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网络成瘾障碍抑制控制能力的脑电图成分:随机对照试验的系统评价和荟萃分析。

EEG components of inhibitory control ability in internet gaming disorder: A systematic review and meta-analysis of randomized controlled trials.

机构信息

Department of Community Health, Advanced Medical and Dental Institute, Universiti Sains Malaysia, Penang, Malaysia.

出版信息

Brain Behav. 2024 Jan;14(1):e3388. doi: 10.1002/brb3.3388.


DOI:10.1002/brb3.3388
PMID:38376031
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10808847/
Abstract

BACKGROUND: Inhibitory control ability is a crucial cognitive function that enables individuals to regulate their impulses and behaviors in a goal-directed manner. However, with the increasing prevalence of internet gaming disorder (IGD), there has been growing concern about the impact of excessive gaming on inhibitory control ability. Despite the accumulating evidence on this topic, the research conclusion on whether people with IGD have worse inhibition control ability than healthy controls remains inconsistent, and the lack of effective electroencephalography prediction indicators further complicates this issue. To address this research gap, the present study aimed to investigate whether N2 event-related potential (ERP) and P3 ERP components could serve as reliable indicators of inhibitory control ability in individuals with IGD. METHODS: To achieve this goal, a systematic literature search was conducted in several databases, including Web of Science, ScienceDirect (EBSCO), SpringerLink, PubMed, and Wiley Online Library. The inclusion criteria were strictly implemented to ensure the quality of the studies included in the meta-analysis. In the end, a total of 5 studies, with 139 participants diagnosed with IGD and 139 healthy controls, were included in the analysis. RESULTS: Meta-analysis revealed large effect sizes of N2 and P3 amplitudes in individuals with IGD, indicating that these two ERP components could be potential indicators of inhibitory control ability. Specifically, the N2 and P3 amplitude was significantly larger in individuals with IGD than in the healthy control group, suggesting deficits in inhibitory control function and increased impulsivity in the IGD group. In the inhibition control task, the IGD group required more cognitive resources to suppress impulsive responses. CONCLUSION: Overall, the findings of this meta-analysis shed light on the potential use of N2 and P3 amplitudes as reliable indicators of inhibitory control ability in individuals with IGD. The results provide crucial insights into the neural mechanisms underlying inhibitory control impairment in IGD, which could inform the development of effective interventions for this condition. Further research is needed to explore the functional significance of these ERP components and their potential clinical applications in the diagnosis and treatment of IGD.

摘要

背景:抑制控制能力是一种关键的认知功能,使个体能够以目标导向的方式调节自己的冲动和行为。然而,随着互联网游戏障碍(IGD)的患病率不断增加,人们越来越关注过度游戏对抑制控制能力的影响。尽管关于这个主题的证据越来越多,但关于是否患有 IGD 的人比健康对照组具有更差的抑制控制能力的研究结论仍然不一致,并且缺乏有效的脑电图预测指标进一步使这个问题复杂化。为了解决这个研究空白,本研究旨在探讨 N2 事件相关电位(ERP)和 P3 ERP 成分是否可以作为 IGD 个体抑制控制能力的可靠指标。

方法:为了实现这一目标,在几个数据库中进行了系统的文献检索,包括 Web of Science、ScienceDirect(EBSCO)、SpringerLink、PubMed 和 Wiley Online Library。严格执行纳入标准以确保纳入元分析的研究质量。最终,共有 5 项研究,共 139 名被诊断为 IGD 的参与者和 139 名健康对照组参与者纳入分析。

结果:元分析显示,IGD 个体的 N2 和 P3 振幅具有较大的效应量,表明这两个 ERP 成分可能是抑制控制能力的潜在指标。具体来说,IGD 个体的 N2 和 P3 振幅明显大于健康对照组,表明 IGD 组的抑制控制功能存在缺陷,冲动性增加。在抑制控制任务中,IGD 组需要更多的认知资源来抑制冲动反应。

结论:总体而言,这项元分析的结果表明,N2 和 P3 振幅可以作为 IGD 个体抑制控制能力的可靠指标。研究结果为 IGD 中抑制控制受损的神经机制提供了重要的见解,这可能为这种情况的有效干预提供信息。需要进一步研究来探索这些 ERP 成分的功能意义及其在 IGD 的诊断和治疗中的潜在临床应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7382/10808847/0f78af862233/BRB3-14-e3388-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7382/10808847/f4bbb569eb8c/BRB3-14-e3388-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7382/10808847/4d7db46cc6af/BRB3-14-e3388-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7382/10808847/548f2b42bf6d/BRB3-14-e3388-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7382/10808847/57f10d26be54/BRB3-14-e3388-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7382/10808847/0f78af862233/BRB3-14-e3388-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7382/10808847/f4bbb569eb8c/BRB3-14-e3388-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7382/10808847/4d7db46cc6af/BRB3-14-e3388-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7382/10808847/548f2b42bf6d/BRB3-14-e3388-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7382/10808847/57f10d26be54/BRB3-14-e3388-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7382/10808847/0f78af862233/BRB3-14-e3388-g003.jpg

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本文引用的文献

[1]
Influences of Emotional Information on Response Inhibition in Gaming Disorder: Behavioral and ERP Evidence from Go/Nogo Task.

Int J Environ Res Public Health. 2022-12-5

[2]
Proactive and reactive inhibitory control are differently affected by video game addiction: An event-related potential study.

Brain Behav. 2022-6

[3]
The Associations Between Gaming Motivation and Internet Gaming Disorder: Systematic Review and Meta-analysis.

JMIR Ment Health. 2022-2-17

[4]
Gaming to cope: Applying network analysis to understand the relationship between posttraumatic stress symptoms and internet gaming disorder symptoms among disaster-exposed Chinese young adults.

Addict Behav. 2022-1

[5]
Reward-related decision-making deficits in internet gaming disorder: a systematic review and meta-analysis.

Addiction. 2022-1

[6]
The P300 as marker of inhibitory control - Fact or fiction?

Cortex. 2020-11

[7]
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Syst Rev. 2020-4-2

[8]
Limitations of Meta-analyses of Studies With High Heterogeneity.

JAMA Netw Open. 2020-1-3

[9]
Dysfunctional cognitive control and reward processing in adolescents with Internet gaming disorder.

Psychophysiology. 2020-2

[10]
Brain response features during forced break could predict subsequent recovery in internet gaming disorder: A longitudinal study.

J Psychiatr Res. 2019-3-9

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