Can Heart Rate Variability be Viewed as a Biomarker of Problematic Internet Use? A Systematic Review and Meta-Analysis

Cheng, Ying‐Chih; Huang, Yu‐Chen; Huang, Wei‐Lieh

doi:10.1007/s10484-022-09557-z

Cited by 7 publications

(7 citation statements)

References 44 publications

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Section: Has “Gaming” Been Defined In Peer-reviewed Publications?mentioning

confidence: 99%

“…Our search yielded a total of 27 results. We excluded three articles: One focused on problematic internet use and heart rate variability, 30 one was a commentary on another previously published article, 31 and we were not able to access the full text of one. 32 We searched the title, abstract, and main body of all the remaining articles for any mention of a description/ definition of gaming and GD.…”

Section: Gaming and Gamblingmentioning

confidence: 99%

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What Constitutes ‘Gaming’ in the Gaming Disorder?: Observations and Recommendations

Balhara

Shekhawat

Gupta

2023

Indian Journal of Psychological Medicine

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Section: Has “Gaming” Been Defined In Peer-reviewed Publications?mentioning

confidence: 99%

Section: Gaming and Gamblingmentioning

confidence: 99%

What Constitutes ‘Gaming’ in the Gaming Disorder?: Observations and Recommendations

Balhara

Shekhawat

Gupta

2023

Indian Journal of Psychological Medicine

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“…Internet gaming disorder (IGD) has been o cially listed as a mental disorder in the 11th revision of the International Classi cation of Diseases (ICD-11) published by the World Health Organization (Reed et al, 2019). Numerous neuroimaging studies have demonstrated that IGD is associated with various abnormalities in the central nervous system (CNS), manifesting as structural plasticity (Jin et Abnormal autonomic activities have also been reported in IGD and problematic internet use (PIU) (Cheng et al, 2023;Lu et al, 2010). The autonomic nervous system (ANS) is coupled to the CNS anatomically and functionally (de Zambotti et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

In-game Heart Rate Variability in Habitual University Student League of Legends Players: Correlations with In-game Performance, Game Rank and Internet Addiction Scale

Long¹,

Zhang²,

Wang

et al. 2023

Preprint

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It has been reported that individuals with internet gaming disorder (IGD) display abnormal autonomic activities at rest and during gameplay. To further understand in-game changes of autonomic activity and how they are modulated by behavioral performance and human characteristics of the player, heart rate variability (HRV) was measured in 42 male university student habitual players (HPs) when they played a round of League of Legends game naturalistically. Various HRV indices derived from heart rate recording in the whole game (WG) were correlated with in-game performance and gaming-related personal attribute parameters, including ranking score, hours of weekly playing and revised Chen Internet addiction scale (CIAS-R) of the player. It was observed that HRV indicators of sympathetic activity correlated with the number of Slain in WG (Nslain). In comparison, HRV indicators of parasympathetic/vagal activity correlated not only with Nslain, but also with ranking score and CIAS-R. HRV indices representing autonomic balance were found to be predicted by CIAS-R only, regardless of in-game performance. In-game HRV/autonomic activities largely remained stable across different phases of gameplay. However, the individuals at high risk of developing IGD (i.e., CIAS-R>63) showed augmented sympathetic activation in the early and late phases, indicating that IGD-related autonomic dysregulation may have arisen from and reflected the complex interactions between the personal attributes of the player and situational factors embedded in game mechanics.

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“…Abnormal autonomic activities have also been reported in IGD and problematic internet use (PIU) [15,16]. The autonomic nervous system (ANS) is coupled to the CNS anatomically and functionally [17].…”

Section: Introductionmentioning

confidence: 99%

“…IGD-related HRV abnormalities at rest were found to correlate with distressed personality total scores [41] and carving ratings [43], and thought to be linked to defective inhibitory control and reduced autonomic exibility [45,46]. A recent meta-analysis has concluded that individuals with PIU have signi cantly different resting state parasympathetic activity from healthy controls [15].…”

Section: Introductionmentioning

confidence: 99%

Heart Rate Variability during Online Video Game Playing in Habitual Gamers: Effects of Internet Addition Scale, Ranking Score and Gaming Performance

Long,

Zhang,

Wang

et al. 2023

Preprint

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Background Previous studies have demonstrated that individuals with internet gaming disorder (IGD) display abnormal autonomic activities at rest and during gameplay. Here we examined whether and how in-game autonomic activity is modulated by human characteristics and behavioral performance of the player. Methods We measured heart rate variability (HRV) in 42 male university student habitual gamers (HGs) when they played a round of League of Legends game online. Short-term HRV indices measured in early, middle and late phases of the game were compared between the players at high risk of developing IGD and those at low risk, as assessed by revised Chen Internet addiction scale (CIAS-R). Multiple linear regression (MLR) was used to identify significant predictors of HRV measured over the whole gameplay period (WG), among CIAS-R, ranking score, hours of weekly playing and selected in-game performance parameters. Results The high risk players showed significantly higher low frequency power/high frequency power ratio (LF/HF) relative to the low risk players, regardless of game phase. MLR analysis revealed that LF/HF measured in WG was predicted by, and only by, CIAS-R. The HRV indicators of sympathetic activity were found to be predicted only by the number of Slain in WG (NSlain), and the indicators of parasympathetic activity were predicted by both CIAS-R and NSlain. Conclusions Taken together, the results demonstrated that risk of developing IGD is associated with dysregulated autonomic balance during gameplay, and in-game autonomic activities are modulated by complex interactions among personal attributes and in-game behavioral performance of the player, as well as situational factors embedded in game mechanics.

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Can Heart Rate Variability be Viewed as a Biomarker of Problematic Internet Use? A Systematic Review and Meta-Analysis

Cited by 7 publications

References 44 publications

What Constitutes ‘Gaming’ in the Gaming Disorder?: Observations and Recommendations

What Constitutes ‘Gaming’ in the Gaming Disorder?: Observations and Recommendations

In-game Heart Rate Variability in Habitual University Student League of Legends Players: Correlations with In-game Performance, Game Rank and Internet Addiction Scale

Heart Rate Variability during Online Video Game Playing in Habitual Gamers: Effects of Internet Addition Scale, Ranking Score and Gaming Performance

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