How can we conceptualize behavioural addiction without pathologizing common behaviours?

被引:473
作者
Kardefelt-Winther, Daniel [1 ]
Heeren, Alexandre [2 ]
Schimmenti, Adriano [3 ]
van Rooij, Antonius [4 ]
Maurage, Pierre [5 ]
Carras, Michelle [6 ]
Edman, Johan [7 ]
Blaszczynski, Alexander [8 ]
Khazaal, Yasser [9 ]
Billieux, Joel [5 ,10 ,11 ]
机构
[1] Karolinska Inst, Dept Clin Neurosci, Tomtebodavagen 18A, S-17176 Stockholm, Sweden
[2] Harvard Univ, Dept Psychol, 33 Kirkland St, Cambridge, MA 02138 USA
[3] Kore Univ Enna, Fac Human & Social Sci, Enna, Italy
[4] Imec Mict Ghent Univ, Dept Commun Sci, Ghent, Belgium
[5] Catholic Univ Louvain, Lab Expt Psychopathol, Louvain, Belgium
[6] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Mental Hlth, Baltimore, MD USA
[7] Stockholm Univ, Ctr Social Res Alcohol & Drugs, Stockholm, Sweden
[8] Univ Sydney, Sch Psychol, Gambling Treatment Clin & Res, Sydney, NSW, Australia
[9] Univ Geneva, Geneva Univ Hosp, Geneva, Switzerland
[10] Univ Luxembourg, Inst Hlth & Behav, Integrat Res Unit Social & Individual Dev INSIDE, Luxembourg, Luxembourg
[11] Clin Univ St Luc, Dept Adult Psychiat, Internet & Gambling Disorders Clin, Brussels, Belgium
关键词
Addiction theory; behavioral addiction; diagnosis; DSM-5; gambling disorder; internet gaming disorder; non-substance related addictions; pathologization; theory development; OVERPATHOLOGIZING EVERYDAY LIFE; INTERNET GAMING DISORDER; WITHDRAWAL SYMPTOMS; TENABLE BLUEPRINT; GROUNDED THEORY; VALIDITY; CRITERIA; MODEL;
D O I
10.1111/add.13763
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Following the recent changes to the diagnostic category for addictive disorders in DSM-5, it is urgent to clarify what constitutes behavioural addiction to have a clear direction for future research and classification. However, in the years following the release of DSM-5, an expanding body of research has increasingly classified engagement in a wide range of common behaviours and leisure activities as possible behavioural addiction. If this expansion does not end, both the relevance and the credibility of the field of addictive disorders might be questioned, which may prompt a dismissive appraisal of the new DSM-5 subcategory for behavioural addiction. We propose an operational definition of behavioural addiction together with a number of exclusion criteria, to avoid pathologizing common behaviours and provide a common ground for further research. The definition and its exclusion criteria are clarified and justified by illustrating how these address a number of theoretical and methodological shortcomings that result from existing conceptualizations. We invite other researchers to extend our definition under an Open Science Foundation framework.
引用
收藏
页码:1709 / 1715
页数:7
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