Which Conditions Should Be Considered as Disorders in the International Classification of Diseases (ICD-11) Designation of "Other Specified Disorders Due to Addictive Behaviors"?

Authors

• Matthia Brand, University of Duisburg-Essen
• Hans-Jürgen Rumpf, University of Lübeck
• Zsolt Demetrovics, Eötvös Loránd University
• Astrid Müller, Hannover Medical Schoo
• Rudolf Stark, Justus Liebig University of Giessen
• Daniel L. King, Flinders University
• Anna E. Goudriaan, University of Amsterdam
• Karl Mann, Heidelberg University
• Patrick Trotzke, University of Duisburg-Essen
• Naomi A. Fineberg, Hertfordshire Partnership University NHS Foundation Trust
• Samuel R. Chamberlain, University of Cambridge
• Shane W. Kraus, University of Nevada, Las VegasFollow
• Elisa Wegmann, University of Duisburg-Essen
• Joël Billieux, University of Lausanne
• Marc N. Potenza, Yale University

Document Type

Article

Publication Date

6-30-2020

Publication Title

Journal of Behavioral Addictions

First page number:

150

Last page number:

159

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.

Keywords

Addictive behaviors; ICD-11; Pornography-use disorder; Buying-shopping disorder; Problematic social-network use

Disciplines

Medicine and Health Sciences | Mental and Social Health | Substance Abuse and Addiction

File Format

PDF

File Size

767 KB

Language

English

Rights

IN COPYRIGHT. For more information about this rights statement, please visit http://rightsstatements.org/vocab/InC/1.0/

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License

Repository Citation

Brand, M., Rumpf, H., Demetrovics, Z., Müller, A., Stark, R., King, D. L., Goudriaan, A. E., Mann, K., Trotzke, P., Fineberg, N. A., Chamberlain, S. R., Kraus, S. W., Wegmann, E., Billieux, J., Potenza, M. N. (2020). 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 150-159.
http://dx.doi.org/10.1556/2006.2020.00035