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Altered Resting-State Functional Connectivity in Internet Gaming Disorder: Convergent Evidence and Independent

Jiawen Tian1,2, Hui Zhang1,2, Xinyu Wang1,2

  • 1Department of Magnetic Resonance Imaging, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.

Addictive Behaviors Reports
|May 11, 2026
PubMed
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Resting-state functional connectivity (RSFC) in Internet Gaming Disorder (IGD) shows consistent alterations in frontal and midline brain regions. These findings in individuals with IGD highlight potential neural markers for the condition.

Area of Science:

  • Neuroscience
  • Psychiatry
  • Medical Imaging

Background:

  • Internet Gaming Disorder (IGD) is a growing global concern.
  • Previous resting-state functional connectivity (RSFC) studies on IGD have yielded inconsistent results.
  • Robust neural alterations in IGD require synthesis and independent validation.

Purpose of the Study:

  • To synthesize existing RSFC findings in IGD using meta-analysis.
  • To validate convergent findings in an independent cohort of individuals with IGD.
  • To identify reproducible neural alterations associated with IGD.

Main Methods:

  • A coordinate-based meta-analysis using anisotropic effect size-signed differential mapping (AES-SDM) was conducted on 17 studies.
  • Regions of interest (middle frontal gyrus, medial frontal/cingulate regions) were identified for independent validation.

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  • Resting-state fMRI data from 58 individuals with IGD and 38 controls were analyzed using seed-based connectivity and correlation analyses.
  • Main Results:

    • Meta-analysis revealed convergent RSFC abnormalities in the median cingulate/paracingulate region and bilateral middle frontal gyrus.
    • Independent validation confirmed significant RSFC alterations in individuals with IGD within these regions.
    • Connectivity strength in the middle frontal gyrus was positively correlated with Internet Addiction Test scores.

    Conclusions:

    • Convergent evidence supports abnormal resting-state connectivity in IGD, particularly in frontal and midline regions.
    • These regions are crucial for executive control and self-referential processing.
    • Independent validation underscores the reproducibility and clinical relevance of these specific neural alterations in IGD.