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      Assessment of Criteria for Specific Internet-use Disorders (ACSID-11): Introduction of a new screening instrument capturing ICD-11 criteria for gaming disorder and other potential Internet-use disorders

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          Abstract

          Background and aims

          With the inclusion of gaming disorder in the ICD-11, diagnostic criteria were introduced for this relatively new disorder. These criteria may also be applied to other potential specific Internet-use disorders, which may be classified in ICD-11 as other disorders due to addictive behaviors, such as online buying-shopping disorder, online pornography-use disorder, social-networks-use disorder, and online gambling disorder. Due to the heterogeneity in existing instruments, we aimed to develop a consistent and economic measure of major types of (potential) specific Internet-use disorders based on ICD-11 criteria for gaming disorder.

          Methods

          The new 11-item Assessment of Criteria for Specific Internet-use Disorders (ACSID-11) measures five behavioral addictions with the same set of items by following the principles of WHO’s ASSIST. The ACSID-11 was administered to active Internet users ( N = 985) together with an adaptation of the Ten-Item Internet Gaming Disorder Test (IGDT-10) and screeners for mental health. We used Confirmatory Factor Analyses to analyze the factor structure of ACSID-11.

          Results

          The assumed four-factorial structure was confirmed and was superior to the unidimensional solution. This applied to gaming disorder and to the other specific Internet-use disorders. ACSID-11 scores correlated with IGDT-10 as well as with the measures of psychological distress.

          Discussion and Conclusions

          The ACSID-11 seems to be suitable for the consistent assessment of (potential) specific Internet-use disorders based on ICD-11 diagnostic criteria for gaming disorder. The ACSID-11 may be a useful and economic instrument for studying various behavioral addictions with the same items and improving comparability.

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          Most cited references78

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          Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives

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            A ‘components’ model of addiction within a biopsychosocial framework

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              The neural basis of drug craving: an incentive-sensitization theory of addiction.

              This paper presents a biopsychological theory of drug addiction, the 'Incentive-Sensitization Theory'. The theory addresses three fundamental questions. The first is: why do addicts crave drugs? That is, what is the psychological and neurobiological basis of drug craving? The second is: why does drug craving persist even after long periods of abstinence? The third is whether 'wanting' drugs (drug craving) is attributable to 'liking' drugs (to the subjective pleasurable effects of drugs)? The theory posits the following. (1) Addictive drugs share the ability to enhance mesotelencephalic dopamine neurotransmission. (2) One psychological function of this neural system is to attribute 'incentive salience' to the perception and mental representation of events associated with activation of the system. Incentive salience is a psychological process that transforms the perception of stimuli, imbuing them with salience, making them attractive, 'wanted', incentive stimuli. (3) In some individuals the repeated use of addictive drugs produces incremental neuroadaptations in this neural system, rendering it increasingly and perhaps permanently, hypersensitive ('sensitized') to drugs and drug-associated stimuli. The sensitization of dopamine systems is gated by associative learning, which causes excessive incentive salience to be attributed to the act of drug taking and to stimuli associated with drug taking. It is specifically the sensitization of incentive salience, therefore, that transforms ordinary 'wanting' into excessive drug craving. (4) It is further proposed that sensitization of the neural systems responsible for incentive salience ('for wanting') can occur independently of changes in neural systems that mediate the subjective pleasurable effects of drugs (drug 'liking') and of neural systems that mediate withdrawal. Thus, sensitization of incentive salience can produce addictive behavior (compulsive drug seeking and drug taking) even if the expectation of drug pleasure or the aversive properties of withdrawal are diminished and even in the face of strong disincentives, including the loss of reputation, job, home and family. We review evidence for this view of addiction and discuss its implications for understanding the psychology and neurobiology of addiction.
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                Author and article information

                Contributors
                Journal
                J Behav Addict
                J Behav Addict
                JBA
                Journal of Behavioral Addictions
                Akadémiai Kiadó (Budapest )
                2062-5871
                2063-5303
                07 April 2022
                July 2022
                July 2022
                : 11
                : 2
                : 427-450
                Affiliations
                [1 ] General Psychology: Cognition and Center for Behavioral Addiction Research (CeBAR), University of Duisburg-Essen , Duisburg, Germany
                [2 ] Erwin L. Hahn Institute for Magnetic Resonance Imaging , Essen, Germany
                [3 ] Department of Psychotherapy and Systems Neuroscience, Justus Liebig University of Giessen , Giessen, Germany
                [4 ] Bender Institute of Neuroimaging, Justus Liebig University of Giessen , Giessen, Germany
                [5 ] Center of Mind, Brain and Behavior, Universities of Marburg and Giessen , Giessen, Germany
                [6 ] Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School , Hannover, Germany
                [7 ] Department of Molecular Psychology, Institute of Psychology and Education, Ulm University , Ulm, Germany
                [8 ] Outpatient Clinic for Behavioral Addiction, Department of Psychosomatic Medicine and Psychotherapy, University Medical Center, Johannes Gutenberg University Mainz , Mainz, Germany
                [9 ] Department of Psychiatry and Psychotherapy, Research Group S:TEP (Substance Use and Related Disorders: Treatment, Epidemiology, and Prevention), University of Lübeck , Lübeck, Germany
                Author notes
                [* ]Corresponding author. Tel.: +49-203-3792541; fax: ++49-203-3791846. E-mail: matthias.brand@ 123456uni-due.de
                Author information
                https://orcid.org/0000-0002-6627-2661
                https://orcid.org/0000-0002-9373-979X
                https://orcid.org/0000-0003-4299-5280
                https://orcid.org/0000-0001-6176-2947
                https://orcid.org/0000-0001-8112-0837
                https://orcid.org/0000-0001-6848-920X
                https://orcid.org/0000-0002-4831-9542
                Article
                10.1556/2006.2022.00013
                9295242
                35394924
                60eff09e-acaf-4d1d-bc6d-1f146f9cea37
                © 2022 The Author(s)

                Open Access. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( https://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and reproduction in any medium for non-commercial purposes, provided the original author and source are credited, a link to the CC License is provided, and changes – if any – are indicated.

                History
                : 27 September 2021
                : 11 January 2022
                : 03 March 2022
                : 13 March 2022
                Page count
                Figures: 4, Tables: 8, Equations: 0, References: 80, Pages: 24
                Funding
                Funded by: Deutsche Forschungsgemeinschaft (DFG, German Research Foundation)
                Award ID: 411232260
                Categories
                Article

                gaming disorder,online buying-shopping disorder,online pornography-use disorder,social-networks-use disorder,online gambling disorder,internet addiction,behavioral addictions,diagnostic criteria,screening test,icd-11

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