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Updated: Dec 8, 2025

Transcranial Direct Current Stimulation for Online Gamers
Published on: November 9, 2019
Altered dynamic interactions within frontostriatal circuits reflect disturbed craving processing in internet gaming
Ningning Zeng1,2, Min Wang1, Haohao Dong3
1Center for Cognition and Brain Disorders, The Affiliated Hospital of Hangzhou Normal University, Hangzhou, People's Republic of China.
Internet gaming disorder (IGD) involves disrupted frontostriatal circuits. Impaired connectivity from the right orbitofrontal cortex to the right caudate may drive addiction severity and offers a potential intervention target.
Area of Science:
- Neuroscience
- Psychiatry
- Computational Psychiatry
Background:
- Internet gaming disorder (IGD) is characterized by impaired executive control and reward-seeking behaviors.
- The precise frontostriatal circuit interactions underlying IGD remain unclear.
- Understanding these neural mechanisms is crucial for developing effective interventions.
Purpose of the Study:
- To investigate the causal interactions within frontostriatal circuits in individuals with IGD.
- To identify specific neural pathways associated with IGD severity.
- To explore potential targets for therapeutic interventions in IGD.
Main Methods:
- Resting-state fMRI data from 317 participants (148 IGD, 169 RGUs) were analyzed.
- Spectral dynamic causal modeling (spDCM) was employed to assess effective connectivity.
- Independent component analysis identified key regions of interest within frontostriatal circuits.
Main Results:
- IGD subjects exhibited inhibitory connectivity from the right orbitofrontal cortex (OFC) to the right caudate and right dorsolateral prefrontal cortex to the left OFC.
- Excitatory connectivity was observed from the thalamus to the left OFC in IGD subjects.
- The right OFC to right caudate pathway showed a negative correlation with addiction severity.
Conclusions:
- Disrupted causal interactions in frontostriatal circuits contribute to IGD.
- The right OFC to right caudate pathway is a potential target for neuromodulation in IGD interventions.
- These findings advance our understanding of the neural underpinnings of problematic gaming behavior.
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