Impaired regulation of both addiction-related and primary rewards in individuals with internet gaming disorder

Wu, Liang; Zhu, Lei; Shi, Xinhui; Zhou, Nan; Wang, Rui; Liu, Guan-qun; Song, Kun‐Ru; Xu, Linxuan; Potenza, Marc N.; Zhang, Jintao

doi:10.1016/j.psychres.2020.112892

Cited by 21 publications

(6 citation statements)

References 48 publications

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“…These findings also resonate with tDCS findings in improving regulation of gaming urges and emotions in individuals with internet gaming disorder (Wu, Zhu, et al. 2020 ; Wu, Potenza, et al. 2020 ; Wu et al.…”

Section: Pharmacological Treatmentsupporting

confidence: 84%

The World Federation of Societies of Biological Psychiatry guidelines on the assessment and pharmacological treatment of compulsive sexual behaviour disorder

Turner

Briken

Grubbs

et al. 2022

Dialogues in Clinical Neuroscience

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Objectives The current guidelines aim to evaluate the role of pharmacological agents in the treatment of patients with compulsive sexual behaviour disorder (CSBD). They are intended for use in clinical practice by clinicians who treat patients with CSBD. Methods An extensive literature search was conducted using the English-language-literature indexed on PubMed and Google Scholar without time limit, supplemented by other sources, including published reviews. Results Each treatment recommendation was evaluated with respect to the strength of evidence for its efficacy, safety, tolerability, and feasibility. Psychoeducation and psychotherapy are first-choice treatments and should always be conducted. The type of medication recommended depended mainly on the intensity of CSBD and comorbid sexual and psychiatric disorders. There are few randomised controlled trials. Although no medications carry formal indications for CSBD, selective-serotonin-reuptake-inhibitors and naltrexone currently constitute the most relevant pharmacological treatments for the treatment of CSBD. In cases of CSBD with comorbid paraphilic disorders, hormonal agents may be indicated, and one should refer to previously published guidelines on the treatment of adults with paraphilic disorders. Specific recommendations are also proposed in case of chemsex behaviour associated with CSBD. Conclusions An algorithm is proposed with different levels of treatment for different categories of patients with CSBD.

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Section: Pharmacological Treatmentsupporting

confidence: 84%

The World Federation of Societies of Biological Psychiatry guidelines on the assessment and pharmacological treatment of compulsive sexual behaviour disorder

Turner

Briken

Grubbs

et al. 2022

Dialogues in Clinical Neuroscience

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“…In fact, the DSM-5 diagnostic criteria for SUDs were the starting point for the development of such behavioural addictions including IGD [3]. Common features of substance and non-substance addictions include (i) the multifactorial aetiology, in which premorbid personality and genetic factors (both still under study for problematic gaming) play important roles [87]; (ii) the psychological features of addiction in general, especially the tendency to socially withdraw, mood modification, and tolerance [79]; (iii) the reward dysregulation system which has been widely documented among participants with SUDs and recently suggested among people with IGD, with studies proposing an altered regulation of craving as a transdiagnostic construct for both SUDs and behavioural addictions [88]; and (iv) the neurobiological and neurofunctional dysregulations that both individuals with SUDs and problematic gamers have. According to a recent meta-analysis, the dysregulations of the prefrontal region are predominant in both disorders [89].…”

Section: Discussionmentioning

confidence: 99%

High-Risk Gaming Is Associated with Frequent Substance Use: An Exploratory Survey among Young Adults

Carlo

Verrastro²,

Alessi

et al. 2023

Eur Addict Res

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Introduction: Internet gaming disorder (IGD) is an emerging condition within the field of behavioural addictions. IGD has been demonstrated to be highly comorbid with many other mental health disorders. Among these, substance use has been associated with IGD, and there are underlying similarities between behavioural addictions and substance use disorders. The main aims of the present study were (i) to investigate the association between high-risk gaming and substance use among young adults drawn from the general Italian population; and (ii) to explore the psychopathological correlates of high-risk gaming. Methods: Lifetime substance use, type of substances consumed, and frequency of use were investigated through an online survey in a sample of 913 adults aged 18–40 years. High-risk gaming was assessed using the ten-item Internet Gaming Disorder Test (IGDT-10). Psychopathology was assessed using the Revised 90-item Symptom Checklist (SCL-90-R). Results: High-risk gaming prevalence rate was 4.4%. High-risk gamers scored higher on all dimensions of psychopathology, confirming the association between high-risk gaming and psychiatric distress. Regarding substance use, high-risk gamers were more commonly polysubstance users and more commonly made use of psychodysleptic substances. High-risk gamers were more commonly frequent substance users, and 32.5% of high-risk gamers used or had used psychoactive substances often or everyday throughout their lives. Discussion and Conclusion: The findings are in line with the concept of a common neurobiological vulnerability for both gaming and substance use. There is the need for more research to examine the phenomenology of gaming and its interplay with substance use to help develop effective interventions and prevention strategies.

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“…Another emerging form of potential treatment for PUI involves noninvasive neurostimulation, using techniques such as transcranial magnetic stimulation [276] and transcranial direct current stimulation (tDCS). These techniques are thought to mediate their effect in PUI via stimulation of cortical brain cells and modification of their related functions [232,233], thereby increasing cognitive control and better regulation of craving and emotions [234][235][236][237][238]. Of the available techniques, tDCS is relatively safe, simple, and inexpensive to administer and can be provided remotely; thus, it may be particularly suited for delivery to large populations.…”

Section: Effective and Emerging Interventions For Pui That Can Be Del...mentioning

confidence: 99%

Advances in problematic usage of the internet research – A narrative review by experts from the European network for problematic usage of the internet

Fineberg

Menchón

Hall

et al. 2022

Comprehensive Psychiatry

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Impaired regulation of both addiction-related and primary rewards in individuals with internet gaming disorder

Cited by 21 publications

References 48 publications

The World Federation of Societies of Biological Psychiatry guidelines on the assessment and pharmacological treatment of compulsive sexual behaviour disorder

The World Federation of Societies of Biological Psychiatry guidelines on the assessment and pharmacological treatment of compulsive sexual behaviour disorder

High-Risk Gaming Is Associated with Frequent Substance Use: An Exploratory Survey among Young Adults

Advances in problematic usage of the internet research – A narrative review by experts from the European network for problematic usage of the internet

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