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      Inclusion of gaming disorder criteria in ICD-11: A clinical perspective in favor : Commentary on: Scholars’ open debate paper on the World Health Organization ICD-11 Gaming Disorder proposal (Aarseth et al.)

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          Abstract

          Data from a specialist treatment facility for Internet addiction (IA) in Japan showed that (a) the vast majority of treatment seekers are addicted to online games, (b) their symptoms are often quite severe, and (c) there is a significant demand for IA treatment. In addition, systemic obstacles to the delivery of medical services in Japan exist due to the exclusion of IA criteria from ICD-10. Consequently, the inclusion of GD criteria in ICD-11 will almost certainly increase the capacity and quality of treatment through advances in research and possible changes in national medical systems to meet treatment demand.

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          Cross-sectional and longitudinal epidemiological studies of Internet gaming disorder: A systematic review of the literature.

          The diagnostic criteria of Internet gaming disorder (IGD) have been included in section III of DSM-5. This study aims to systematically review both cross-sectional and longitudinal epidemiological studies of IGD.
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            Scholars’ open debate paper on the World Health Organization ICD-11 Gaming Disorder proposal

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              Scholars' Open Letter to the World Health Organization on Gaming Disorder Proposal

              Concerns about problematic gaming behaviors deserve our full attention. However, we claim that it is far from clear that these problems can or should be attributed to a new disorder. The empirical basis for a Gaming Disorder proposal, such as in the new ICD-11, suffers from fundamental issues. Our main concerns are the low quality of the research base, the fact that the current operationalization leans too heavily on substance use and gambling criteria, and the lack of consensus on symptomatology and assessment of problematic gaming. The act of formalizing this disorder, even as a proposal, has negative medical, scientific, public-health, societal and human rights fallout that should be considered. Of particular concern are moral panics around the harm of video gaming. They might result in premature application of diagnosis in the medical community and the treatment of abundant false-positive cases, especially for children and adolescents. Secondly, research will be locked into a confirmatory approach, rather than an exploration of the boundaries of normal versus pathological. Thirdly, the healthy majority of gamers will be affected negatively. We expect that the premature inclusion of Gaming Disorder as a diagnosis in ICD-11 will cause significant stigma to the millions of children who play video games as part of a normal, healthy life. At this point, suggesting formal diagnoses and categories is premature: the ICD-11 proposal for Gaming Disorder should be removed to avoid a waste of public health resources as well as to avoid causing harm to healthy video gamers around the world.
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                Author and article information

                Journal
                J Behav Addict
                J Behav Addict
                jba
                JBA
                Journal of Behavioral Addictions
                Akadémiai Kiadó (Budapest )
                2062-5871
                2063-5303
                17 August 2017
                September 2017
                : 6
                : 3
                : 293-295
                Affiliations
                [1 ]Treatment of Internet Addiction and Research Section, National Hospital Organization Kurihama Medical and Addiction Center , Yokosuka, Japan
                Author notes
                [* ]Corresponding author: Susumu Higuchi, MD, PhD; National Hospital Organization Kurihama Medical and Addiction Center, 5-3-1 Nobi, Yokosuka, Kanagawa 239-0841, Japan; Phone: +81 46 848 1550; Fax: +81 46 849 7743; E-mail: h-susumu@ 123456db3.so-net.ne.jp
                Article
                10.1556/2006.6.2017.049
                5700724
                28816497
                20c7a6ae-0488-4896-aec2-a04636e2189b
                © 2017 The Author(s)

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium for non-commercial purposes, provided the original author and source are credited.

                History
                : 26 May 2017
                : 16 July 2017
                : 31 July 2017
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 8, Pages: 3
                Funding
                Funding sources: This work was conducted without any financial support.
                Categories
                Commentary

                gaming disorder,icd-11,treatment seekers,clinical symptoms,treatment demand

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