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      Are we overpathologizing everyday life? A tenable blueprint for behavioral addiction research

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          Abstract

          Background

          Behavioral addiction research has been particularly flourishing over the last two decades. However, recent publications have suggested that nearly all daily life activities might lead to a genuine addiction.

          Methods and aim

          In this article, we discuss how the use of atheoretical and confirmatory research approaches may result in the identification of an unlimited list of “new” behavioral addictions.

          Results

          Both methodological and theoretical shortcomings of these studies were discussed.

          Conclusions

          We suggested that studies overpathologizing daily life activities are likely to prompt a dismissive appraisal of behavioral addiction research. Consequently, we proposed several roadmaps for future research in the field, centrally highlighting the need for longer tenable behavioral addiction research that shifts from a mere criteria-based approach toward an approach focusing on the psychological processes involved.

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          Most cited references25

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          Issues for DSM-V: internet addiction.

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            Internet gaming disorder and the DSM-5.

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              Natural recovery and treatment-seeking in pathological gambling: results of two U.S. national surveys.

              W Slutske (2006)
              Pathological gambling is described in DSM-IV as a chronic and persisting disorder, but recent community-based longitudinal studies that have highlighted the transitory nature of gambling-related problems have called into question whether this is an accurate characterization. This emerging evidence of high rates of recovery coupled with low rates of treatment-seeking for pathological gambling suggests that natural recovery might be common. The purpose of the present study was to document the rates of recovery, treatment-seeking, and natural recovery among individuals with DSM-IV pathological gambling disorder in two large and representative U.S. national surveys. Prevalences of recovery, treatment-seeking, and natural recovery were estimated among individuals from the Gambling Impact and Behavior Study (N=2,417) and the National Epidemiologic Survey on Alcohol and Related Conditions (N=43,093) who reported a lifetime history of DSM-IV pathological gambling disorder (N=21 and N=185, respectively). Among individuals with a lifetime history of DSM-IV pathological gambling, 36%-39% did not experience any gambling-related problems in the past year, even though only 7%-12% had ever sought either formal treatment or attended meetings of Gamblers Anonymous. About one-third of the individuals with pathological gambling disorder in these two nationally representative U.S. samples were characterized by natural recovery. Pathological gambling may not always follow a chronic and persisting course. A substantial portion of individuals with a history of pathological gambling eventually recover, most without formal treatment. The results of large epidemiological surveys of pathological gambling may eventually overturn the established wisdom about pathological gambling disorder.
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                Author and article information

                Journal
                J Behav Addict
                J Behav Addict
                jba
                JBA
                Journal of Behavioral Addictions
                Akadémiai Kiadó
                2062-5871
                2063-5303
                September 2015
                27 May 2015
                : 4
                : 3
                : 119-123
                Affiliations
                [1 ]Laboratory for Experimental Psychopathology, Psychological Sciences Research Institute, Université Catholique de Louvain , Louvain-la-Neuve, Belgium
                [2 ]Internet and Gambling Disorders Clinic, Department of Adult Psychiatry, Cliniques Universitaires Saint-Luc , Brussels, Belgium
                [3 ]Faculty of Human and Social Sciences, UKE – Kore University of Enna , Italy
                [4 ]Addictology Division, Mental Health and Psychiatry Department, Geneva University Hospitals , Geneva, Switzerland
                Author notes
                * Corresponding author: Prof. Joël Billieux, PhD; Laboratory for Experimental Psychopathology, Psychological Sciences Research Institute, Université Catholique de Louvain, 10, Place du Cardinal Mercier – 1348 Louvain-La-Neuve, Belgium; Phone: + 32 (0)10 47 46 38; Fax: +32(0)10 47 37 74; E-mail: Joel.Billieux@ 123456uclouvain.be
                Article
                10.1556/2006.4.2015.009
                4627665
                26014667
                71efac26-59dc-405a-b791-f4b023bd184c
                © 2015 Akadémiai Kiadó, Budapest

                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
                : 5 February 2015
                : 13 February 2015
                : 14 February 2015
                Page count
                Figures: 1, Tables: 0, References: 29, Pages: 5
                Funding
                Joël Billieux and Pierre Maurage are granted by the Belgium National Lottery for research on gambling disorder. Joël Billieux is granted by the European Commission for Research on the Problematic usage of information and communication technology (“Tech Use Disorders”; Grant ID: FP7-PEOPLE-2013-IEF-627999). Pierre Maurage (Research Associate) and Alexandre Heeren (Senior Research Fellow) are funded by the Belgian National Foundation for Scientific Research (F.R.S.-FNRS, Belgium). Alexandre Heeren is also funded by the Belgian Foundation “Vocatio” (Scientific Vocation).
                Categories
                Invited Opinion Paper

                behavioral addictions,everyday behaviors,mental health,psychopathology,dsm,diagnosis

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