TY - JOUR AU - Choi, eueunhye AU - Shin, Suk-Ho AU - Ryu, Jeh-Kwang AU - Jung, Kyu-In AU - Hyun, Yerin AU - Kim, Jiyea AU - Park, Min-Hyeon PY - 2021 DA - 2021/7/9 TI -职业游戏玩家和游戏障碍个体脑成像研究中广泛电子游戏和认知功能变化的关系:系统文献综述JO - JMIR严肃游戏SP - e25793 VL - 9 IS - 3kw -脑成像KW -认知功能KW -游戏障碍KW -职业游戏玩家KW -电子游戏KW -认知KW -大脑KW -游戏KW -游戏AB -背景:尽管存在一些担忧，世界卫生组织宣布将游戏障碍(GD)纳入《国际疾病分类》第11版。然而，电子游戏与认知功能的增强有关。此外，尽管有相当广泛的电子游戏，职业玩家并没有表现出GD患者报告的任何负面症状。更客观地理解大量电子游戏和大脑区域变化之间的联系是很重要的。目的:本研究旨在通过关注职业游戏玩家和GD个体，系统地探索广泛的电子游戏与认知功能变化之间的关系。方法:在PubMed和Web of Science数据库中使用相关搜索词(如“职业游戏玩家”和“(互联网)游戏障碍”)搜索有关职业游戏玩家和GD患者的研究。虽然对职业游戏玩家的研究没有日期限制，但搜索结果中只有2013年以来发表的关于GD患者的研究。文章的选择遵循PRISMA(系统评审和荟萃分析首选报告项目)指南。结果:通过遵循PRISMA指南，1903个具有独特标题的记录被识别出来。 Through the screening process of titles and abstracts, 86 full-text articles were accessed to determine their eligibility. A total of 18 studies were included in this systematic review. Among the included 18 studies, six studies included pro gamers as participants, one study included both pro gamers and individuals with GD, and 11 studies included individuals with GD. Pro gamers showed structural and functional alterations in brain regions (eg, the left cingulate cortex, the insula subregions, and the prefrontal regions). Cognitive function (eg, attention and sensorimotor function) and cognitive control improved in pro gamers. Individuals with GD showed structural and functional alterations in brain regions (eg, the striatum, the orbitofrontal cortex, and the amygdala) that were associated with impaired cognitive control and higher levels of craving video game playing. They also showed increased cortical thickness in the middle temporal cortex, which indicated the acquisition of better skills. Moreover, it was suggested that various factors (eg, gaming expertise, duration or severity of GD, and level of self-control) seemed to modulate the association of extensive video game playing with changes in cognitive function. Conclusions: Although a limited number of studies were identified that included pro gamers and/or individuals who reported showing symptoms of GD for more than 1 year, this review contributed to the objective understanding of the association between extensive video game playing and changes in cognitive function. Conducting studies with a longitudinal design or with various comparison groups in the future would be helpful in deepening the understanding of this association. SN - 2291-9279 UR - https://games.www.mybigtv.com/2021/3/e25793 UR - https://doi.org/10.2196/25793 UR - http://www.ncbi.nlm.nih.gov/pubmed/34255648 DO - 10.2196/25793 ID - info:doi/10.2196/25793 ER -