Which conditions should be considered as disorders in the International Classification of Diseases (ICD-11) designation of "other specified disorders due to addictive behaviors"?

被引：264

作者：

BRAND, M. A. T. T. H. I. A. S. ^{[1
,2
]}

RUMPF, HANS-JUERGEN ^{[3
]}

DEMETROVICS, Z. S. O. L. T. ^{[4
]}

MUELLER, A. S. T. R. I. D. ^{[5
]}

STARK, R. U. D. O. L. F. ^{[6
,7
]}

KING, D. A. N. I. E. L. L. ^{[8
]}

GOUDRIAAN, A. N. N. A. E. ^{[9
,10
,11
]}

MANN, K. A. R. L. ^{[12
]}

TROTZKE, P. A. T. R. I. C. K. ^{[1
,2
]}

FINEBERG, N. A. O. M. I. A. ^{[13
,14
,15
]}

CHAMBERLAIN, S. A. M. U. E. L. R. ^{[16
,17
]}

KRAUS, S. H. A. N. E. W. ^{[18
]}

WEGMANN, E. L. I. S. A. ^{[1
]}

BILLIEUX, J. O. E. L. ^{[19
,20
]}

POTENZA, M. A. R. C. N. ^{[21
,22
,23
]}

机构：

[1] Univ Duisburg Essen, Gen Psychol Cognit & Ctr Behav Addict Res CeBAR, Forsthausweg 2, D-47057 Duisburg, Germany

[2] Erwin L Hahn Inst Magnet Resonance Imaging, Forsthausweg 2, D-47057 Essen, Germany

[3] Univ Lubeck, Dept Psychiat & Psychotherapy, Res Grp S TEP Subst Use & Related Disorders Treat, Lubeck, Germany

[4] Eotvos Lorand Univ, Inst Psychol, Budapest, Hungary

[5] Hannover Med Sch, Dept Psychosomat Med & Psychotherapy, Hannover, Germany

[6] Justus Liebig Univ Giessen, Dept Psychotherapy & Syst Neurosci, Giessen, Germany

[7] Justus Liebig Univ Giessen, Bender Inst Neuroimaging, Giessen, Germany

[8] Flinders Univ S Australia, Coll Educ Psychol & Social Work, Adelaide, SA, Australia

[9] Univ Amsterdam, Amsterdam Univ Med Ctr, Dept Psychiat, Amsterdam, Netherlands

[10] Arkin Mental Hlth Care, Amsterdam, Netherlands

[11] Amsterdam Publ Hlth Res Inst, Amsterdam, Netherlands

[12] Heidelberg Univ, Med Fac Mannheim, Cent Inst Mental Hlth, Dept Addict Behav & Addict Med, Mannheim, Germany

[13] Hertfordshire Partnership Univ NHS Fdn Trust, Hatfield, Herts, England

[14] Univ Hertfordshire, Sch Life & Med Sci, Ctr Hlth Serv & Clin Res, Hatfield, Herts, England

[15] Univ Cambridge, Sch Clin Med, Cambridge, England

[16] Univ Cambridge, Dept Psychiat, Cambridge, England

[17] Cambridge & Peterborough NHS Fdn Trust, Cambridge, England

[18] Univ Nevada, Dept Psychol, Las Vegas, NV USA

[19] Univ Lausanne UNIL, Inst Psychol, Lausanne, Switzerland

[20] Lausanne Univ Hosp CHUV, Ctr Excess Gambling, Lausanne, Switzerland

[21] Yale Univ, Dept Psychiat Neurosci & Child Study, Sch Med, New Haven, CT USA

[22] Connecticut Council Problem Gambling, Wethersfield, CT USA

[23] Connecticut Mental Hlth Ctr, New Haven, CT USA

来源：

JOURNAL OF BEHAVIORAL ADDICTIONS | 2022年 / 11卷 / 02期

关键词：

Addictive behaviors; ICD-11; pornography-use disorder; buying-shopping disorder; problematic social-network use; COMPULSIVE SEXUAL-BEHAVIOR; INTERNET GAMING DISORDER; SOCIAL NETWORKING; SEEKING TREATMENT; PORNOGRAPHY-USE; PROBLEMATIC USE; IMPLICIT COGNITION; ATTENTIONAL BIAS; DECISION-MAKING; IMPULSIVITY;

D O I：

10.1556/2006.2020.00035

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Background: Gambling and gaming disorders have been included as "disorders due to addictive behaviors" in the International Classification of Diseases (ICD-11). Other problematic behaviors may be considered as "other specified disorders due to addictive behaviors (6C5Y)." Methods: Narrative review, experts' opinions. Results: We suggest the following meta-level criteria for considering potential addictive behaviors as fulfilling the category of "other specified disorders due to addictive behaviors": 1. Clinical relevance: Empirical evidence from multiple scientific studies demonstrates that the specific potential addictive behavior is clinically relevant and individuals experience negative consequences and functional impairments in daily life due to the problematic and potentially addictive behavior. 2. Theoretical embedding: Current theories and theoretical models belonging to the field of research on addictive behaviors describe and explain most appropriately the candidate phenomenon of a potential addictive behavior. 3. Empirical evidence: Data based on self-reports, clinical interviews, surveys, behavioral experiments, and, if available, biological investigations (neural, physiological, genetic) suggest that psychological (and neurobiological) mechanisms involved in other addictive behaviors are also valid for the candidate phenomenon. Varying degrees of support for problematic forms of pornography use, buying and shopping, and use of social networks are available. These conditions may fit the category of "other specified disorders due to addictive behaviors". Conclusion: It is important not to overpathologize everyday-life behavior while concurrently not trivializing conditions that are of clinical importance and that deserve public health considerations. The proposed meta-level-criteria may help guide both research efforts and clinical practice.

引用

页码：150 / 159

页数：10

共 90 条

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