TY  - JOUR
PY  - 2018//
TI  - A weak scientific basis for gaming disorder: let us err on the side of caution
JO  - Journal of behavioral addictions
A1  - van Rooij, Antonius J.
A1  - Ferguson, Christopher J.
A1  - Colder Carras, Michelle
A1  - Kardefelt-Winther, Daniel
A1  - Shi, Jing
A1  - Aarseth, Espen
A1  - Bean, Anthony M.
A1  - Bergmark, Karin Helmersson
A1  - Brus, Anne
A1  - Coulson, Mark
A1  - Deleuze, Jory
A1  - Dullur, Pravin
A1  - Dunkels, Elza
A1  - Edman, Johan
A1  - Elson, Malte
A1  - Etchells, Peter J.
A1  - Fiskaali, Anne
A1  - Granic, Isabela
A1  - Jansz, Jeroen
A1  - Karlsen, Faltin
A1  - Kaye, Linda K.
A1  - Kirsh, Bonnie
A1  - Lieberoth, Andreas
A1  - Markey, Patrick
A1  - Mills, Kathryn L.
A1  - Nielsen, Rune Kristian Lundedal
A1  - Orben, Amy
A1  - Poulsen, Arne
A1  - Prause, Nicole
A1  - Prax, Patrick
A1  - Quandt, Thorsten
A1  - Schimmenti, Adriano
A1  - Starcevic, Vladan
A1  - Stutman, Gabrielle
A1  - Turner, Nigel E.
A1  - Van Looy, Jan
A1  - Przybylski, Andrew K.
SP  - 1
EP  - 9
VL  - 7
IS  - 1
N2  - 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.<p />  <p>Language: en</p>
LA  - en
SN  - 2062-5871
UR  - http://dx.doi.org/10.1556/2006.7.2018.19
ID  - ref1
ER  -