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Structural brain differences associated with extensive massively-multiplayer video gaming

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Abstract

Video gaming can be associated with inter-individual differences in brain morphology. Much of this literature has focused on non-professional/occasional gamers who barely play, on the one extreme; or Internet Gaming Disorder (IGD) cases who typically play more than 5 h/day, on the other extreme. We sought to extend this literature and focus on extensive gamers, who play about 3 h/day, which is typically more than non-professional gamers, but less than IGD cases. Findings regarding this sector of gamers can inform research on risk factors or markers for IGD development, even before addiction symptoms emerge. We predicted that extensive gamers have smaller prefrontal regions that presumably reflect weaker inhibition abilities, and larger visuomotor regions that presumably reflect stronger motor skills in response to visual stimuli. We tested these assertions with a between-subject brain morphology comparison of 26 extensive League of Legends (LOL) and matched 26 non-gamers, using voxel based morphometry, deformation based morphometry, and cortical thickness and sulcus depth analyses. Findings largely supported our predictions by pointing to morphological alterations in extensive gamers in the bilateral ventromedial prefrontal cortex and left dorsolateral prefrontal cortex, as well is in the left superior parietal lobule. These findings suggest that extensive gamers, at least of Massive-Multiplayer battle arena games, present brain alterations that are consistent with presumed loss of control (as mediated by the prefrontal cortex), but also improved attention and visoumotor skills (as mediated by superior parietal lobule). Implications for research and practice are discussed.

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Acknowledgments

QH was supported by research grants from the National Natural Science Foundation of China (31972906), Entrepreneurship and Innovation Program for Chongqing Overseas Returned Scholars (cx2017049), Open Research Fund of the Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences (KLMH2019K05), and the High-end Foreign Expert Introduction Program (G20190022029).

Funding

This work was supported by research grants from the National Natural Science Foundation of China (31400959), Entrepreneurship and Innovation Program for Chongqing Overseas Returned Scholars (cx2017049), Open Research Fund of CAS Key Laboratory of Mental Health, Institute of Psychology (KLMH2019K05), and Fundamental Research Funds for the Central Universities (SWU1809003).

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QH, OT, LW and AB contributed to the conception and design of the study, data acquisition, analysis and interpretation, and drafted the manuscript.

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Correspondence to Qinghua He or Ofir Turel.

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The authors declare no conflict of interest in relation to this work.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The study was approved by the Ethics Committee at Southwest University.

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Informed consent was obtained from all individual participants included in the study.

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He, Q., Turel, O., Wei, L. et al. Structural brain differences associated with extensive massively-multiplayer video gaming. Brain Imaging and Behavior 15, 364–374 (2021). https://doi.org/10.1007/s11682-020-00263-0

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  • DOI: https://doi.org/10.1007/s11682-020-00263-0

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