A weak scientific basis for gaming disorder: Let us err on the side of caution

van Rooij, Antonius J., Ferguson, Christopher J., Carras, Michelle Colder, Kardefelt-Winther, Daniel, Shi, Jing, Aarseth, Espen, Bean, Anthony M., Bergmark, Karin Helmersson, Brus, Anne, Coulson, Mark, Deleuze, Jory, Dullur, Pravin, Dunkels, Elza, Edman, Johan, Elson, Malte, Etchells, Peter J., Fiskaali, Anne, Granic, Isabela, Jansz, Jeroen, Karlsen, Faltin, Kaye, Linda K., Kirsh, Bonnie, Lieberoth, Andreas, Markey, Patrick, Mills, Kathryn L., Nielsen, Rune Kristian Lundedal, Orben, Amy, Poulsen, Arne, Prause, Nicole, Prax, Patrick, Quandt, Thorsten, Schimmenti, Adriano, Starcevic, Vladan, Stutman, Gabrielle, Turner, Nigel E., van Looy, Jan and Przybylski, Andrew K. (2018) A weak scientific basis for gaming disorder: Let us err on the side of caution. Journal of Behavioral Addictions, 7 (1). pp. 1-9. ISSN 2062-5871

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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.

Item Type: Article
Additional Information: Funding Information: Funding sources: MCC’s contribution to this research was supported by the National Institute of Mental Health Training grant 5T32MH014592-39. Publisher Copyright: © 2018 The Author(s).
Uncontrolled Keywords: classification,diagnosis,gaming disorder,international classification of diseases-11,mental disorders,moral panic,world health organization,medicine (miscellaneous),clinical psychology,psychiatry and mental health,sdg 3 - good health and well-being ,/dk/atira/pure/subjectarea/asjc/2700/2701
Faculty \ School: Faculty of Social Sciences > School of Psychology
Related URLs:
Depositing User: LivePure Connector
Date Deposited: 11 Oct 2022 12:30
Last Modified: 19 Dec 2023 04:28
URI: https://ueaeprints.uea.ac.uk/id/eprint/88985
DOI: 10.1556/2006.7.2018.19

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