的改变有关,但 COMT 特定单倍型的 PIU 发生率没有统计学差异。
这项研究表明,PIU 的特征是决策和工作记忆领域的缺陷;它还提供了证据表明冲动反应增加和持续注意力任务中的目标检测受损,这是一个值得在未来工作中进一步探索的新领域。在 PIU 对认知的遗传影响中观察到的效应表明,PIU 的遗传可遗传性成分可能不在影响 COMT 功能和认知表现的遗传基因座内;或者 PIU 中的遗传成分涉及许多遗传多态性,每个多态性只产生较小的影响。