Effects of Progressive Aerobic Training on Executive-Reward Network Connectivity and Symptoms of Internet Gaming Disorder: Randomized Controlled Trial

This study demonstrates the efficacy of a progressive and adaptive PAT intervention in reducing IGD severity, moving beyond static protocols by dynamically tailoring intensity to individual performance. The therapeutic effect may be mediated by modulating the functional connectivity between the ECN and the RN, potentially enhancing top-down control. These results, supported by the correlation between FC, behavior, and neurotransmitter systems, indicate that PAT represents a promising non-pharmacological intervention approach worthy of further investigation.