基于正念冥想治疗网络成瘾障碍的功能连接相关变化：一项随机临床试验。

Functional connectivity-related changes underlying mindfulness meditation for internet gaming disorder: a randomized clinical trial.

作者信息

Xu Xuefeng, Ni Haosen, Wang Huabin, Wang Tongtong, Liu Chang, Song Xiaolan, Dong Guang-Heng

机构信息

Department of Psychology, Yunnan Normal University, Kunming, Yunnan, China.

NuanCun Mindful-living Mindfulness Center, Hangzhou, Zhejiang, China.

出版信息

Npj Ment Health Res. 2025 Jul 31;4(1):31. doi: 10.1038/s44184-025-00154-6.

DOI:10.1038/s44184-025-00154-6

PMID:40745091

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12313989/

Abstract

Internet gaming disorder (IGD) is recognized as a mental health issue. Traditional interventions have limitations, but mindfulness meditation (MM) shows promise due to its flexibility and social acceptance. Study 1, fMRI data from 61 IGD patients and 60 healthy controls (HCs) were compared to assess functional connectivity (FC). Study 2- a randomized clinical trial, 80 IGD patients underwent either an MM intervention (twice-weekly for 8 sessions) or progressive muscle relaxation (PMR) as a control (pre-registered-Chinese clinical trial registry, ChiCTR2300075869, September 18, 2023). Study 1 revealed abnormal FC within the executive control network (ECN) and between the ECN and reward network in IGD patients. Study 2 showed that MM enhanced FC within the ECN and frontostriatal pathway. MM refining the coupling between brain regions involved in executive control and reward processing. This enhancement improves top-down control over game craving. These findings suggest that MM can effectively treat IGD.

摘要

网络成瘾障碍（IGD）被认为是一个心理健康问题。传统干预措施存在局限性，但正念冥想（MM）因其灵活性和社会接受度而显示出前景。研究1，比较了61名IGD患者和60名健康对照者（HCs）的功能磁共振成像（fMRI）数据，以评估功能连接性（FC）。研究2——一项随机临床试验，80名IGD患者接受了MM干预（每周两次，共8次）或渐进性肌肉松弛（PMR）作为对照（预注册——中国临床试验注册中心，ChiCTR2300075869，2023年9月18日）。研究1显示，IGD患者的执行控制网络（ECN）内以及ECN与奖赏网络之间存在异常的功能连接。研究2表明，MM增强了ECN和额纹状体通路内的功能连接。MM改善了参与执行控制和奖赏处理的脑区之间的耦合。这种增强改善了对游戏渴望的自上而下的控制。这些发现表明，MM可以有效治疗IGD。