A weak scientific basis for gaming disorder

Let us err on the side of caution

Antonius J. Von Rooji, Christopher J. Ferguson, Michelle Colder Carras, Daniel Kardefelt-Winther, Shi Jing, Esben Aarseth, Anthony M. Bean, Karin Helmersson Bergmark, Anne Brus, Mark Coulson, Jory Deleuze, Pravin Dullur, Elza Dunkels, Johan Edman, Malte Elson, Peter J. Etchells, Anne Fiskaali, Isabella Granic, Jeroen Jansz, Faltin Karlsen & 17 andre Linda K. Kaye, Bonnie Kirsh, Andreas Lieberoth, Patrick Markey, Kathryn L Mills, Rune Kristian Lundedal Nielsen, Amy Orben, Arne Poulsen, Nicole Prause, Patrick Prax, Thorsten Quandt, Adriano Schimmenti, Vladan Starcevic, Gabrielle Stutman, Nigel E. Turner, Jan van Looy, Andrew K. Przybylski

Publikation: Bidrag til tidsskriftTidsskriftartikelForskning

Resumé

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
Udgave nummer1
Antal sider9
ISSN2062-5871
StatusUdgivet - 20 mar. 2018

Citer dette

Von Rooji, A. J., Ferguson, C. J., Carras, M. C., Kardefelt-Winther, D., Jing, S., Aarseth, E., ... Przybylski, A. K. (2018). A weak scientific basis for gaming disorder: Let us err on the side of caution. Journal of Behavioral Addictions, 7(1).
Von Rooji, Antonius J. ; Ferguson, Christopher J. ; Carras, Michelle Colder ; Kardefelt-Winther, Daniel ; Jing, Shi ; Aarseth, Esben ; Bean, Anthony M. ; Helmersson Bergmark, Karin ; Brus, Anne ; Coulson, Mark ; Deleuze, Jory ; Dullur, Pravin ; Dunkels, Elza ; Edman, Johan ; Elson, Malte ; Etchells, Peter J. ; Fiskaali, Anne ; Granic, Isabella ; Jansz, Jeroen ; Karlsen, Faltin ; Kaye, Linda K. ; Kirsh, Bonnie ; Lieberoth, Andreas ; Markey, Patrick ; Mills, Kathryn L ; Nielsen, Rune Kristian Lundedal ; Orben, Amy ; Poulsen, Arne ; Prause, Nicole ; Prax, Patrick ; Quandt, Thorsten ; Schimmenti, Adriano ; Starcevic, Vladan ; Stutman, Gabrielle ; Turner, Nigel E. ; van Looy, Jan ; Przybylski, Andrew K. / A weak scientific basis for gaming disorder : Let us err on the side of caution. I: Journal of Behavioral Addictions. 2018 ; Bind 7, Nr. 1.
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title = "A weak scientific basis for gaming disorder: Let us err on the side of caution",
abstract = "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.",
author = "{Von Rooji}, {Antonius J.} and Ferguson, {Christopher J.} and Carras, {Michelle Colder} and Daniel Kardefelt-Winther and Shi Jing and Esben Aarseth and Bean, {Anthony M.} and {Helmersson Bergmark}, Karin and Anne Brus and Mark Coulson and Jory Deleuze and Pravin Dullur and Elza Dunkels and Johan Edman and Malte Elson and Etchells, {Peter J.} and Anne Fiskaali and Isabella Granic and Jeroen Jansz and Faltin Karlsen and Kaye, {Linda K.} and Bonnie Kirsh and Andreas Lieberoth and Patrick Markey and Mills, {Kathryn L} and Nielsen, {Rune Kristian Lundedal} and Amy Orben and Arne Poulsen and Nicole Prause and Patrick Prax and Thorsten Quandt and Adriano Schimmenti and Vladan Starcevic and Gabrielle Stutman and Turner, {Nigel E.} and {van Looy}, Jan and Przybylski, {Andrew K.}",
year = "2018",
month = "3",
day = "20",
language = "English",
volume = "7",
journal = "Journal of Behavioral Addictions",
issn = "2062-5871",
publisher = "Akademiai Kiado Rt.",
number = "1",

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Von Rooji, AJ, Ferguson, CJ, Carras, MC, Kardefelt-Winther, D, Jing, S, Aarseth, E, Bean, AM, Helmersson Bergmark, K, Brus, A, Coulson, M, Deleuze, J, Dullur, P, Dunkels, E, Edman, J, Elson, M, Etchells, PJ, Fiskaali, A, Granic, I, Jansz, J, Karlsen, F, Kaye, LK, Kirsh, B, Lieberoth, A, Markey, P, Mills, KL, Nielsen, RKL, Orben, A, Poulsen, A, Prause, N, Prax, P, Quandt, T, Schimmenti, A, Starcevic, V, Stutman, G, Turner, NE, van Looy, J & Przybylski, AK 2018, 'A weak scientific basis for gaming disorder: Let us err on the side of caution', Journal of Behavioral Addictions, bind 7, nr. 1.

A weak scientific basis for gaming disorder : Let us err on the side of caution. / Von Rooji, Antonius J.; Ferguson, Christopher J.; Carras, Michelle Colder; Kardefelt-Winther, Daniel; Jing, Shi; Aarseth, Esben ; Bean, Anthony M.; Helmersson Bergmark, Karin; Brus, Anne; Coulson, Mark; Deleuze, Jory; Dullur, Pravin ; Dunkels, Elza ; Edman, Johan; Elson, Malte ; Etchells, Peter J.; Fiskaali, Anne; Granic, Isabella; Jansz, Jeroen; Karlsen, Faltin; Kaye, Linda K.; Kirsh, Bonnie ; Lieberoth, Andreas ; Markey, Patrick; Mills, Kathryn L; Nielsen, Rune Kristian Lundedal; Orben, Amy; Poulsen, Arne; Prause, Nicole; Prax, Patrick; Quandt, Thorsten; Schimmenti, Adriano; Starcevic, Vladan; Stutman, Gabrielle; Turner, Nigel E.; van Looy, Jan ; Przybylski, Andrew K.

I: Journal of Behavioral Addictions, Bind 7, Nr. 1, 20.03.2018.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskning

TY - JOUR

T1 - A weak scientific basis for gaming disorder

T2 - Let us err on the side of caution

AU - Von Rooji, Antonius J.

AU - Ferguson, Christopher J.

AU - Carras, Michelle Colder

AU - Kardefelt-Winther, Daniel

AU - Jing, Shi

AU - Aarseth, Esben

AU - Bean, Anthony M.

AU - Helmersson Bergmark, Karin

AU - Brus, Anne

AU - Coulson, Mark

AU - Deleuze, Jory

AU - Dullur, Pravin

AU - Dunkels, Elza

AU - Edman, Johan

AU - Elson, Malte

AU - Etchells, Peter J.

AU - Fiskaali, Anne

AU - Granic, Isabella

AU - Jansz, Jeroen

AU - Karlsen, Faltin

AU - Kaye, Linda K.

AU - Kirsh, Bonnie

AU - Lieberoth, Andreas

AU - Markey, Patrick

AU - Mills, Kathryn L

AU - Nielsen, Rune Kristian Lundedal

AU - Orben, Amy

AU - Poulsen, Arne

AU - Prause, Nicole

AU - Prax, Patrick

AU - Quandt, Thorsten

AU - Schimmenti, Adriano

AU - Starcevic, Vladan

AU - Stutman, Gabrielle

AU - Turner, Nigel E.

AU - van Looy, Jan

AU - Przybylski, Andrew K.

PY - 2018/3/20

Y1 - 2018/3/20

N2 - 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.

AB - 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.

M3 - Journal article

VL - 7

JO - Journal of Behavioral Addictions

JF - Journal of Behavioral Addictions

SN - 2062-5871

IS - 1

ER -

Von Rooji AJ, Ferguson CJ, Carras MC, Kardefelt-Winther D, Jing S, Aarseth E et al. A weak scientific basis for gaming disorder: Let us err on the side of caution. Journal of Behavioral Addictions. 2018 mar 20;7(1).