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      Sex differences of neural connectivity in internet gaming disorder and its association with sleep quality: an exploratory fMRI study

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          Abstract

          Objectives

          Sex-specific differences in internet gaming disorder (IGD) neurophysiology remain underexplored. Here we investigated sex-related variability in regional homogeneity (ReHo) and functional connectivity (FC) in IGD and their correlations with sleep quality.

          Methods

          Resting-state functional magnetic resonance imaging (fMRI) scans were performed on 52 subjects with IGD and 50 healthy controls (HCs). Two-way ANOVA was used to examine sex and diagnosis interactions in ReHo and FC, followed by post-hoc analyses to explore FC biomarkers for different sexes.

          Results

          In ReHo analysis, the four groups showed significant sex and diagnosis interactions in the right middle frontal gyrus (rMFG). FC analysis with rMFG as the seed region revealed a significant sex and diagnosis interaction effect in FC of the rMFG with the bilateral postcentral gyrus (PoCG). In male IGD group, FC between the rMFG and the bilateral PoCG correlates strongly with daytime dysfunction score and the Pittsburgh sleep quality inventory (PSQI) total score.

          Conclusion

          These findings emphasize the importance of considering sexual dimorphism in the neurobiology of IGD, which might influence subsequent treatment strategies.

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          Most cited references78

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          Spontaneous fluctuations in brain activity observed with functional magnetic resonance imaging.

          The majority of functional neuroscience studies have focused on the brain's response to a task or stimulus. However, the brain is very active even in the absence of explicit input or output. In this Article we review recent studies examining spontaneous fluctuations in the blood oxygen level dependent (BOLD) signal of functional magnetic resonance imaging as a potentially important and revealing manifestation of spontaneous neuronal activity. Although several challenges remain, these studies have provided insight into the intrinsic functional architecture of the brain, variability in behaviour and potential physiological correlates of neurological and psychiatric disease.
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            Regional homogeneity approach to fMRI data analysis.

            Kendall's coefficient concordance (KCC) can measure the similarity of a number of time series. It has been used for purifying a given cluster in functional MRI (fMRI). In the present study, a new method was developed based on the regional homogeneity (ReHo), in which KCC was used to measure the similarity of the time series of a given voxel to those of its nearest neighbors in a voxel-wise way. Six healthy subjects performed left and right finger movement tasks in event-related design; five of them were additionally scanned in a rest condition. KCC was compared among the three conditions (left finger movement, right finger movement, and the rest). Results show that bilateral primary motor cortex (M1) had higher KCC in either left or right finger movement condition than in rest condition. Contrary to prediction and to activation pattern, KCC of ipsilateral M1 is significantly higher than contralateral M1 in unilateral finger movement conditions. These results support the previous electrophysiologic findings of increasing ipsilateral M1 excitation during unilateral movement. ReHo can consider as a complementary method to model-driven method, and it could help reveal the complexity of the human brain function. More work is needed to understand the neural mechanism underlying ReHo.
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              The resting brain: unconstrained yet reliable.

              Recent years have witnessed an upsurge in the usage of resting-state functional magnetic resonance imaging (fMRI) to examine functional connectivity (fcMRI), both in normal and pathological populations. Despite this increasing popularity, concerns about the psychologically unconstrained nature of the "resting-state" remain. Across studies, the patterns of functional connectivity detected are remarkably consistent. However, the test-retest reliability for measures of resting state fcMRI measures has not been determined. Here, we quantify the test-retest reliability, using resting scans from 26 participants at 3 different time points. Specifically, we assessed intersession (>5 months apart), intrasession ( nonsignificant), 2) correlation valence (positive > negative), and 3) network membership (default mode > task positive network). Short- and long-term measures of the consistency of global connectivity patterns were highly robust. Finally, hierarchical clustering solutions were highly reproducible, both across participants and sessions. Our findings provide a solid foundation for continued examination of resting state fcMRI in typical and atypical populations.
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                Author and article information

                Contributors
                Role: Role: Role: Role: Role:
                Role: Role: Role: Role: Role:
                Role: Role: Role:
                Role: Role:
                Role: Role:
                URI : https://loop.frontiersin.org/people/2283449Role: Role:
                URI : https://loop.frontiersin.org/people/1142839Role: Role:
                Role: Role: Role: Role:
                URI : https://loop.frontiersin.org/people/607210Role: Role: Role: Role:
                Journal
                Front Psychiatry
                Front Psychiatry
                Front. Psychiatry
                Frontiers in Psychiatry
                Frontiers Media S.A.
                1664-0640
                30 May 2024
                2024
                : 15
                : 1379259
                Affiliations
                [1] 1Department of Psychiatry, Renmin Hospital of Wuhan University , Wuhan, Hubei, China
                [2] 2Institute of Neuropsychiatry, Renmin Hospital of Wuhan University , Wuhan, Hubei, China
                [3] 3PET-CT/MR Center, Renmin Hospital of Wuhan University , Wuhan, Hubei, China
                [4] 4Taikang Center for Life and Medical Sciences, Wuhan University , Wuhan, Hubei, China
                Author notes

                Edited by: Xiufeng Xu, The First Affiliated Hospital of Kunming Medical University, China

                Reviewed by: Wan-jun Guo, Hangzhou Seventh People’s Hospital, China

                Zhifen Liu, First Hospital of Shanxi Medical University, China

                *Correspondence: Ling Xiao, lingxiaoxiao@ 123456whu.edu.cn ; Gaohua Wang, wgh6402@ 123456whu.edu.cn
                Article
                10.3389/fpsyt.2024.1379259
                11169786
                38873537
                ac0b65f7-f255-4377-97e7-1e1c6ddb50ce
                Copyright © 2024 Zhou, Gao, Rong, Zhao, Huang, Tu, Bu, Xiao and Wang

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 30 January 2024
                : 15 May 2024
                Page count
                Figures: 5, Tables: 5, Equations: 0, References: 78, Pages: 13, Words: 6942
                Funding
                The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This study was supported by the National Natural Science Foundation of China (Nos. 81871072 and 82071523), the Medical Science Advancement Program of Wuhan University (No. TFLC2018001), and the Key Research and Development Program of Hubei Province (2020BCA064). Fund provided by GW.
                Categories
                Psychiatry
                Original Research
                Custom metadata
                Addictive Disorders

                Clinical Psychology & Psychiatry
                internet gaming disorder,sex,regional homogeneity,functional connectivity,sleep quality

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