Clinical Psychopharmacology and Neuroscience Papers in Press available online.

Altered functional connectivity of the nucleus accumbens and amygdala in cyber addiction: A resting state fMRI study
Minsoo Ko 1, Su-hyuk Chi 1, Jong-ha Lee 2, Sang-il Suh 3, Moon-Soo Lee 1,4,*
1Department of Psychiatry, Korea University Guro Hospital, Seoul, Korea, 2Department of Psychiatry, Korea University Ansan hospital, Seoul, Korea, 3Department of Radiology, Korea University Guro hospital, Seoul, Korea, 4Department of Life Sciences, Korea University, Seoul, Korea
Objective: Cyber addiction, which is more vulnerable in adolescents, is defined as the excessive use of computers and the Internet that causes serious psychological, social, and physical problems. In this study, we investigated the resting-state functional connectivity (rsFC) in adolescents with cyber addiction.
Methods: We collected and analyzed resting-state functional neuroimaging data of 20 patients with cyber addiction, aged 13–18 years, and 27 healthy controls. Based on previous studies, the seed regions included the dorsolateral prefrontal cortex, medial orbitofrontal cortex, lateral orbitofrontal cortex, dorsal anterior cingulate cortex, insula, hippocampus, amygdala, nucleus accumbens, and the ventral tegmental area. Seed-to-voxel analyses were performed to investigate the differences between patients and healthy controls. A correlation analysis between rsFC and cyber addiction severity was also performed.
Results: Patients with cyber addiction showed the following characteristics: increased positive rsFC between the left insular - right middle temporal gyrus; increased positive rsFC between the right hippocampus - right precentral gyrus; increased positive rsFC between the right amygdala - right precentral gyrus and right parietal operculum cortex; increased negative rsFC between the left nucleus accumbens - right cerebellum crus II and right cerebellum VI.
Conclusion: Adolescents with cyber addiction show altered functional connectivity during the resting state. The findings of this study may help us better understand the neuropathology of cyber addiction in adolescents.
Accepted Manuscript [Submitted on 2021-12-24, Accepted on 2022-04-23]