ITU

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

Research output: Journal Article or Conference Article in JournalJournal articleResearchpeer-review

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A weak scientific basis for gaming disorder : Let us err on the side of caution. / van Rooij, Antonius; Ferguson, Chris; Nielsen, Rune Kristian Lundedal; Aarseth, Espen J.; Poulsen, Arne; Kardefelt-Winther, Daniel; Bean, Anthony; Colder Carras, Michelle; Przybylski, Andrew; Shi, Jing; Brus, Anne; Fiskaali, Anne; Karlsen, Faltin; Lieberoth, Andreas; Markey, Patrick; Prax, Patrick .

In: Journal of Behavioral Addictions, Vol. 7, No. 1, 12.03.2018, p. 1-9.

Research output: Journal Article or Conference Article in JournalJournal articleResearchpeer-review

Harvard

van Rooij, A, Ferguson, C, Nielsen, RKL, Aarseth, EJ, Poulsen, A, Kardefelt-Winther, D, Bean, A, Colder Carras, M, Przybylski, A, Shi, J, Brus, A, Fiskaali, A, Karlsen, F, Lieberoth, A, Markey, P & Prax, P 2018, 'A weak scientific basis for gaming disorder: Let us err on the side of caution', Journal of Behavioral Addictions, vol. 7, no. 1, pp. 1-9. https://doi.org/10.1556/2006.7.2018.19

APA

van Rooij, A., Ferguson, C., Nielsen, R. K. L., Aarseth, E. J., Poulsen, A., Kardefelt-Winther, D., Bean, A., Colder Carras, M., Przybylski, A., Shi, J., Brus, A., Fiskaali, A., Karlsen, F., Lieberoth, A., Markey, P., & Prax, P. (2018). A weak scientific basis for gaming disorder: Let us err on the side of caution. Journal of Behavioral Addictions, 7(1), 1-9. https://doi.org/10.1556/2006.7.2018.19

Vancouver

Author

van Rooij, Antonius ; Ferguson, Chris ; Nielsen, Rune Kristian Lundedal ; Aarseth, Espen J. ; Poulsen, Arne ; Kardefelt-Winther, Daniel ; Bean, Anthony ; Colder Carras, Michelle ; Przybylski, Andrew ; Shi, Jing ; Brus, Anne ; Fiskaali, Anne ; Karlsen, Faltin ; Lieberoth, Andreas ; Markey, Patrick ; Prax, Patrick . / A weak scientific basis for gaming disorder : Let us err on the side of caution. In: Journal of Behavioral Addictions. 2018 ; Vol. 7, No. 1. pp. 1-9.

Bibtex

@article{19590e8465a04d1a840855ac89d813b9,
title = "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.",
keywords = "gaming disorder, International Classification of Diseases-11, World Health Organization, diagnosis, classification, mental disorders, moral panic",
author = "{van Rooij}, Antonius and Chris Ferguson and Nielsen, {Rune Kristian Lundedal} and Aarseth, {Espen J.} and Arne Poulsen and Daniel Kardefelt-Winther and Anthony Bean and {Colder Carras}, Michelle and Andrew Przybylski and Jing Shi and Anne Brus and Anne Fiskaali and Faltin Karlsen and Andreas Lieberoth and Patrick Markey and Patrick Prax",
year = "2018",
month = mar,
day = "12",
doi = "10.1556/2006.7.2018.19",
language = "English",
volume = "7",
pages = "1--9",
journal = "Journal of Behavioral Addictions",
issn = "2062-5871",
publisher = "Akad{\'e}miai Kiad{\'o}",
number = "1",

}

RIS

TY - JOUR

T1 - A weak scientific basis for gaming disorder

T2 - Let us err on the side of caution

AU - van Rooij, Antonius

AU - Ferguson, Chris

AU - Nielsen, Rune Kristian Lundedal

AU - Aarseth, Espen J.

AU - Poulsen, Arne

AU - Kardefelt-Winther, Daniel

AU - Bean, Anthony

AU - Colder Carras, Michelle

AU - Przybylski, Andrew

AU - Shi, Jing

AU - Brus, Anne

AU - Fiskaali, Anne

AU - Karlsen, Faltin

AU - Lieberoth, Andreas

AU - Markey, Patrick

AU - Prax, Patrick

PY - 2018/3/12

Y1 - 2018/3/12

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.

AB - 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.

KW - gaming disorder

KW - International Classification of Diseases-11

KW - World Health Organization

KW - diagnosis

KW - classification

KW - mental disorders

KW - moral panic

U2 - 10.1556/2006.7.2018.19

DO - 10.1556/2006.7.2018.19

M3 - Journal article

VL - 7

SP - 1

EP - 9

JO - Journal of Behavioral Addictions

JF - Journal of Behavioral Addictions

SN - 2062-5871

IS - 1

ER -

ID: 82993656