Enhanced Dorsal Attention Network to Salience Network Interaction in Video Gamers During Sensorimotor Decision-Making Tasks.

Introduction: Video game playing is most often a perceptually and cognitively engaging activity. Players enter into sensory-rich competitive environments, which require them to go from trivial tasks to making active decisions repeatedly and could lend themselves to improve sensorimotor decision-making capabilities. Since video game playing requires moment-to-moment switching of attention from one aspect of sensory information and task to another, enhanced attention control and attention-switching mechanism in the brain can be thought as the neural basis for such improvements. Previous studies have suggested that attention switching is mediated by the salience network (SN). However, how SN interacts with the dorsal attention network (DAN) in active decision-making tasks and whether video game playing modulates these networks remain to be investigated. Methods: Using a modified version of the left-right moving dot motion task in a functional magnetic resonance imaging experiment, we examined the decision response times (dRTs) and functional interactions within and between SN and DAN for video game players (VGPs) and nonvideo game players (NVGPs). Results: We found that VGPs had lower response times for all task conditions and higher decision accuracy for a medium speed setting of moving dots. Associated with this improved task performance in VGPs compared with NVGPs was an increase in DAN to SN connectivity. This SN-DAN connectivity was negatively correlated with dRT. Discussion: These results suggest that enhanced influence of DAN over SN is the brain basis for improved sensorimotor decision-making performance as a result of engaging long term in cognitively challenging and attention-demanding activities such as video game playing. Impact statement Being able to flexibly direct attention is a key factor in sensorimotor decision-making. Video game playing, an attentionally and cognitively engaging activity, can have a beneficial effect on attention and decision-making. Through this study, we examined whether video game players (VGPs) have improved decision-making skills and investigated the brain basis for improvements in a functional magnetic resonance imaging experiment. Brain connectivity from dorsal attention network regions to salience network regions was higher in VGPs and negatively correlated with decision response time for both groups. These results suggest that video game playing can enhance the top-down interaction to improve sensorimotor decision-making.