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Attention-Deficit/Hyperactivity Disorder01:30

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Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
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Decoding and modifying dynamic attentional bias in gaming disorder.

Taiki Oka1,2,3, Takatomi Kubo1,4, Nao Kobayashi5

  • 1Department of Decoded Neurofeedback, Computational Neuroscience Laboratories, Advanced Telecommunications Research Institute International, Kyoto, Japan.

Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences
|October 21, 2024
PubMed
Summary
This summary is machine-generated.

Researchers identified specific brain activity patterns in the insula linked to attentional bias in gaming disorder. A novel neurofeedback approach, DecABT, shows promise in reducing gaming stimulus attractiveness by targeting these neural mechanisms.

Keywords:
attentional biasattentional bias modificationdecoded neurofeedbackgaming disorderinsulamultivariate pattern analysis

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Area of Science:

  • Neuroscience
  • Psychiatry
  • Computational Neuroscience

Background:

  • Increasing smartphone and computer game use correlates with rising gaming disorder prevalence.
  • Gaming disorder is often characterized by attentional biases towards gaming stimuli.
  • Previous research on attentional deficits in gaming disorder has shown inconsistent results, possibly due to the dynamic nature of bias.

Purpose of the Study:

  • To investigate the neural mechanisms underlying dynamic attentional bias states in individuals with probable gaming disorder.
  • To explore the role of the insula in regulating attentional bias specific to gaming stimuli.
  • To develop and test a novel neurofeedback intervention, decoded attentional bias training (DecABT), for gaming disorder.

Main Methods:

  • Functional magnetic resonance imaging (fMRI) combined with a personalized approach-avoidance task.
  • Multivariate pattern analysis of brain activity in 21 participants with probable gaming disorder.
  • Proof-of-concept fMRI-decoded neurofeedback targeting insula activity patterns.

Main Results:

  • Insula activity patterns were found to track temporal attentional bias states specific to gaming stimuli.
  • A broader network of frontal and parietal regions predicted general temporal attentional bias.
  • Preliminary results suggest DecABT may reduce gaming stimulus attractiveness via insula and precuneus mechanisms.

Conclusions:

  • The insula plays a key role in the endogenous regulation of attentional bias states in gaming disorder.
  • Decoded attentional bias training (DecABT) offers a potential individualized therapeutic approach for addiction.
  • This study provides a foundation for developing novel neurofeedback-based treatments for gaming disorder.