Evidence map›Paper›PMID 42352593›Full record

ArticleBrain sciences2026

Neural Reward Processing in Digital Addiction: A Dynamical Systems Theory of Reward Instability.

Anna Makarewicz, Remigiusz Recław, Elżbieta Grzywacz, Krzysztof Chmielowiec, Łukasz Jaworski, Marta Kuczak-Wójtowicz, Jolanta Chmielowiec

Abstract read
In one paragraph

Article in Brain sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Anna MakarewiczDepartment of Hygiene and Epidemiology, Collegium Medicum, University of Zielona Góra, 28 Zyty St., 65-046 Zielona Góra, Poland.ORCID 0009-0007-6422-220X
Remigiusz RecławIndependent Laboratory of Behavioral Genetics and Epigenetics, Pomeranian Medical University in Szczecin, Powstancow Wielkopolskich 72 St., 70-111 Szczecin, Poland.ORCID 0009-0004-7841-821X
Elżbieta GrzywaczIndependent Public Specialist Health Care Facility "ZDROJE", Mączna 4 St., 70-780 Szczecin, Poland.ORCID 0000-0002-8890-8616
Krzysztof ChmielowiecDepartment of Hygiene and Epidemiology, Collegium Medicum, University of Zielona Góra, 28 Zyty St., 65-046 Zielona Góra, Poland.ORCID 0000-0003-4254-5466
Łukasz JaworskiCardiac Surgery Department, Specialized Hospital in Wejherowo, Jagalskiego 10 St., 84-200 Wejherowo, Poland.ORCID 0009-0009-8024-0648
Marta Kuczak-WójtowiczIndependent Public Specialist Health Care Facility "ZDROJE", Mączna 4 St., 70-780 Szczecin, Poland.
Jolanta ChmielowiecDepartment of Nursing, Collegium Medicum, University of Zielona Góra, 28 Zyty St., 65-046 Zielona Góra, Poland.ORCID 0000-0003-3285-5313

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Behavioral addiction in digital environments is an increasingly relevant neurobehavioral phenomenon characterized by persistent engagement with high-frequency, algorithmically optimized reward stimuli. Although neural correlates of addictive behaviors have been widely studied, current models only partly explain how modern reinforcement environments reorganize behavior at the systems level. This review introduces Reward Instability Theory, a conceptual dynamical systems framework proposing that behavioral addiction may emerge as an attractor-like state within distorted reward landscapes shaped by high-density and high-variance reinforcement signals. The model shifts focus from static behavioral descriptions toward a systems account of motivation involving reinforcement learning, salience attribution, executive control, and environmental reward structure. We propose that digital environments may increase reinforcement density and reward variance, promoting dominant reward peaks and reducing behavioral diversity. To formalize these dynamics, we outline the Behavioral Reward Instability Index (BRII) as a heuristic systems construct integrating individual reward sensitivity, environmental reinforcement structure, and behavioral variability. The framework also situates established addiction models-including incentive sensitization, habit formation, and allostatic regulation-within a shared dynamical architecture. In addition, digital phenotyping is discussed as a potential empirical strategy for testing reward instability, while acknowledging limitations related to signal noise, ecological validity, bias, and privacy. This model is intended to explain problematic patterns characterized by reduced behavioral flexibility, persistence despite negative consequences, and functional impairment, rather than all forms of frequent digital use. Attractor-like terminology is used throughout as a conceptual heuristic to describe behavioral persistence and reduced flexibility, rather than as evidence of formally verified mathematical attractors.

Indexed as

attractor dynamicsbehavioral addictioncomputational psychiatrydigital addictiondigital phenotypingdopamine signalingreinforcement learningreward instabilityreward landscapereward processing

Identifiers

PMID42352593
PMCPMC13296752

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.