PMID- 34952121 OWN - NLM STAT- MEDLINE DCOM- 20220304 LR - 20220304 IS - 1573-2517 (Electronic) IS - 0165-0327 (Linking) VI - 300 DP - 2022 Mar 1 TI - How sleep disturbances affect internet gaming disorder: The mediating effect of hippocampal functional connectivity. PG - 84-90 LID - S0165-0327(21)01403-8 [pii] LID - 10.1016/j.jad.2021.12.085 [doi] AB - BACKGROUND: Studies have revealed that sleep disturbances lead to an increased risk of Internet gaming disorder (IGD). However, the neural underpinnings of this feature remain unknown. Exploring this issue would be valuable in understanding the relationship between sleep and psychiatric disorders. METHODS: Given the impact of sleep on reward circuitry, we examined nucleus accumbens (NAcc) and hippocampal resting-state functional connectivity (rsFC) differences between 41 IGD subjects and 59 healthy controls. Significant connections were determined and used to examine correlations with clinical variables. Finally, we explored the relationship between neuroimaging findings, IGD severity and sleep disturbances through a mediation model. RESULTS: We observed the connection deviation between the hippocampus and a wide range of cerebral cortexes in IGD subjects, including the prefrontal, parietal and temporal lobes. More importantly, the right posterior hippocampus (pHIP)-left caudate rsFC was positively correlated with both the Pittsburgh Sleep Quality Index (PSQI) and Internet Addiction Test scores and mediated the relationship between the two. For the NAcc, a difference between groups was only observed in the rsFC between the shell partition of the NAcc and the inferior orbitofrontal cortex, but this connectivity was not related to the PSQI score. CONCLUSIONS: IGD subjects showed a wide range of abnormal connections in the hippocampus, involving memory, reward motivation, and cognitive control. Here we emphasized the potential of the hippocampus in studying sleep disturbances in IGD, especially the coupling between the pHIP and caudate nucleus, which could provide novel insight into how sleep interacts with motivational systems in IGD subjects. CI - Copyright (c) 2021 Elsevier B.V. All rights reserved. FAU - Zheng, Hui AU - Zheng H AD - Center for Cognition and Brain Disorders, the Affiliated Hospital of Hangzhou Normal University, Hangzhou, P.R. China; Shanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China. FAU - Wang, Min AU - Wang M AD - Shanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China. FAU - Zheng, Yanbin AU - Zheng Y AD - Shanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China. FAU - Dong, Guang-Heng AU - Dong GH AD - Shanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China; Institute of Psychological Science, Hangzhou Normal University, Hangzhou, P.R. China; Zhejiang Key Laboratory for Research in Assessment of Cognitive Impairments, Hangzhou, Zhejiang Province, P.R. China. Electronic address: dongguangheng@hznu.edu.cn. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20211222 PL - Netherlands TA - J Affect Disord JT - Journal of affective disorders JID - 7906073 SB - IM MH - *Behavior, Addictive/diagnostic imaging MH - Brain Mapping/methods MH - Hippocampus/diagnostic imaging MH - Humans MH - Internet Addiction Disorder/diagnostic imaging MH - Magnetic Resonance Imaging MH - Sleep MH - *Video Games/psychology OTO - NOTNLM OT - Hippocampus OT - Internet gaming disorder OT - Limbic circuits OT - Nucleus accumbens OT - Sleep EDAT- 2021/12/25 06:00 MHDA- 2022/03/05 06:00 CRDT- 2021/12/24 20:10 PHST- 2021/06/18 00:00 [received] PHST- 2021/11/23 00:00 [revised] PHST- 2021/12/19 00:00 [accepted] PHST- 2021/12/25 06:00 [pubmed] PHST- 2022/03/05 06:00 [medline] PHST- 2021/12/24 20:10 [entrez] AID - S0165-0327(21)01403-8 [pii] AID - 10.1016/j.jad.2021.12.085 [doi] PST - ppublish SO - J Affect Disord. 2022 Mar 1;300:84-90. doi: 10.1016/j.jad.2021.12.085. Epub 2021 Dec 22.