Neuromodulatory effect of transcranial direct current stimulation on cue reactivity and craving in young adults with internet gaming disorder: an event-related potential study

ObjectiveThis study assessed the effects of transcranial direct current stimulation (tDCS) on cue reactivity and craving for game-related cues using event-related potentials (ERPs) in internet gaming disorder (IGD) patients.MethodsAt baseline, a series of game-related and neutral pictures were shown...

Full description

Saved in:
Bibliographic Details
Main Authors: Sung Nyun Kim, Jung-Seok Choi, Minkyung Park, So Young Yoo, Areum Choi, Ja Wook Koo, Ung Gu Kang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2024.1494313/full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841540087849943040
author Sung Nyun Kim
Jung-Seok Choi
Minkyung Park
So Young Yoo
Areum Choi
Ja Wook Koo
Ja Wook Koo
Ung Gu Kang
author_facet Sung Nyun Kim
Jung-Seok Choi
Minkyung Park
So Young Yoo
Areum Choi
Ja Wook Koo
Ja Wook Koo
Ung Gu Kang
author_sort Sung Nyun Kim
collection DOAJ
description ObjectiveThis study assessed the effects of transcranial direct current stimulation (tDCS) on cue reactivity and craving for game-related cues using event-related potentials (ERPs) in internet gaming disorder (IGD) patients.MethodsAt baseline, a series of game-related and neutral pictures were shown to both IGD and healthy controls (HCs) while ERPs were recorded. Late positive potentials (LPP) were used to investigate cue reactivity. During intervention, IGD patients received 10 sessions (two sessions/day for 5 consecutive days, 2 mA for 20 min/session) of tDCS to the left (anode stimulation) and right (cathode) dorsolateral prefrontal cortex. Subjectively assessed craving and LPP component was analyzed before stimulation and at the 1-month follow-up after tDCS in IGD.ResultsAt baseline, patients with IGD showed higher LPP amplitudes for game-related cues in the centro-parietal and parietal regions than HCs. After 10 sessions of tDCS, increased LPP amplitudes decreased significantly at 1-month follow-up., as well as subjective craving for gaming.ConclusionThese findings suggest that neurophysiological arousal in response to game-related cues in the IGD group could be modulated by the effects of tDCS. LPP was a significant neurophysiological marker of the neuroplastic response of cue reactivity underlying the therapeutic effect of tDCS on IGD. Based on the present findings, tDCS could be expanded to the treatment of other addictive disorders, including substance use disorder and behavioral addictions.
format Article
id doaj-art-02c2db45e84e486a9f750500ccc8ca2c
institution Kabale University
issn 2296-2565
language English
publishDate 2025-01-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Public Health
spelling doaj-art-02c2db45e84e486a9f750500ccc8ca2c2025-01-14T05:10:36ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-01-011210.3389/fpubh.2024.14943131494313Neuromodulatory effect of transcranial direct current stimulation on cue reactivity and craving in young adults with internet gaming disorder: an event-related potential studySung Nyun Kim0Jung-Seok Choi1Minkyung Park2So Young Yoo3Areum Choi4Ja Wook Koo5Ja Wook Koo6Ung Gu Kang7Department of Psychiatry, Seoul Medical Center, Seoul, Republic of KoreaDepartment of Psychiatry, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of KoreaDepartment of Psychiatry, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of KoreaDepartment of Psychiatry, SMG-SNU Boramae Medical Center, Seoul National University College of Medicine, Seoul, Republic of KoreaDepartment of Psychiatry, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of KoreaEmotion, Cognition and Behavior Research Group, Korea Brain Research Institute, Daegu, Republic of KoreaDepartment of Brain and Cognitive Sciences, Daegu Gyeongbuk Institute of Science and Technology, Daegu, Republic of KoreaDepartment of Psychiatry and Behavioral Science, Seoul National University College of Medicine, Seoul, Republic of KoreaObjectiveThis study assessed the effects of transcranial direct current stimulation (tDCS) on cue reactivity and craving for game-related cues using event-related potentials (ERPs) in internet gaming disorder (IGD) patients.MethodsAt baseline, a series of game-related and neutral pictures were shown to both IGD and healthy controls (HCs) while ERPs were recorded. Late positive potentials (LPP) were used to investigate cue reactivity. During intervention, IGD patients received 10 sessions (two sessions/day for 5 consecutive days, 2 mA for 20 min/session) of tDCS to the left (anode stimulation) and right (cathode) dorsolateral prefrontal cortex. Subjectively assessed craving and LPP component was analyzed before stimulation and at the 1-month follow-up after tDCS in IGD.ResultsAt baseline, patients with IGD showed higher LPP amplitudes for game-related cues in the centro-parietal and parietal regions than HCs. After 10 sessions of tDCS, increased LPP amplitudes decreased significantly at 1-month follow-up., as well as subjective craving for gaming.ConclusionThese findings suggest that neurophysiological arousal in response to game-related cues in the IGD group could be modulated by the effects of tDCS. LPP was a significant neurophysiological marker of the neuroplastic response of cue reactivity underlying the therapeutic effect of tDCS on IGD. Based on the present findings, tDCS could be expanded to the treatment of other addictive disorders, including substance use disorder and behavioral addictions.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1494313/fulltDCSERPcue reactivitycravinginternet gaming disorder
spellingShingle Sung Nyun Kim
Jung-Seok Choi
Minkyung Park
So Young Yoo
Areum Choi
Ja Wook Koo
Ja Wook Koo
Ung Gu Kang
Neuromodulatory effect of transcranial direct current stimulation on cue reactivity and craving in young adults with internet gaming disorder: an event-related potential study
Frontiers in Public Health
tDCS
ERP
cue reactivity
craving
internet gaming disorder
title Neuromodulatory effect of transcranial direct current stimulation on cue reactivity and craving in young adults with internet gaming disorder: an event-related potential study
title_full Neuromodulatory effect of transcranial direct current stimulation on cue reactivity and craving in young adults with internet gaming disorder: an event-related potential study
title_fullStr Neuromodulatory effect of transcranial direct current stimulation on cue reactivity and craving in young adults with internet gaming disorder: an event-related potential study
title_full_unstemmed Neuromodulatory effect of transcranial direct current stimulation on cue reactivity and craving in young adults with internet gaming disorder: an event-related potential study
title_short Neuromodulatory effect of transcranial direct current stimulation on cue reactivity and craving in young adults with internet gaming disorder: an event-related potential study
title_sort neuromodulatory effect of transcranial direct current stimulation on cue reactivity and craving in young adults with internet gaming disorder an event related potential study
topic tDCS
ERP
cue reactivity
craving
internet gaming disorder
url https://www.frontiersin.org/articles/10.3389/fpubh.2024.1494313/full
work_keys_str_mv AT sungnyunkim neuromodulatoryeffectoftranscranialdirectcurrentstimulationoncuereactivityandcravinginyoungadultswithinternetgamingdisorderaneventrelatedpotentialstudy
AT jungseokchoi neuromodulatoryeffectoftranscranialdirectcurrentstimulationoncuereactivityandcravinginyoungadultswithinternetgamingdisorderaneventrelatedpotentialstudy
AT minkyungpark neuromodulatoryeffectoftranscranialdirectcurrentstimulationoncuereactivityandcravinginyoungadultswithinternetgamingdisorderaneventrelatedpotentialstudy
AT soyoungyoo neuromodulatoryeffectoftranscranialdirectcurrentstimulationoncuereactivityandcravinginyoungadultswithinternetgamingdisorderaneventrelatedpotentialstudy
AT areumchoi neuromodulatoryeffectoftranscranialdirectcurrentstimulationoncuereactivityandcravinginyoungadultswithinternetgamingdisorderaneventrelatedpotentialstudy
AT jawookkoo neuromodulatoryeffectoftranscranialdirectcurrentstimulationoncuereactivityandcravinginyoungadultswithinternetgamingdisorderaneventrelatedpotentialstudy
AT jawookkoo neuromodulatoryeffectoftranscranialdirectcurrentstimulationoncuereactivityandcravinginyoungadultswithinternetgamingdisorderaneventrelatedpotentialstudy
AT unggukang neuromodulatoryeffectoftranscranialdirectcurrentstimulationoncuereactivityandcravinginyoungadultswithinternetgamingdisorderaneventrelatedpotentialstudy