Altered Cardiorespiratory Coupling in Young Male Adults with Excessive Online Gaming (2015)

Biol Psychol. 2015 Aug 4. pii: S0301-0511(15)30038-7. doi: 10.1016/j.biopsycho.2015.07.016. [Epub ahead of print]

Chang JS1, Kim EY2, Jung D3, Jeong SH4, Kim Y5, Roh MS6, Ahn YM7, Hahm BJ8.



This study aimed to investigate changes in heart rate variability and cardiorespiratory coupling in male college students with problematic Internet use (PIU) excessive gaming type during action video game play to assess the relationship between PIU tendency and central autonomic regulation.


Electrocardiograms and respiration were simultaneously recorded from 22 male participants with excessive online gaming and 22 controls during action video game play. Sample entropy (SampEn) was computed to assess autonomic regularity, and cross-SampEn was calculated to quantify autonomic coordination.


During video game play, reduced cardiorespiratory coupling (CRC) was observed in individuals with PIU excessive gaming type compared with controls, implicating central autonomic dysregulation. The PIU tendency was associated with the severity of autonomic dysregulation.


These findings indicate impaired CRC in PIU excessive gaming type, which may reflect alterations of central inhibitory control over autonomic responses to pleasurable online stimuli.

Copyright © 2015. Published by Elsevier B.V.


autonomic regulation; cardiorespiratory coupling; excessive gaming; problematic Internet use