Failure to utilize feedback causes decision-making deficits among excessive Internet gamers (2014)

Psychiatry Res. 2014 Jun 28. pii: S0165-1781(14)00536-8. doi: 10.1016/j.psychres.2014.06.033.

Yao YW1, Chen PR1, Chen C2, Wang LJ3, Zhang JT4, Xue G5, Deng LY6, Liu QX7, Yip SW8, Fang XY9.


Internet gaming addiction (IGA) is an increasing mental health issue worldwide. Previous studies have revealed decision-making impairments in excessive Internet gamers (EIGs) with high symptoms of IGA. However, the role of feedback processing in decision-making deficits among EIGs remains unknown. The present study aimed to investigate the effect of feedback processing on decision-making deficits under risk among EIGs, using the Game of Dice Task (GDT) and a modified version of the GDT in which no feedback was provided. Twenty-six EIGs and 26 matched occasional Internet gamers (OIGs) were recruited. The results showed: (a) OIGs performed better on the original GDT than on the modified GDT (no feedback condition); however, EIGs performed similarly on both tasks; (b) EIGs and OIGs performed equally on the modified GDT; however, EIGs chose more disadvantageous options than OIGs on the original GDT; (c) EIGs utilized feedback less frequently on the original GDT relative to OIGs. These results suggest that EIGs are not able to utilize feedback to optimize their decisions, which could underlie their poor decision-making under risk.

Copyright © 2014. Published by Elsevier Ireland Ltd.


Decision-making; Feedback processing; Game of Dice Task; Internet gaming addiction