期刊
HARVARD REVIEW OF PSYCHIATRY
卷 23, 期 2, 页码 134-146出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/HRP.0000000000000051
关键词
behavioral addiction; diagnosis; disordered gambling; Internet gaming disorder; neurobiology
类别
资金
- National Institute on Drug Abuse [P20 DA027844, R01 DA018647, R01 DA035058, P50 DA09241]
- National Center for Responsible Gaming
- Connecticut State Department of Mental Health and Addictions Services
- Connecticut Mental Health Center
- NATIONAL INSTITUTE ON DRUG ABUSE [R01DA018647, P50DA009241, R01DA035058, P20DA027844] Funding Source: NIH RePORTER
Addiction professionals and the public are recognizing that certain nonsubstance behaviorssuch as gambling, Internet use, video-game playing, sex, eating, and shoppingbear resemblance to alcohol and drug dependence. Growing evidence suggests that these behaviors warrant consideration as nonsubstance or behavioral addictions and has led to the newly introduced diagnostic category Substance-Related and Addictive Disorders in DSM-5. At present, only gambling disorder has been placed in this category, with insufficient data for other proposed behavioral addictions to justify their inclusion. This review summarizes recent advances in our understanding of behavioral addictions, describes treatment considerations, and addresses future directions. Current evidence points to overlaps between behavioral and substance-related addictions in phenomenology, epidemiology, comorbidity, neurobiological mechanisms, genetic contributions, responses to treatments, and prevention efforts. Differences also exist. Recognizing behavioral addictions and developing appropriate diagnostic criteria are important in order to increase awareness of these disorders and to further prevention and treatment strategies.
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