Pyeon Arom, Choi Jihye, Cho Hyun, Kim Jin-Young, Choi In Young, Ahn Kook-Jin, Choi Jung-Seok, Chun Ji-Won, Kim Dai-Jin
1 Department of Psychiatry, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Republic of Korea.
2 Department of Medical Informatics, The Catholic University of Korea College of Medicine, Seoul, Republic of Korea.
J Behav Addict. 2021 Dec 23;10(4):1048-60. doi: 10.1556/2006.2021.00085.
With the continued spread of smartphones and development of the internet, the potential negative effects arising from problematic smartphone use (PSU) in adolescents are being reported on an increasing basis. This study aimed to investigate whether altered resting-state functional connectivity (rsFC) is related to the psychological factors underlying PSU in adolescents.
Resting-state functional magnetic resonance images were acquired from 47 adolescents with PSU and 46 healthy control adolescents (the CON group). Seed-based functional connectivity analyses were then performed to compare the two groups with respect to rsFC in the right inferior frontal gyrus, associated with various forms of self-control, and rsFC in the left inferior frontal gyrus.
Compared to the CON group, the PSU group exhibited a reduction in rsFC between the right inferior frontal gyrus and limbic areas, including the bilateral parahippocampal gyrus, the left amygdala, and the right hippocampus. In addition, a reduction in fronto-limbic rsFC was associated with the severity of PSU, the degree of self-control, and the amount of time the subjects used their smartphones.
Adolescents with PSU exhibited reduced levels of fronto-limbic functional connectivity; this mechanism is involved in salience attribution and self-control, attributes that are critical to the clinical manifestation of substance and behavioral addictions. Our data provide clear evidence for alterations in brain connectivity with respect to self-control in PSU.
随着智能手机的持续普及和互联网的发展,青少年问题性智能手机使用(PSU)所产生的潜在负面影响被越来越多地报道。本研究旨在调查静息态功能连接(rsFC)的改变是否与青少年PSU背后的心理因素相关。
从47名有PSU的青少年和46名健康对照青少年(CON组)获取静息态功能磁共振图像。然后进行基于种子点的功能连接分析,以比较两组在与各种形式自我控制相关的右侧额下回的rsFC以及左侧额下回的rsFC。
与CON组相比,PSU组右侧额下回与边缘区域(包括双侧海马旁回、左侧杏仁核和右侧海马)之间的rsFC降低。此外,额-边缘rsFC的降低与PSU的严重程度、自我控制程度以及受试者使用智能手机的时间量相关。
有PSU的青少年表现出额-边缘功能连接水平降低;这种机制参与了显著性归因和自我控制,这些属性对于物质和行为成瘾的临床表现至关重要。我们的数据为PSU中与自我控制相关的脑连接改变提供了明确证据。