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

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

  • Antonius J van Rooij, 1 Department of Children & Risky Behavior, Trimbos Institute , Utrecht, The Netherlands.
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  • Christopher J Ferguson, 2 Department of Psychology, Stetson University , DeLand, FL, USA.
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  • Michelle Colder Carras, 3 Department of Mental Health, Johns Hopkins Bloomberg School of Public Health , Baltimore, MD, USA.
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  • Daniel Kardefelt-Winther, University of Gothenburg
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  • Jing Shi, 6 Institute for Mental Health Policy Research, Centre for Addiction and Mental Health , Toronto, Canada.
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  • Espen Aarseth, 7 Center for Computer Games Research, IT University of Copenhagen , Copenhagen, Denmark.
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  • Anthony M Bean, 8 Department of Psychology, Framingham State University , Framingham, MA, USA.
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  • Karin Helmersson Bergmark, 9 Department of Sociology, Stockholm University , Stockholm, Sweden.
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  • Anne Bruss, 10 Department of People and Technology, Roskilde University , Roskilde, Denmark.
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  • Mark Coulson, 11 Department of Psychology, Middlesex University , London, UK.
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  • Jory Deleuze, 12 Department of Psychology, Université Catholique de Louvain (UCL) , Louvain, Belgium.
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  • Pravin Dullur, 13 School of medicine, Western Sydney University , Penrith, NSW, Australia.
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  • Elza Dunkels, 14 Department of Applied Educational Science, Umeå University , Umeå, Sweden.
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  • Johan Edman, 15 Department of Criminology, Stockholm University , Stockholm, Sweden.
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  • Malte Elson, 16 Psychology of Human Technology Interaction Group, Ruhr University Bochum , Bochum, Germany.
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  • Peter J Etchells, 17 Department of Psychology, Bath Spa University , Bath, UK.
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  • Anne Fiskaali
  • Isabela Granic, 19 Developmental Psychopathology, Radboud University Nijmegen , Nijmegen, The Netherlands.
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  • Jeroen Jansz, 20 Department of Media and Communication, ERMeCC, Erasmus University Rotterdam , Rotterdam, The Netherlands.
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  • Faltin Karlsen, 21 Westerdals Department of Film and Media, Kristiania University College , Oslo, Norway.
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  • Linda K Kaye, 22 Department of Psychology, Edge Hill University , Ormskirk, UK.
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  • Bonnie Kirsh, 24 Department of Psychiatry, University of Toronto , Toronto, Canada.
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  • Andreas Lieberoth
  • Patrick Markey, 26 Department of Psychology, Villanova University , Villanova, PA, USA.
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  • Kathryn L Mills, 27 Department of Psychology, University of Oregon , Eugene, OR, USA.
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  • Rune Kristian Lundedal Nielsen, 7 Center for Computer Games Research, IT University of Copenhagen , Copenhagen, Denmark.
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  • Amy Orben, 28 Department of Experimental Psychology, University of Oxford , Oxford, UK.
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  • Arne Poulsen, 10 Department of People and Technology, Roskilde University , Roskilde, Denmark.
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  • Nicole Prause, 29 Liberos LLC , Los Angeles, CA, USA.
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  • Patrick Prax, 30 Department of Game Design, Uppsala University , Visby, Sweden.
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  • Thorsten Quandt, 31 Department of Communication, University of Münster , Münster, Germany.
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  • Adriano Schimmenti, 32 Department of Human and Social Sciences, UKE - Kore University of Enna , Enna, Italy.
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  • Vladan Starcevic, 33 Discipline of Psychiatry, University of Sydney , Sydney, Australia.
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  • Gabrielle Stutman, 34 Clinical Psychologist/Neuropsychologist , New York, NY, USA.
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  • Nigel E Turner, 6 Institute for Mental Health Policy Research, Centre for Addiction and Mental Health , Toronto, Canada.
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  • Jan van Looy, 35 Department of Communication Sciences, imec-mict-Ghent University , Ghent, Belgium.
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  • Andrew K Przybylski, 36 Oxford Internet Institute, University of Oxford , Oxford, UK.

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.

OriginalsprogEngelsk
TidsskriftJournal of Behavioral Addictions
Vol/bind7
Nummer1
Sider (fra-til)1-9
Antal sider9
ISSN2062-5871
DOI
StatusUdgivet - 2018

    Forskningsområder

  • Computergaming

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