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

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

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 over-pathologize 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.

Addictive behaviors, buying-shopping disorder, ICD-11, pornography-use disorder, problematic social-network use
2062-5871
150-159
Brand, Matthias
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Rumpf, Hans Jürgen
874dcfee-a018-4079-bc43-fe9a48716789
Demetrovics, Zsolt
fe540cae-afc1-4e8e-9d55-3eea51a08508
Müller, Astrid
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Stark, Rudolf
e0055de7-061e-4f3b-904d-acf6c16888ef
King, Daniel L.
d95a3a11-165e-4b06-b4c2-e176e69afcf2
Goudriaan, Anna E.
ae8cbc00-0954-408c-9f77-2a491f1bd70d
Mann, Karl
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Trotzke, Patrick
f43aed89-b6ee-41f8-8931-59646845c987
Fineberg, Naomi A.
157dcac1-9fb2-4197-81f3-0167e1224f05
Chamberlain, Samuel R.
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Kraus, Shane W.
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Wegmann, Elisa
fae1254a-0f51-4880-890d-aa5a7a14df27
Billieux, JoËl
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Potenza, Marc N.
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Brand, Matthias
0772875b-8ee1-4aad-aedd-02b1c8cbbf06
Rumpf, Hans Jürgen
874dcfee-a018-4079-bc43-fe9a48716789
Demetrovics, Zsolt
fe540cae-afc1-4e8e-9d55-3eea51a08508
Müller, Astrid
204f15f6-9926-4379-8d28-c4bd7c8ee7c4
Stark, Rudolf
e0055de7-061e-4f3b-904d-acf6c16888ef
King, Daniel L.
d95a3a11-165e-4b06-b4c2-e176e69afcf2
Goudriaan, Anna E.
ae8cbc00-0954-408c-9f77-2a491f1bd70d
Mann, Karl
30d3bb26-fbcb-46e2-a637-dce8131c7ea5
Trotzke, Patrick
f43aed89-b6ee-41f8-8931-59646845c987
Fineberg, Naomi A.
157dcac1-9fb2-4197-81f3-0167e1224f05
Chamberlain, Samuel R.
8a0e09e6-f51f-4039-9287-88debe8d8b6f
Kraus, Shane W.
7a544972-6c3a-4059-9001-d0f5b8fb0c24
Wegmann, Elisa
fae1254a-0f51-4880-890d-aa5a7a14df27
Billieux, JoËl
f77dad07-b3e1-4338-8816-1b85def242df
Potenza, Marc N.
4331dcd8-d078-437b-a202-85b02faf9d56

Brand, Matthias, Rumpf, Hans Jürgen, Demetrovics, Zsolt, Müller, Astrid, Stark, Rudolf, King, Daniel L., Goudriaan, Anna E., Mann, Karl, Trotzke, Patrick, Fineberg, Naomi A., Chamberlain, Samuel R., Kraus, Shane W., Wegmann, Elisa, Billieux, JoËl and Potenza, Marc N. (2022) Which conditions should be considered as disorders in the International Classification of Diseases (ICD-11) designation of "other specified disorders due to addictive behaviors"? Journal of Behavioral Addictions, 11 (2), 150-159. (doi:10.1556/2006.2020.00035).

Record type: Review

Abstract

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 over-pathologize 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.

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e-pub ahead of print date: 30 June 2022
Published date: 13 July 2022
Keywords: Addictive behaviors, buying-shopping disorder, ICD-11, pornography-use disorder, problematic social-network use

Identifiers

Local EPrints ID: 492747
URI: http://eprints.soton.ac.uk/id/eprint/492747
ISSN: 2062-5871
PURE UUID: a7050aac-3c5b-4ea7-bc2a-5ee8ae907042
ORCID for Samuel R. Chamberlain: ORCID iD orcid.org/0000-0001-7014-8121

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Date deposited: 13 Aug 2024 16:52
Last modified: 14 Aug 2024 02:00

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Contributors

Author: Matthias Brand
Author: Hans Jürgen Rumpf
Author: Zsolt Demetrovics
Author: Astrid Müller
Author: Rudolf Stark
Author: Daniel L. King
Author: Anna E. Goudriaan
Author: Karl Mann
Author: Patrick Trotzke
Author: Naomi A. Fineberg
Author: Samuel R. Chamberlain ORCID iD
Author: Shane W. Kraus
Author: Elisa Wegmann
Author: JoËl Billieux
Author: Marc N. Potenza

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