Home > The longitudinal association between reward processing and symptoms of video game addiction in the Adolescent Brain Cognitive Development Study.

Lopez, Daniel A and Foxe, John J and van Wijngaarden, Edwin and Thompson, Wesley K and Freedman, Edward G (2024) The longitudinal association between reward processing and symptoms of video game addiction in the Adolescent Brain Cognitive Development Study. Journal of Behavioral Addictions, Early online, https://doi.org/10.1556/2006.2024.00068.

External website: https://akjournals.com/view/journals/2006/aop/arti...

BACKGROUND AND AIMS: Video games are a common form of entertainment in adolescents, which may result in gaming habits characterized by impairment to reward-related decision-making. The aim of the current study was to investigate the relationship between reward processing and symptoms of gaming addiction in adolescents.

METHODS: Data from three consecutive follow-up years (years 2, 3 and 4) of the Adolescent Brain Cognitive Development (ABCD) Study were analyzed (n = 6,143, total observations = 12,745, mean age at year-2 = 12 years). Participants completed the Video Game Addiction Questionnaire (VGAQ) at each visit. Discrete stages of reward processing were measured at the year-2 visit using the Monetary Incentive Delay task while the participant completed a functional magnetic resonance imaging (fMRI) scan. Bayesian hierarchical linear models were employed to examine the longitudinal association between reward processing in regions of interest at year-2 and VGAQ scores over time.

RESULTS: Lower activation in the bilateral caudate during the anticipation of a large reward (β = -0.87, 95% CI: -1.68, -0.07) was associated with greater VGAQ scores over time. This implies that for each one-unit increase in brain activity in the caudate, there was an associated 0.87-point decrease in symptoms of gaming addiction as measured by the VGAQ. No association was found between reward feedback and VGAQ scores.

DISCUSSION AND CONCLUSIONS: The findings suggest that abnormal reward processing in the caudate nucleus is associated with symptoms of gaming addiction in adolescents. These results provide a clearer understanding of the brain mechanisms involved in gaming addiction, which could inform future preventive and therapeutic strategies.


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