인터넷 게임 장애의 치료적 접근

Therapeutic Approaches to Internet Gaming Disorder

Objectives ： The goal of this paper is to review current neurobi-ological findings from the literature that can be used as evidence for the treatment of Internet gaming disorder (IGD) and to suggest individualized treatment options for specific neurocognitive profiles. Methods ： Articles about the neurocognitive aspects and treatment modalities for IGD have been reviewed from the PubMed and Google Scholar database at October 2016. Results：Individuals with IGD were prone to acting impulsively and making risky decisions, especially when given a game-related cue. Task-related functional neuroimaging studies demonstrated that IGD was associated with impaired response inhibition, cognitive inflexibility, and enhanced sensitivity to rewards. Reward system deficiency and functional connectivity disruption were also evident. Cognitive behavioral approaches of IGD focused on modifying dysfunctional beliefs about Internet gaming and strength-ening neurocognitive functions, whereas pharmacological approaches helped to modulate deficient reward systems and comorbidities. Conclusion : Treatment of IGD needs to focus both on enhancing cognitive function and on compensating reward system deficiency. To maximize the treatment efficacy of IGD, assessing neurocognitive features and psychiatric comorbidities thoroughly and establishing an individualized target for intervention would be essential for the effective treatment of IGD.