Verhaltenssüchte in der ICD-11

Zusammenfassung

Ziel Der Beitrag stellt die Verortung von Verhaltenssüchten in der ICD-11 dar und gibt einen Ausblick auf die zukünftige Entwicklung.

Methodik Sichtung der Literatur

Ergebnisse Auf Basis von Expertenmeetings der Weltgesundheitsorganisation (WHO) wurde ein Vorschlag entwickelt, auf Basis dessen die Gambling und Gaming Disorder in die aktuelle Fassung der International Classification of Diseases (ICD-11) aufgenommen wurden. Beide Störungen werden mit den gleichen 3 Kernmerkmalen beschrieben (Kontrollverlust, Priorität im Leben und Fortsetzung trotz negativer Konsequenzen) und erfordern darüber hinaus das Vorliegen einer funktionalen Beeinträchtigung. Eine Reihe von Studien belegt die klinische Relevanz dieser Entscheidung. Darüber hinaus lassen sich weitere spezifizierte Verhaltenssüchte kodieren, wobei nach Sichtung der Literatur insbesondere Buying-Shopping Disorder, Pornografy Use Disorder und Social Networks Use Disorder hierfür geeignet erscheinen.

Schlussfolgerung Insbesondere bei der Computerspielstörung ist zu erwarten, dass die Aufnahme in die ICD-11 die Entwicklung von Diagnostik, Prävention und Therapie diese Störung fördert. Unter Federführung der WHO werden derzeit diagnostische Verfahren für beide Störungen entwickelt, um Standardinstrumente bereit zu stellen.

Abstract

Aim The article describes the inclusion of behavioral addictions in the ICD-11 and provides an outlook on future development.

Methods Review of the literature

Results On the basis of expert meetings of the World Health Organization (WHO), a proposal was developed on the basis of which Gambling Disorder and Gaming Disorder were included in the current version of the International Classification of Diseases (ICD-11). Both disorders are described with the same 3 core characteristics (loss of control, priority in life and continuation despite negative consequences) and also require the presence of functional impairment. A number of studies prove the clinical relevance of the decision to include both disorders. In addition, other specified behavioral addictions can be coded and based on reviewing the literature, Buying-Shopping Disorder, Pornography Use Disorder and Social Networks Use Disorder seem to be suitable for this category.

Conclusion Especially in the case of Gaming Disorder, it can be expected that inclusion in the ICD-11 will promote the development of diagnostics, prevention and therapy for this disorder. Under the auspices of the WHO, diagnostic tools for both disorders are currently being developed in order to provide standard instruments.

Schlüsselwörter

ICD-11 - Verhaltenssüchte - Computerspielstörung - Glücksspielstörung - Klassifikation

Key words

ICD-11 - behavioral addictions - gaming disorder - gambling disorder - classification

Publication History

Article published online:
17 August 2020

• Literatur

• 1 American Psychiatric Association, Hrsg Diagnostic and Statistical Manual of Mental Disorders, fifth edition. Washington, D.C: American Psychiatric Association; 2013
• 2 Petry NM, Blanco C, Stinchfield R. et al. An empirical evaluation of proposed changes for gambling diagnosis in the DSM-5. Addiction 2013; 108: 575-581 DOI: 10.1111/j.1360-0443.2012.04087.x.
• 3 Petry NM, O’Brien CP. Internet gaming disorder and the DSM-5. Addiction 2013; 108: 1186-1187 doi:10.1111/add.12162
• 4 Maraz A, Urban R, Griffiths MD. et al. An Empirical Investigation of Dance Addiction. PLoS ONE 2015; 10 ARTN e012598810.1371/journal.pone.0125988
• 5 Billieux J, Schimmenti A, Khazaal Y. et al. Are we overpathologizing everyday life? A tenable blueprint for behavioral addiction research. J Behav Addict 2015; 4: 119-123. DOI: 10.1556/2006.4.2015.009.
• 6 Billieux J, Flayelle M, Rumpf H-J. et al. High Involvement Versus Pathological Involvement in Video Games: a Crucial Distinction for Ensuring the Validity and Utility of Gaming Disorder. Current Addiction Reports 2019; DOI: 10.1007/s40429-019-00259-x.
• 7 Rumpf H-J, Mann K. Die Verhaltenssüchte in der ICD-11: Ein Update. Sucht 2017; 63: 305-306. doi:10.1024/0939-5911/a000510
• 8 World Health Organization. ICD-11 for Mortality and Morbidity Statistics. Mental, behavioural or neurodevelopmental disorders. In: World Health Organisation; Retrieved January 30, 2019, from https://icd.who.int/browse11/l-m/en
• 9 Saunders JB, Hao W, Long J. et al. Gaming disorder: Its delineation as an important condition for diagnosis, management, and prevention. J Behav Addict 2017; 6: 271-279. DOI: 10.1556/2006.6.2017.039.
• 10 Mann K, Fauth-Buhler M, Higuchi S. et al. Pathological gambling: a behavioral addiction. World Psychiatry 2016; 15: 297-298. DOI: 10.1002/wps.20373.
• 11 Brand M, Rumpf H-J, Demetrovics Z. et al. Gaming Disorder Is a Disorder due to Addictive Behaviors: Evidence from Behavioral and Neuroscientific Studies Addressing Cue Reactivity and Craving, Executive Functions, and Decision-Making. Current Addiction Reports 2019; DOI: 10.1007/s40429-019-00258-y..
• 12 Aarseth E, Bean AM, Boonen H. et al. Scholars’ open debate paper on the World Health Organization ICD-11 Gaming Disorder proposal. J Behav Addict 2017; 6: 267-270
• 13 van Rooij AJ, Ferguson CJ, Colder Carras M. et al. A weak scientific basis for gaming disorder: Let us err on the side of caution. J Behav Addict 2018; 7: 1-9. DOI: 10.1556/2006.7.2018.19.
• 14 Higuchi S, Nakayama H, Mihara S. et al. Inclusion of gaming disorder criteria in ICD-11: A clinical perspective in favor. J Behav Addict 2017; 6: 293-295. DOI: 10.1556/2006.6.2017.049.
• 15 Müller KW, Wölfling K. Both sides of the story: Addiction is not a pastime activity. J Behav Addict 2017; 6: 118-120 doi:10.1556/2006.6.2017.038
• 16 van den Brink W. ICD-11 Gaming Disorder: Needed and just in time or dangerous and much too early?. J Behav Addict 2017; 6: 290-292. doi:10.1556/2006.6.2017.040
• 17 Kiraly O, Demetrovics Z. Inclusion of Gaming Disorder in ICD has more advantages than disadvantages. J Behav Addict 2017; 6: 280-284. doi:10.1556/2006.6.2017.046
• 18 Rumpf H-J, Bischof A, Bischof G et al. Early intervention in gaming disorder: What can we learn from findings in the substance abuse field? Current Addiction Reports 2018; https://doi.org/10.1007/ s40429-018-0229-4: 511–516
• 19 Rumpf H-J, Achab S, Billieux J. et al. Including gaming disorder in the ICD-11: The need to do so from a clinical and public health perspective. Journal of Behavioral Addictions 2018; 7: 556-561 DOI: 10.1556/2006.7.2018.59.
• 20 Carragher N, Rumpf HJ, Higuchi S et al. World Health Organization (WHO) Collaborative Project on the Development of an International Diagnostic Interview for Gaming Disorder. Journal of Behavioral Addictions 2019; 8: 59–59
• 21 King DL, Chamberlain SR, Carragher N. et al. Screening and assessment tools for gaming disorder: A comprehensive systematic review. Clin Psychol Rev 2020; 77. Artn 10183110.1016/J.Cpr.2020.101831
• 22 Rumpf H-J, Brandt D, Demetrovics Z. et al. Epidemiological Challenges in the Study of Behavioral Addictions: a Call for High Standard Methodologies. Current Addiction Reports 2019; 6: 331-337. DOI: 10.1007/s40429-019-00262-2.
• 23 Brand M, Rumpf H-J, Demetrovics Z et al. Which conditions should be considered as disorders in the ICD-11 designation of “other specified disorders due to addictive behaviors”? Journal of Behavioral Addictions in press
• 24 Besser B, Loerbroks L, Bischof G. et al. Performance of the DSM-5-based criteria for Internet addiction: A factor analytical examination of three samples. Journal of Behavioral Addictions 2019; 8: 288-294. DOI: 10.1556/2006.8.2019.19.