What Impact Do Video Games Have On the Brain?

Post by Lani Cupo

What are the challenges of gaming research?

Entertainment video games represent an industry that has increased its influence during the COVID-19 pandemic. As people of all demographics and ages were locked down in their homes, gaming became an outlet, not only for personal entertainment but also to spend time with others.

The term “video games” comprises a vast category, including social simulation games like Animal Crossing, first-person shooters like Call of Duty, and multiplayer online battle arena games like League of Legends. Furthermore, they can be accessed through diverse means, such as computers, consoles (like the PlayStation or Xbox), or cell phones. While the increasing number of gamers worldwide only increases the interest in research assessing the impact of gaming on the brain and behavior, any discussion of the consequences and benefits of “gaming” should include a nuanced appreciation of the stark differences between different games and styles.

Gaming research is further complicated by confounding factors that frequently accompany gaming habits, such as screen time, time spent sedentary, and sleep deprivation. Additionally, habitual gaming can be conflated with gaming or internet addiction, where the activity interferes with general daily functioning. Furthermore, there is potential selection bias in studies that sample long-term gamers, as players may self-select based on prerequisite abilities. Finally, the stigma around gaming in some populations, such as girls and young women, can alter the demographics of long-term gamers, skewing the generalizability of results.

What has been the focus of gaming research in the past?

In 2017, a meta-analysis revealed one-third of papers examining gaming with neuroimaging discussed gaming addiction, and 14% focused on gaming-related violence. Currently, most research focuses on so-called “action games” that largely comprise first-person shooters. While the results from these studies provide detailed information pertaining to potential benefits and consequences of gaming, they do not necessarily represent the majority of gaming experiences outside of the laboratory accurately. Additionally, many studies draw from expert opinions without relying on empirical evidence. To facilitate the interest in the impact of gaming on the brain and behavior, future studies should integrate the complex mosaic of factors in the experimental paradigms they are designing.

What benefits can gaming have on the brain and behaviour?

Depending on the style of game (the tasks demanded and focus of gameplay) developing proficiency in a game can improve a variety of skill sets, from cognitive and motor skills to teamwork and social coordination. Enhancements to perception and certain forms of attention are among the forms of improvement documented following sessions of gaming in laboratories. The action games studied in labs tend to afford benefits to forms of attention and perception that allow gamers to quickly scan the screen for small visual differences (potentially signaling enemies) and quickly orient attention.

Gaming can also improve social cognition. Despite predominant stereotypes of lone gamers, over 70% play with a friend, either cooperatively or competitively. Many games award effective cooperation, support, and helping behavior. Evidence suggests children who engaged with prosocial gaming were more likely to demonstrate helping behavior than before playing. Even playing violent games cooperatively has been shown to encourage prosocial behaviors.

Finally, games can be used in an educational setting to teach certain concepts or behaviors. For example, a popular game called Re-Mission was developed to help pediatric cancer patients understand the importance of continuing their treatments. Interestingly, video games have recently been designed to mimic cognitive remediation therapies employed in populations with chronic Schizophrenia in order to help combat cognitive deficits observed in the disorder. Evidence from magnetic resonance imaging (MRI) studies suggests commercial video games induce similar alterations in brain volume and plasticity as the cognitive remediation therapy training exercises (focused on improving attention, working memory, executive functioning, and social cognition), involving the temporal and frontal areas and the hippocampus.

What detrimental effects can gaming have on the brain and behaviour?

Much of the interest in the impact of video games stems from the fear that playing violent games may make children violent or aggressive. Despite research that suggests playing large amounts of violent games may increase aggressive thoughts, the size of the effect is questionable. Alone, video games are unlikely to turn children violent. Nevertheless, an individual’s ability to regulate emotion and arousal may mediate the relationship between violent video games and aggression.

Over the past decades, video game research has become more nuanced, not only allowing for the possibility of positive effects but also directing focus to subtler consequences. While the ability of gamers to rapidly switch their attention between objects may be enhanced, they may suffer from detriments to sustained attention, which could negatively impact performance in school. Performance in school often depends on attending class or reading books, which require attention for longer periods. Adolescent students who game often demonstrate poorer academic outcomes than their counterparts.

While harmless habits should not be conflated with addictions, there is demonstrable evidence that gamers can form addictions to gaming. Gaming addictions are defined differently by country but must include interference with daily functioning. They can have serious consequences, including the sacrifice of sleep, work, education, in-person relationships, and high rates of loneliness. Introduced in the Diagnostic and Statistical Manual 5, gaming addiction prevalence is hard to document, but peaks in Southeast Asia at around 10% with higher rates among older than younger participants. 

What is the impact of gaming on the brain?

Playing video games likely engages and impacts reward processing in the brain. One study of 154 14-year-olds found that frequent gamers (>9 hours per week) demonstrated increased left striatal volume, as well as enhanced activity associated with experiencing loss in a laboratory gambling task (Cambridge Gambling Task). The activity and brain volume was negatively correlated with deliberation time in the same task, implying they were relevant for decision making and reward processing.

In a functional MRI study, violent scenes in first-person shooter games impacted activity in key limbic regions, including activation of the dorsal anterior cingulate and decreased activity in the rostral anterior cingulate and amygdala during virtual violence. Initially, when addiction is forming, the prefrontal cortex and ventral striatum play a role in the decision to initiate the addictive behavior (gaming, in this case). Over time, as a compulsion to gaming develops, the dorsal striatum is activated through dopaminergic connections, and the dopamine pathways can undergo permanent changes. 

What’s the bottom line?

While gaming may not have the overwhelmingly negative impact many politicians and parents once feared, the evidence is still mixed. Sustained, long-term attention is likely reduced in gamers, while the ability to quickly reorient attention may be enhanced. The social impact represents a double-edged sword, sometimes contributing to prosocial behavior and other times increasing loneliness. Nevertheless, to establish a more comprehensive understanding of the impact of video games, researchers must incorporate greater nuance into the personal demographics of their participants and the complexities of the games they are exposed to.

Click to See References +

Bavelier et al. Brains on Video Games. Nature Reviews. Neuroscience (2011). Access the original scientific publication here.

Granic et al. The Benefits of Playing Video Games. The American Psychologist. (2014). Access the original scientific publication here.

Kühn et al. The Neural Basis of Video Gaming. Translational Psychiatry. (2011). Access the original scientific publication here.

Kuss et al. Internet Gaming Addiction: Current Perspectives. Psychology Research and Behavior Management. (2013). Access the original scientific publication here.

Mathiak, Klaus, and René Weber. Toward Brain Correlates of Natural Behavior: fMRI during Violent Video Games. Human Brain Mapping. (2006). Access the original scientific publication here.

Palaus et al. Neural Basis of Video Gaming: A Systematic Review. Frontiers in Human Neuroscience. (2017). Access the original scientific publication here.

Suenderhauf et al. Counter Striking Psychosis: Commercial Video Games as Potential Treatment in Schizophrenia? A Systematic Review of Neuroimaging Studies. Neuroscience and Biobehavioral Reviews. (2016). Access the original scientific publication here.

Unsworth et al. The Effect of Playing Violent Video Games on Adolescents: Should Parents Be Quaking in Their Boots? Psychology, Crime & Law: PC & L (2007). Access the original scientific publication here.