The longitudinal association between reward processing and symptoms of video game addiction in the Adolescent Brain Cognitive Development Study.

IF 6.6 1区 医学 Q1 PSYCHIATRY
Journal of Behavioral Addictions Pub Date : 2024-12-09 Print Date: 2024-12-30 DOI:10.1556/2006.2024.00068
Daniel A Lopez, John J Foxe, Edwin van Wijngaarden, Wesley K Thompson, Edward G Freedman
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Abstract

Background and aims: Video games are a common form of entertainment in adolescents, which may result in gaming habits characterized by impairment to reward-related decision-making. The aim of the current study was to investigate the relationship between reward processing and symptoms of gaming addiction in adolescents.

Methods: Data from three consecutive follow-up years (years 2, 3 and 4) of the Adolescent Brain Cognitive Development (ABCD) Study were analyzed (n = 6,143, total observations = 12,745, mean age at year-2 = 12 years). Participants completed the Video Game Addiction Questionnaire (VGAQ) at each visit. Discrete stages of reward processing were measured at the year-2 visit using the Monetary Incentive Delay task while the participant completed a functional magnetic resonance imaging (fMRI) scan. Bayesian hierarchical linear models were employed to examine the longitudinal association between reward processing in regions of interest at year-2 and VGAQ scores over time.

Results: Lower activation in the bilateral caudate during the anticipation of a large reward (β = -0.87, 95% CI: -1.68, -0.07) was associated with greater VGAQ scores over time. This implies that for each one-unit increase in brain activity in the caudate, there was an associated 0.87-point decrease in symptoms of gaming addiction as measured by the VGAQ. No association was found between reward feedback and VGAQ scores.

Discussion and conclusions: The findings suggest that abnormal reward processing in the caudate nucleus is associated with symptoms of gaming addiction in adolescents. These results provide a clearer understanding of the brain mechanisms involved in gaming addiction, which could inform future preventive and therapeutic strategies.

青少年脑认知发展研究中奖励加工与电子游戏成瘾症状的纵向关联。
背景和目的:电子游戏是青少年中常见的娱乐形式,这可能导致以损害奖励相关决策为特征的游戏习惯。本研究旨在探讨青少年游戏成瘾症状与奖赏加工的关系。方法:对青少年大脑认知发展(ABCD)研究连续3年(第2、3、4年)的数据进行分析(n = 6143,总观察值= 12745,第2年平均年龄= 12岁)。参与者在每次访问时完成视频游戏成瘾问卷(VGAQ)。当参与者完成功能性磁共振成像(fMRI)扫描时,在第二年的访问中使用货币激励延迟任务来测量奖励处理的离散阶段。本研究采用贝叶斯层次线性模型来检验第2年感兴趣区域的奖励加工与VGAQ分数随时间的纵向关联。结果:在期待大奖励时,双侧尾状核的低激活(β = -0.87, 95% CI: -1.68, -0.07)与VGAQ分数随时间的增加有关。这意味着尾状核的大脑活动每增加一个单位,VGAQ测量的游戏成瘾症状就会减少0.87个点。没有发现奖励反馈和VGAQ分数之间的联系。讨论与结论:研究结果表明,青少年尾状核奖赏加工异常与游戏成瘾症状有关。这些结果让我们更清楚地了解游戏成瘾的大脑机制,为未来的预防和治疗策略提供信息。
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来源期刊
CiteScore
12.30
自引率
7.70%
发文量
91
审稿时长
20 weeks
期刊介绍: The aim of Journal of Behavioral Addictions is to create a forum for the scientific information exchange with regard to behavioral addictions. The journal is a broad focused interdisciplinary one that publishes manuscripts on different approaches of non-substance addictions, research reports focusing on the addictive patterns of various behaviors, especially disorders of the impulsive-compulsive spectrum, and also publishes reviews in these topics. Coverage ranges from genetic and neurobiological research through psychological and clinical psychiatric approaches to epidemiological, sociological and anthropological aspects.
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