Exploring the neural basis of avatar identification in pathological Internet gamers and of self-reflection in pathological social network users
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Background and aims Internet gaming addiction appears to be related to self-concept deficits and increased angular gyrus (AG)-related identification with one's avatar. For increased social network use, a few existing studies suggest striatal-related positive social feedback as an underlying factor. However, whether an impaired self-concept and its reward-based compensation through the online presentation of an idealized version of the self are related to pathological social network use has not been investigated yet. We aimed to compare different stages of pathological Internet game and social network use to explore the neural basis of avatar and self-identification in addictive use. Methods About 19 pathological Internet gamers, 19 pathological social network users, and 19 healthy controls underwent functional magnetic resonance imaging while completing a self-retrieval paradigm, asking participants to rate the degree to which various self-concept-related characteristics described their self, ideal, and avatar. Self-concept-related characteristics were also psychometrically assessed. Results Psychometric testing indicated that pathological Internet gamers exhibited higher self-concept deficits generally, whereas pathological social network users exhibit deficits in emotion regulation only. We observed left AG hyperactivations in Internet gamers during avatar reflection and a correlation with symptom severity. Striatal hypoactivations during self-reflection (vs. ideal reflection) were observed in social network users and were correlated with symptom severity. Discussion and conclusion Internet gaming addiction appears to be linked to increased identification with one's avatar, evidenced by high left AG activations in pathological Internet gamers. Addiction to social networks seems to be characterized by emotion regulation deficits, reflected by reduced striatal activation during self-reflection compared to during ideal reflection.
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There are recent publications on structural and functional neuroimaging findings of poorly controlled and problematic use of social network sites and other internet-communication applications.
“Although not yet recognized as a clinical condition, there are also recent publications on structural and functional neuroimaging fi ndings of poorly controlled and problematic use of social network sites and other internet-communication applications (e.g., Dieter et al., 2017; He et al., 2017; Lemenager et al., 2016; Montag et al., 2017, 2018; Turel and Qahri-Saremi, 2016)”
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Cites
Maldjian, J., Laurienti, P., Kraft, R., & Burdette, J. (2003) · NeuroImage · doi:10.1016/s1053-8119(03)00169-1 · Cited by 5,453 · see citing works
Koob, G. F., & Volkow, N. D. (2010) · Neuropsychopharmacology · doi:10.1038/npp.2009.110 · Cited by 5,340 · see citing works
Bardo, M. T., & Hammer, R. P. (1991) · Neuroscience · doi:10.1016/0306-4522(91)90226-e · Cited by 3,229 · see citing works
A cognitive-behavioral model of pathological Internet use
Davis, R. A. (2001) · Computers in Human Behavior · doi:10.1016/s0747-5632(00)00041-8 · Cited by 3,010 · see citing works
College students' social networking experiences on Facebook
Pempek, T. A., Yermolayeva, Y. A., & Calvert, S. L. (2009) · Journal of Applied Developmental Psychology · doi:10.1016/j.appdev.2008.12.010 · Cited by 2,081 · see citing works
The Impact of Social Media on Children, Adolescents, and Families
O'Keeffe, G. S., Clarke-Pearson, K., & Council on Communications and Media (2011) · Pediatrics · doi:10.1542/peds.2011-0054 · Cited by 1,987 · see citing works
Friend networking sites and their relationship to adolescents’ well-being and social self-esteem
Valkenburg, P. M., Peter, J., & Schouten, A. P. (2006) · CyberPsychology & Behavior · doi:10.1089/cpb.2006.9.584 · Cited by 1,531 · see citing works
The roots of empathy: the shared manifold hypothesis and the neural basis of intersubjectivity
Gallese, V. (2003) · Psychopathology · doi:10.1159/000072786 · Cited by 1,249 · see citing works
Yin, H. H., Knowlton, B. J., & Balleine, B. W. (2004) · European Journal of Neuroscience · doi:10.1111/j.1460-9568.2004.03095.x · Cited by 1,226 · see citing works
Computational roles for dopamine in behavioural control
Montague, P. R., Hyman, S. E., & Cohen, J. D. (2004) · Nature · doi:10.1038/nature03015 · Cited by 966 · see citing works
Relations among loneliness, social anxiety, and problematic Internet use
Caplan, S. E. (2007) · CyberPsychology & Behavior · doi:10.1089/cpb.2006.9963 · Cited by 948 · see citing works
Are we overpathologizing everyday life? A tenable blueprint for behavioral addiction research
Billieux, J., Schimmenti, A., Khazaal, Y., Maurage, P., & Heeren, A. (2015) · Journal of Behavioral Addictions · doi:10.1556/2006.4.2015.009 · Cited by 920 · see citing works
Precentral gyrus discrepancy in electronic versions of the Talairach atlas
Maldjian, J. A., Laurienti, P. J., & Burdette, J. H. (2003) · NeuroImage · doi:10.1016/j.neuroimage.2003.09.032 · Cited by 868 · see citing works
Arns, M., de Ridder, S., Strehl, U., Breteler, M., & Coenen, A. (2009) · Clinical EEG and Neuroscience · doi:10.1177/155005940904000311 · Cited by 794 · see citing works
Self-presentation and gender on MySpace
Manago, A. M., Graham, M. B., Greenfield, P. M., & Salimkhan, G. (2008) · Journal of Applied Developmental Psychology · doi:10.1016/j.appdev.2008.07.001 · Cited by 724 · see citing works
Rothemund, Y., Preuschhof, C., Bohner, G., Bauknecht, H.-C., Klingebiel, R., Flor, H., & Klapp, B. F. (2007) · NeuroImage · doi:10.1016/j.neuroimage.2007.05.008 · Cited by 679 · cited 1× · see citing works
“The dorsal striatum, on the other hand, has been functionally linked to habit formation, which involves the incremental strengthening of stimulus–response associations as a function of reinforcement (Devan, Hong, &McDonald, 2011; Rothemund et al., 2007; Yin, Knowlton, & Balleine, 2004).”
BackgroundBrain activities associated with gaming urge of online gaming addiction
Ko, C.-H., Liu, G.-C., Hsiao, S., Yen, J.-Y., Yang, M.-J., Lin, W.-C., Yen, C.-F., & Chen, C.-S. (2009) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2008.09.012 · Cited by 666 · cited 1× · see citing works
“…suggest higher striatal grey matter volume in frequent gamers (Kuhn et al., 2011) as well as increased striatal activations during the presentation of game-related virtual world images (Ko et al., 2009; Sun et al., 2012) or during response inhibition in addicted Internet gamers (Ko et al., 2014).”
BackgroundThe Ideal Elf: Identity Exploration in World of Warcraft
Bessière, K., Seay, A. F., & Kiesler, S. B. (2007) · CyberPsychology & Behavior · doi:10.1089/cpb.2007.9994 · Cited by 624 · see citing works
Disclosing information about the self is intrinsically rewarding
Tamir, D. I., & Mitchell, J. P. (2012) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1202129109 · Cited by 563 · see citing works
A functional MRI study of happy and sad affective states induced by classical music
Mitterschiffthaler, M. T., Fu, C. H. Y., Dalton, J. A., Andrew, C. M., & Williams, S. (2007) · Human Brain Mapping · doi:10.1002/hbm.20337 · Cited by 445 · see citing works
Yin, H. H., Ostlund, S. B., & Balleine, B. W. (2008) · European Journal of Neuroscience · doi:10.1111/j.1460-9568.2008.06422.x · Cited by 416 · see citing works
Hormes, J. M., Kearns, B., & Timko, C. A. (2014) · Addiction · doi:10.1111/add.12713 · Cited by 398 · see citing works
Vollstädt‐Klein, S., Wichert, S., Rabinstein, J., Bühler, M., Klein, O., Ende, G., Hermann, D., & Mann, K. (2010) · Addiction · doi:10.1111/j.1360-0443.2010.03022.x · Cited by 357 · see citing works
Self-citationApperly, I. A., Samson, D., Chiavarino, C., & Humphreys, G. W. (2004) · Journal of Cognitive Neuroscience · doi:10.1162/0898929042947928 · Cited by 321 · see citing works
Pfeifer, J. H., Lieberman, M. D., & Dapretto, M. (2007) · Journal of Cognitive Neuroscience · doi:10.1162/jocn.2007.19.8.1323 · Cited by 294 · see citing works
Internet Addiction is Associated with Social Anxiety in Young Adults
Weinstein, A. M., Dorani, D., Elhadif, R., Bukovza, Y., Yarmulnik, A., & Dannon, P. N. (2015) · Annals of Clinical Psychiatry · doi:10.1177/104012371502700102 · Cited by 206 · see citing works
Is excessive online usage a function of medium or activity?: An empirical pilot study
Griffiths, M. D., & Szabo, A. (2014) · Journal of Behavioral Addictions · doi:10.1556/jba.2.2013.016 · Cited by 201 · see citing works
The neural basis of video gaming
Kühn, S., Romanowski, A., Schilling, C., Lorenz, R., Mörsen, C., Seiferth, N., Banaschewski, T., Barbot, A., Barker, G. J., Büchel, C., et al. (2011) · Translational Psychiatry · doi:10.1038/tp.2011.53 · Cited by 201 · see citing works
Self-citationGame Classification and Game Design
Elverdam, C., & Aarseth, E. (2006) · Games and Culture · doi:10.1177/1555412006286892 · Cited by 198 · see citing works
Brain fMRI study of crave induced by cue pictures in online game addicts (male adolescents)
Sun, Y., Huang, Y., Seetohul, R. M., Xuemei, W., Ya, Z., Qian, L., Guo-qing, X., & Ye, S. (2012) · Behavioural Brain Research · doi:10.1016/j.bbr.2012.05.005 · Cited by 186 · see citing works
Meshi, D., Morawetz, C., & Heekeren, H. R. (2013) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2013.00439 · Cited by 181 · see citing works
Ko, C., Hsieh, T.-J., Chen, C., Yen, C., Chen, C., Yen, J., Wang, P., & Liu, G. (2014) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-013-0483-3 · Cited by 174 · see citing works
Hilgard, J., Engelhardt, C. R., & Bartholow, B. D. (2013) · Frontiers in Psychology · doi:10.3389/fpsyg.2013.00608 · Cited by 150 · see citing works
Müller, K. W., Glaesmer, H., Brähler, E., Wölfling, K., & Beutel, M. E. (2013) · Behaviour and Information Technology · doi:10.1080/0144929x.2013.810778 · Cited by 139 · see citing works
Self-citationDevan, B. D., Hong, N. S., & McDonald, R. J. (2011) · Neurobiology of Learning and Memory · doi:10.1016/j.nlm.2011.06.002 · Cited by 130 · see citing works
van Rooij, A. J., Schoenmakers, T. M., & van de Mheen, D. (2017) · Addictive Behaviors · doi:10.1016/j.addbeh.2015.10.018 · Cited by 129 · see citing works
Duric, N. S., Aßmus, J., Gundersen, D., & Elgen, I. B. (2012) · BMC Psychiatry · doi:10.1186/1471-244x-12-107 · Cited by 125 · see citing works
Anderson, C. A., & Harvey, R. J. (1988) · Journal of Social and Clinical Psychology · doi:10.1521/jscp.1988.6.3-4.482 · Cited by 119 · see citing works
D'Argembeau, A., Jedidi, H., Balteau, E., Bahri, M., Phillips, C., & Salmon, É. (2012) · Cerebral Cortex · doi:10.1093/cercor/bhr144 · Cited by 110 · see citing works
Dieter, J., Hill, H., Sell, M., Reinhard, I., Vollstädt-Klein, S., Kiefer, F., Mann, K., & Lemenager, T. (2015) · Behavioral Neuroscience · doi:10.1037/bne0000025 · Cited by 109 · see citing works
Self-citationMüller, K. W., Beutel, M. E., & Wölfling, K. (2014) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2014.01.010 · Cited by 106 · see citing works
Self-citationBrains creating stories of selves: the neural basis of autobiographical reasoning.
D'Argembeau, A., Cassol, H., Phillips, C., Balteau, E., Salmon, É., & der Linden, M. V. (2014) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nst028 · Cited by 102 · see citing works
Leménager, T., Dieter, J., Hill, H., Koopmann, A., Reinhard, I., Sell, M., Kiefer, F., Vollstädt‐Klein, S., & Mann, K. F. (2014) · Addictive Behaviors · doi:10.1016/j.addbeh.2014.07.017 · Cited by 98 · see citing works
Self-citationKirsch, M., Gruber, I., Ruf, M., Kiefer, F., & Kirsch, P. (2015) · Addiction Biology · doi:10.1111/adb.12278 · Cited by 89 · see citing works
Self-citationEngaging responsibly with social media: the BJUI guidelines
Murphy, D. G., Loeb, S., Basto, M. Y., Challacombe, B. J., Trinh, Q., Leveridge, M., Morgan, T. M., Prokar Dasgupta, A., & Bultitude, M. F. (2014) · British Journal of Urology · doi:10.1111/bju.12788 · Cited by 81 · see citing works
Ganesh, S., van Schie, H. T., de Lange, F. P., Thompson, E. T., & Wigboldus, D. H. J. (2011) · Cerebral Cortex · doi:10.1093/cercor/bhr227 · Cited by 79 · see citing works
Multimodal human communication — Targeting facial expressions, speech content and prosody
Regenbogen, C., Schneider, D. A., Gur, R. E., Schneider, F. W., Habel, U., & Kellermann, T. (2012) · NeuroImage · doi:10.1016/j.neuroimage.2012.02.043 · Cited by 71 · see citing works
French Validation of the Compulsive Internet Use Scale (CIUS)
Khazaal, Y., Chatton, A., Horn, A., Achab, S., Thorens, G., ZULLINO, D. F., & Billieux, J. (2012) · Psychiatric Quarterly · doi:10.1007/s11126-012-9210-x · Cited by 66 · see citing works
Self-Concept Deficits in Massively Multiplayer Online Role-Playing Games Addiction
Leménager, T., Gwodz, A., Richter, A., Reinhard, I., Kämmerer, N., Sell, M., & Mann, K. F. (2013) · European Addiction Research · doi:10.1159/000345458 · Cited by 60 · see citing works
Self-citationMühlberger, A., Wieser, M. J., Gerdes, A. B. M., Frey, M. C. M., Weyers, P., & Pauli, P. (2010) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nsq039 · Cited by 60 · see citing works
Clement, U., & Löwe, B. (1996) · PubMed · Cited by 56 · see citing works
Grimm, J. (2008) · VS Verlag für Sozialwissenschaften eBooks · doi:10.1007/978-3-531-91158-8_47 · Cited by 42 · see citing works
Wölfling, K. (2012) · Journal of Addiction Research & Therapy · doi:10.4172/2155-6105.s6-003 · Cited by 39 · see citing works
Computerspiel- und Internetsucht
Wölfling, K., Jo, C., Bengesser, I., et al. (2012) · doi:10.17433/978-3-17-026599-8 · Cited by 33 · see citing works
Connecting multimodality in human communication
Regenbogen, C., Habel, U., & Kellermann, T. (2013) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2013.00754 · Cited by 23 · see citing works
Clement, U., & Löwe, B. (1996) · Cited by 16 · see citing works
van Rooij, A. J., Schoenmakers, T. M., & van de Mheen, D. (2016) · Ghent University Academic Bibliography (Ghent University) · doi:10.1556/jba.5.2015.suppl.1 · Cited by 9 · see citing works
Flagged first, then by citations
Research works printed but not linked: 4
- Beckmann D. Brähler E. Richter H. E. (1990). Der Gießen-Test (GT) (4th ed.) Bern: Huber.
- Deusinger I. M. (1996). “Locus of control” – ein Selbstkonzept. In I. M.Deusinger (Ed.), Kognitionsforschung; Festschrift zum 65. Geburtstag von Fritz Süllwold (pp. 86– 110). Göttingen: Hogrefe.
- Wölfling K. Müller K. W. Beutel M. E. (2010). Diagnostische Testverfahren: Skala zum Onlinesuchtverhalten bei Erwachsenen (OSVe-S). In Anderson A. T. D. Rehbein F. Wildt B. (Eds.), Prävention, Diagnostikund Therapie von Computerspielabhängigkeit (pp. 212– 215). Lengerich: Pabst Science.
- Wünsch C. (2006). Unterhaltung als Performance. Überlegungen und erste Anwendungserfahrungen mit einem Messinstrument zur dynamischen Erfassung von Unterhaltungserleben. In Wirth W. Schramm H. Gehrau V. (Eds.), Unterhaltung durch Medien. Theorie und Messung (pp. 174– 204). Köln: Halem.
Cited by
Sorted by citations
Brand, M., Wegmann, E., Stark, R., Müller, A., Wölfling, K., Robbins, T. W., & Potenza, M. N. (2019) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2019.06.032 · Cited by 2,126 · see citing works
“findings of poorly controlled and problematic use of social networks sites and other internet-communication applications (e.g., Dieter et al., 2017; He, Turel, & Bechara, 2017; Lemenager et al., 2016; Montag et al., 2017; Montag et al., 2018; Turel & QahriSaremi, 2016), which have been reviewed by Wegmann, Mueller, Os…”
Brand, M., Rumpf, H.-J., Demetrovics, Z., MÜller, A., Stark, R., King, D. L., Goudriaan, A. E., Mann, K., Trotzke, P., Fineberg, N. A., et al. (2020) · Journal of Behavioral Addictions · doi:10.1556/2006.2020.00035 · Cited by 398 · see citing works
Self-citationPontes, H. M. (2017) · Journal of Behavioral Addictions · doi:10.1556/2006.6.2017.075 · Cited by 267 · see citing works
Leménager, T., Hoffmann, S., Dieter, J., Reinhard, I., Mann, K., & Kiefer, F. (2018) · Journal of Behavioral Addictions · doi:10.1556/2006.7.2018.13 · Cited by 91 · see citing works
Self-citationProblematic Social Networking Site use-effects on mental health and the brain
Weinstein, A. M. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.1106004 · Cited by 70 · see citing works
- Authors
- Leménager, T., Dieter, J., Hill, H., Hoffmann, S., Reinhard, I., Beutel, M., Vollstädt-Klein, S., Kiefer, F., & Mann, K.
- Affiliations
- Heidelberg University (DE)
- Karlsruhe Institute of Technology (DE)
- Corresponding author
- Leménager, Tagrid
- Venue
- Journal of Behavioral Addictions
- Publisher
- Akademiai Kiado Zrt.
- Published
- 2016-09
- Volume
- 5
- Issue
- 3
- Pages
- 485-499
- ISSN
- 2062-5871 (ISSN-L)
- 2063-5303
- PMC
- PMC5264416
- OpenAlex
- W2471576715
- Cited by
- 55
- References
- 58
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 2 · 2023: 8 · 2022: 4 · 2021: 8 · 2020: 7 · 2019: 6 · 2018: 6 · 2017: 2 · 2016: 1
- FWCI
- 14.30
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Journal of Behavioral Addictions (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Repository of the Academy's Library (Library of the Hungarian Academy of Sciences) (acceptedVersion)
- Topics
- Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
- Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
- Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
- Keywords
- online game addiction, avatar identification, self-identification, angular gyrus, striatum, emotion regulation, ideal self
- MeSH terms
- Self-Control, Adult, Brain, Brain Mapping, Emotions, Female, Humans, Magnetic Resonance Imaging, Male, Neuropsychological Tests, Psychometrics, Self Concept, Behavior, Addictive, Video Games, Social Networking
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