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KMID : 0367320210320040137
Journal of the Korean Academy of Child and Adolescent Psychiatry
2021 Volume.32 No. 4 p.137 ~ p.143
Reduced Volume of a Brainstem Substructure in Adolescents with Problematic Smartphone Use
Cho In-Hee

Yoo Jae-Hyun
Chun Ji-Won
Cho Hyun
Kim Jin-Young
Choi Ji-Hye
Kimi Dai-Jin
Abstract
Objectives: Despite the growing concern regarding the adverse effects related to problematic smartphone use (PSU), little is known about underlying morphologic changes in the brain. The brainstem is a deep brain structure that consists of several important nuclei associated with emotions, sensations, and motor functions. In this study, we sought to examine the difference in the volume of brainstem substructures among adolescents with and without PSU.

Methods: A total of 87 Korean adolescents participated in this study. The PSU group (n=20, age=16.2¡¾1.1, female:male=12:8) was designated if participants reported a total Smartphone Addiction Proneness Scale (SAPS) score of ¡Ã42, whereas the remaining participants were assigned to the control group (n=67, age=15.3¡¾1.7, female:male=19:48). High-resolution T1 magnetic resonance imaging was performed, and the volume of each of the four brainstem substructures [midbrain, pons, medulla, and superior cerebellar peduncle (SCP)] was measured. Analysis of covariance was conducted to reveal group differences after adjusting for effects of age, gender, whole brainstem volume, depressive symptoms, and impulsivity.

Results: The PSU group showed a significantly smaller volume of the SCP than the control group (F=8.273, p=0.005). The volume of the SCP and the SAPS score were negatively correlated (Pearson¡¯s r=-0.218, p=0.047).

Conclusion: The present study is the first to reveal an altered volume of the brainstem substructure among adolescents with PSU. This finding suggests that the altered white matter structure in the brainstem could be one of the neurobiological mechanisms underlying behavioral changes in PSU.
KEYWORD
Problematic smartphone use, Brainstem, Superior cerebellar peduncle, Structural MRI
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