Journal article
A weak scientific basis for gaming disorder: Let us err on the side of caution
- Abstract:
- We greatly appreciate the care and thought that is evident in the 10 commentaries that discuss our debate paper, the majority of which argued in favor of a formalized ICD-11 gaming disorder. We agree that there are some people whose play of video games is related to life problems. We believe that understanding this population and the nature and severity of the problems they experience should be a focus area for future research. However, moving from research construct to formal disorder requires a much stronger evidence base than we currently have. The burden of evidence and the clinical utility should be extremely high, because there is a genuine risk of abuse of diagnoses. We provide suggestions about the level of evidence that might be required: transparent and preregistered studies, a better demarcation of the subject area that includes a rationale for focusing on gaming particularly versus a more general behavioral addictions concept, the exploration of non-addiction approaches, and the unbiased exploration of clinical approaches that treat potentially underlying issues, such as depressive mood or social anxiety first. We acknowledge there could be benefits to formalizing gaming disorder, many of which were highlighted by colleagues in their commentaries, but we think they do not yet outweigh the wider societal and public health risks involved. Given the gravity of diagnostic classification and its wider societal impact, we urge our colleagues at the WHO to err on the side of caution for now and postpone the formalization.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
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- Files:
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(Preview, Version of record, pdf, 163.2KB, Terms of use)
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- Publisher copy:
- 10.1556/2006.7.2018.19
Authors
- Publisher:
- Akadémiai Kiadó
- Journal:
- Journal of Behavioral Addictions More from this journal
- Volume:
- 7
- Issue:
- 1
- Pages:
- 1-9
- Publication date:
- 2018-03-13
- Acceptance date:
- 2018-02-12
- DOI:
- EISSN:
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2063-5303
- ISSN:
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2062-5871
- Pmid:
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29529886
- Language:
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English
- Keywords:
- Pubs id:
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pubs:829748
- UUID:
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uuid:9034237a-6310-4a44-8ef6-3a2d22b97028
- Local pid:
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pubs:829748
- Source identifiers:
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829748
- Deposit date:
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2018-08-17
- ARK identifier:
Terms of use
- Copyright holder:
- van Rooij et al
- Copyright date:
- 2018
- Notes:
- Copyright © 2018 The Authors. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, 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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