Criteria for the establishment of a new behavioural addiction Commentary to the debate: “Behavioral addictions in the ICD-11”

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Gullo, Matthew J
Wood, Andrew P
Saunders, John B
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2022
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Abstract

When does repeated behaviour constitute behavioural addiction? There has been considerable debate about non-substance-related addictions and how to determine when impaired control over a behaviour is addiction. There are public health benefits to identifying new behavioural addictions if intervention can improve outcomes. However, criteria for establishing new behavioural addictions must guard against diagnostic inflation and the pathologizing of normal problems of living. Criteria should include clinical relevance (Criterion 1), alignment with addiction phenomenology (Criterion 2) and theory (Criterion 3), and taxonomic plausibility (Criterion 4). Against such criteria, evidence does not yet support classification of pornography-use and buying-shopping disorders as addictions.

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Journal of Behavioral Addictions

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11

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2

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© 2022 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and reproduction in any medium for non-commercial purposes, provided the original author and source are credited, a link to the CC License is provided, and changes – if any – are indicated.

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Psychology

Clinical sciences

Health services and systems

Clinical and health psychology

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Life Sciences & Biomedicine

Psychiatry

behavioural addiction

gaming disorder

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Gullo, MJ; Wood, AP; Saunders, JB, Criteria for the establishment of a new behavioural addiction Commentary to the debate: “Behavioral addictions in the ICD-11”, Journal of Behavioral Addictions, 2022, 11 (2), pp. 191-198

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