Reliability of the fMRI-based assessment of self-evaluation in individuals with internet gaming disorder

Eur Arch Psychiatry Clin Neurosci. 2022 Sep;272(6):1119-1134. doi: 10.1007/s00406-021-01307-2. Epub 2021 Jul 17.

Abstract

The self-concept-defined as the cognitive representation of beliefs about oneself-determines how individuals view themselves, others, and their actions. A negative self-concept can drive gaming use and internet gaming disorder (IGD). The assessment of the neural correlates of self-evaluation gained popularity to assess the self-concept in individuals with IGD. This attempt, however, seems to critically depend on the reliability of the investigated task-fMRI brain activation. As first study to date, we assessed test-retest reliability of an fMRI self-evaluation task. Test-retest reliability of neural brain activation between two separate fMRI sessions (approximately 12 months apart) was investigated in N = 29 healthy participants and N = 11 individuals with pathological internet gaming. We computed reliability estimates for the different task contrasts (self, a familiar, and an unknown person) and the contrast (self > familiar and unknown person). Data indicated good test-retest reliability of brain activation, captured by the "self", "familiar person", and "unknown person" contrasts, in a large network of brain regions in the whole sample (N = 40) and when considering both experimental groups separately. In contrast to that, only a small set of brain regions showed moderate to good reliability, when investigating the contrasts ("self > familiar and unknown person"). The lower reliability of the contrast can be attributed to the fact that the constituting contrast conditions were highly correlated. Future research on self-evaluation should be cautioned by the findings of substantial local reliability differences across the brain and employ methods to overcome these limitations.

Keywords: Dice; Intraclass correlation; Jaccard; Reliability; Self-evaluation; fMRI.

MeSH terms

  • Behavior, Addictive* / diagnostic imaging
  • Brain / diagnostic imaging
  • Brain Mapping
  • Diagnostic Self Evaluation
  • Humans
  • Internet
  • Internet Addiction Disorder
  • Magnetic Resonance Imaging / methods
  • Reproducibility of Results
  • Video Games* / psychology