Dissociable neural processes during risky decision-making in individuals with Internet-gaming disorder

Risk-taking is purported to be central to addictive behaviors. However, for Internet gaming disorder (IGD), a condition conceptualized as a behavioral addiction, the neural processes underlying impaired decision-making (risk evaluation and outcome processing) related to gains and losses have not bee...

Full description

Bibliographic Details
Main Authors: Lu Liu, Gui Xue, Marc N. Potenza, Jin-Tao Zhang, Yuan-Wei Yao, Cui-Cui Xia, Jing Lan, Shan-Shan Ma, Xiao-Yi Fang
Format: Article
Language:English
Published: Elsevier 2017-01-01
Series:NeuroImage: Clinical
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213158217300700
_version_ 1811230399219630080
author Lu Liu
Gui Xue
Marc N. Potenza
Jin-Tao Zhang
Yuan-Wei Yao
Cui-Cui Xia
Jing Lan
Shan-Shan Ma
Xiao-Yi Fang
author_facet Lu Liu
Gui Xue
Marc N. Potenza
Jin-Tao Zhang
Yuan-Wei Yao
Cui-Cui Xia
Jing Lan
Shan-Shan Ma
Xiao-Yi Fang
author_sort Lu Liu
collection DOAJ
description Risk-taking is purported to be central to addictive behaviors. However, for Internet gaming disorder (IGD), a condition conceptualized as a behavioral addiction, the neural processes underlying impaired decision-making (risk evaluation and outcome processing) related to gains and losses have not been systematically investigated. Forty-one males with IGD and 27 healthy comparison (HC) male participants were recruited, and the cups task was used to identify neural processes associated with gain- and loss-related risk- and outcome-processing in IGD. During risk evaluation, the IGD group, compared to the HC participants, showed weaker modulation for experienced risk within the bilateral dorsolateral prefrontal cortex (DLPFC) (t = −4.07; t = −3.94; PFWE < 0.05) and inferior parietal lobule (IPL) (t = −4.08; t = −4.08; PFWE < 0.05) for potential losses. The modulation of the left DLPFC and bilateral IPL activation were negatively related to addiction severity within the IGD group (r = −0.55; r = −0.61; r = −0.51; PFWE < 0.05). During outcome processing, the IGD group presented greater responses for the experienced reward within the ventral striatum, ventromedial prefrontal cortex, and orbitofrontal cortex (OFC) (t = 5.04, PFWE < 0.05) for potential gains, as compared to HC participants. Within the IGD group, the increased reward-related activity in the right OFC was positively associated with severity of IGD (r = 0.51, PFWE < 0.05). These results provide a neurobiological foundation for decision-making deficits in individuals with IGD and suggest an imbalance between hypersensitivity for reward and weaker risk experience and self-control for loss. The findings suggest a biological mechanism for why individuals with IGD may persist in game-seeking behavior despite negative consequences, and treatment development strategies may focus on targeting these neural pathways in this population.
first_indexed 2024-04-12T10:28:46Z
format Article
id doaj.art-f64ecadaebc84484b7849267e5ba0007
institution Directory Open Access Journal
issn 2213-1582
language English
last_indexed 2024-04-12T10:28:46Z
publishDate 2017-01-01
publisher Elsevier
record_format Article
series NeuroImage: Clinical
spelling doaj.art-f64ecadaebc84484b7849267e5ba00072022-12-22T03:36:55ZengElsevierNeuroImage: Clinical2213-15822017-01-0114C74174910.1016/j.nicl.2017.03.010Dissociable neural processes during risky decision-making in individuals with Internet-gaming disorderLu Liu0Gui Xue1Marc N. Potenza2Jin-Tao Zhang3Yuan-Wei Yao4Cui-Cui Xia5Jing Lan6Shan-Shan Ma7Xiao-Yi Fang8Institute of Developmental Psychology, Beijing Normal University, Beijing 100875, ChinaState Key Laboratory of Cognitive Neuroscience, Learning and IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing 100875, ChinaDepartments of Psychiatry and Neuroscience, the Child Study Center, the National Center on Addiction and Substance Abuse, Yale University School of Medicine, New Haven, CT 06519, USAState Key Laboratory of Cognitive Neuroscience, Learning and IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing 100875, ChinaState Key Laboratory of Cognitive Neuroscience, Learning and IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing 100875, ChinaInstitute of Developmental Psychology, Beijing Normal University, Beijing 100875, ChinaInstitute of Developmental Psychology, Beijing Normal University, Beijing 100875, ChinaState Key Laboratory of Cognitive Neuroscience, Learning and IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing 100875, ChinaInstitute of Developmental Psychology, Beijing Normal University, Beijing 100875, ChinaRisk-taking is purported to be central to addictive behaviors. However, for Internet gaming disorder (IGD), a condition conceptualized as a behavioral addiction, the neural processes underlying impaired decision-making (risk evaluation and outcome processing) related to gains and losses have not been systematically investigated. Forty-one males with IGD and 27 healthy comparison (HC) male participants were recruited, and the cups task was used to identify neural processes associated with gain- and loss-related risk- and outcome-processing in IGD. During risk evaluation, the IGD group, compared to the HC participants, showed weaker modulation for experienced risk within the bilateral dorsolateral prefrontal cortex (DLPFC) (t = −4.07; t = −3.94; PFWE < 0.05) and inferior parietal lobule (IPL) (t = −4.08; t = −4.08; PFWE < 0.05) for potential losses. The modulation of the left DLPFC and bilateral IPL activation were negatively related to addiction severity within the IGD group (r = −0.55; r = −0.61; r = −0.51; PFWE < 0.05). During outcome processing, the IGD group presented greater responses for the experienced reward within the ventral striatum, ventromedial prefrontal cortex, and orbitofrontal cortex (OFC) (t = 5.04, PFWE < 0.05) for potential gains, as compared to HC participants. Within the IGD group, the increased reward-related activity in the right OFC was positively associated with severity of IGD (r = 0.51, PFWE < 0.05). These results provide a neurobiological foundation for decision-making deficits in individuals with IGD and suggest an imbalance between hypersensitivity for reward and weaker risk experience and self-control for loss. The findings suggest a biological mechanism for why individuals with IGD may persist in game-seeking behavior despite negative consequences, and treatment development strategies may focus on targeting these neural pathways in this population.http://www.sciencedirect.com/science/article/pii/S2213158217300700fMRIInternet gaming disorderOutcome processingRisky decision-makingRisk evaluation
spellingShingle Lu Liu
Gui Xue
Marc N. Potenza
Jin-Tao Zhang
Yuan-Wei Yao
Cui-Cui Xia
Jing Lan
Shan-Shan Ma
Xiao-Yi Fang
Dissociable neural processes during risky decision-making in individuals with Internet-gaming disorder
NeuroImage: Clinical
fMRI
Internet gaming disorder
Outcome processing
Risky decision-making
Risk evaluation
title Dissociable neural processes during risky decision-making in individuals with Internet-gaming disorder
title_full Dissociable neural processes during risky decision-making in individuals with Internet-gaming disorder
title_fullStr Dissociable neural processes during risky decision-making in individuals with Internet-gaming disorder
title_full_unstemmed Dissociable neural processes during risky decision-making in individuals with Internet-gaming disorder
title_short Dissociable neural processes during risky decision-making in individuals with Internet-gaming disorder
title_sort dissociable neural processes during risky decision making in individuals with internet gaming disorder
topic fMRI
Internet gaming disorder
Outcome processing
Risky decision-making
Risk evaluation
url http://www.sciencedirect.com/science/article/pii/S2213158217300700
work_keys_str_mv AT luliu dissociableneuralprocessesduringriskydecisionmakinginindividualswithinternetgamingdisorder
AT guixue dissociableneuralprocessesduringriskydecisionmakinginindividualswithinternetgamingdisorder
AT marcnpotenza dissociableneuralprocessesduringriskydecisionmakinginindividualswithinternetgamingdisorder
AT jintaozhang dissociableneuralprocessesduringriskydecisionmakinginindividualswithinternetgamingdisorder
AT yuanweiyao dissociableneuralprocessesduringriskydecisionmakinginindividualswithinternetgamingdisorder
AT cuicuixia dissociableneuralprocessesduringriskydecisionmakinginindividualswithinternetgamingdisorder
AT jinglan dissociableneuralprocessesduringriskydecisionmakinginindividualswithinternetgamingdisorder
AT shanshanma dissociableneuralprocessesduringriskydecisionmakinginindividualswithinternetgamingdisorder
AT xiaoyifang dissociableneuralprocessesduringriskydecisionmakinginindividualswithinternetgamingdisorder