网络游戏障碍患者认知功能异常及其神经机制

Fangfang Chen, C. Gu, C. Cai
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引用次数: 0

摘要

网络游戏障碍是指极度依赖网络游戏,无法合理控制游戏时间的个体。一般来说,IGD患者在不玩游戏时也会出现戒断症状。结合以往的研究,本文探讨了IGD个体的认知功能障碍和神经机制,包括执行功能、奖励系统和情绪调节功能障碍。首先,执行功能是一种涉及认知和行为过程的高级认知处理能力。认知控制通常与个人的目标导向行为和灵活应用高级认知功能的能力有关。IGD个体重复和过度的游戏行为可能与其异常的认知控制和决策功能有关。而注意力过程作为执行功能的另一个重要组成部分。IGD患者持续的成瘾行为与对游戏相关线索的关注倾向有关。此外,IGD个体在执行功能异常(如决策和支配反应抑制)方面表现出差异,这表明“冷”和“热”执行功能异常之间存在分离,这一特征也可能与其他认知功能障碍有关。其次,奖励激励在个体动机学习和目标导向行为中起着重要作用。IGD个体在各种类型的奖励和惩罚刺激中对奖励刺激的敏感性增加表明他们的奖励系统是异常的。最后,情绪调节是一种重要的认知功能,与执行功能密切相关。IGD个体表现出的焦虑和抑郁往往与他们无法灵活应用情绪调节策略有关。IGD患者难以灵活运用情绪调节策略,不恰当的情绪调节策略和情绪反应提示情绪调节异常。综上所述,认知功能障碍不仅是IGD成瘾症状的基础,也是维持其症状的重要因素之一。此外,针对前人研究的不足,文章最后提出了进一步的研究前景,包括扩大样本群体、深化神经机制研究和物理干预。关键词:网络游戏乱象;执行职能;奖励制度;情绪调节
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The abnormal cognitive function and neural mechanism of individuals with internet gaming disorder
Internet gaming disorder (IGD) refers to individuals who are extremely dependent on online games and can’t control the game time reasonably.Generally, individuals with IGD also display withdrawal symptoms when they do not play games.Combined with previous studies, this paper discussed the cognitive dysfunction and neural mechanisms of IGD individuals, including executive function, reward system and emotional regulation dysfunction.First of all, executive function is a high-level cognitive processing ability that involves cognitive and behavioral processes.Cognitive control is often associated with the individual's goal-directed behavior and the ability to flexibly apply the high-level cognitive function. Repeated and excessive game behaviors of IGD individuals may be associated with their abnormal cognitive control and decision-making functions. And the attention process as another important component of executive function. The persistent addictive behavior in individuals with IGD were associated with a bias toward attention to game-related cues.Also, IGD individuals show differences in executive function abnormalities such as decision-making and dominance response inhibition, suggesting that there is a separation between "cold" and "hot" executive function abnormalities, and this feature may also be associated with other cognitive dysfunctions. Secondly, reward incentives play an important role in individual motivational learning and goal-oriented behavior. The increased sensitivity of IGD individuals to reward stimuli in various types of reward and punishment stimuli suggests that their reward system is abnormal.Finally, emotional regulation is an important cognitive function that is closely related to executive function. The anxiety and depression manifested by IGD individuals are often associated with their inability to apply emotional regulation strategies flexibly. It is difficult for individuals with IGD applied emotional regulation strategies flexibly, and inappropriate emotional regulation strategies and emotional responses suggest abnormal mood regulation. To sum up, cognitive dysfunction was not only the basis of IGD addiction symptoms, but also one of the important factors of its symptom maintenance. In addition, the further research prospects included expanded sampling population, deepening neural mechanism research and physical intervention are proposed for the lack of previous research in the last part of the article. Key words: Internet gaming disorder; Executive function; Rewarding system; Emotional regulation
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期刊介绍: "Chinese Journal of Behavioral Medicine and Brain Science" (CN 37-1468/R, ISSN 1674-6554) is a national academic journal under the supervision of the National Health Commission, sponsored by the Chinese Medical Association and Jining Medical College. The journal was founded in June 1992 and was formerly known as "Chinese Journal of Behavioral Medicine" (1992-1993) and "Chinese Behavioral Medical Science" (1994-2008). In 2009, it was renamed "Chinese Journal of Behavioral Medicine and Brain Science" with the approval of the State Administration of Press, Publication, Radio, Film and Television. The purpose of "Chinese Journal of Behavioral Medicine and Brain Science" is to implement the health and health policies of the Party and the State, implement the principle of combining theory with practice and popularization and improvement, and reflect the major progress in the theory and practical application of behavioral medicine and brain science in my country. It publishes academic papers and scientific research results in the field of behavioral medicine and brain science in my country, and has columns such as monographs/reviews, basic research, clinical research, health prevention, methods and techniques, psychological behavior and evaluation, and systematic evaluation.
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