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Expanding the definition of addiction: DSM-5 vs. ICD-11

Published online by Cambridge University Press:  06 May 2016

Jon E. Grant  and
Samuel R. Chamberlain
Jon E. Grant*
Affiliation:
Department of Psychiatry & Behavioral Neuroscience, University of Chicago, Chicago, Illinois, USA
Samuel R. Chamberlain
Affiliation:
Department of Psychiatry, University of Cambridge, UK; and Cambridge and Peterborough NHS Foundation Trust (CPFT), Cambridge, UK
*
*Address for correspondence: Jon E. Grant, JD, MD, MPH, Professor, Department of Psychiatry & Behavioral Neuroscience, University of Chicago, Pritzker School of Medicine, 5841 S. Maryland Avenue, MC 3077, Chicago, IL 60637, USA. (Email: [email protected])
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Abstract

While considerable efforts have been made to understand the neurobiological basis of substance addiction, the potentially “addictive” qualities of repetitive behaviors, and whether such behaviors constitute “behavioral addictions,” is relatively neglected. It has been suggested that some conditions, such as gambling disorder, compulsive stealing, compulsive buying, compulsive sexual behavior, and problem Internet use, have phenomenological and neurobiological parallels with substance use disorders. This review considers how the issue of “behavioral addictions” has been handled by latest revisions of the Diagnostic and Statistical Manual of Mental Disorders (DSM) and the International Classification of Diseases (ICD), leading to somewhat divergent approaches. We also consider key areas for future research in order to address optimal diagnostic classification and treatments for such repetitive, debilitating behaviors.

Keywords

Addictionbehavioral addictionclassificationdiagnosisimpulsivity
Type
Review Articles
Information
CNS Spectrums , Volume 21 , Special Issue 4: Nosology in DSM5 vs. ICD , August 2016 , pp. 300 - 303
Copyright
© Cambridge University Press 2016 

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References

1. Holden, C. “Behavioral” addictions: do they exist? Science. 2001; 294(5544): 980–982.CrossRefGoogle ScholarPubMed
2. el-Guebaly, N, Mudry, T, Zohar, J, Tavares, H, Potenza, MN. Compulsive features in behavioural addictions: the case of pathological gambling. Addiction. 2012; 107(10): 1726–1734.CrossRefGoogle ScholarPubMed
3. Frascella, J, Potenza, MN, Brown, LL, Childress, AR. Shared brain vulnerabilities open the way for nonsubstance addictions: carving addiction at a new joint? Ann N Y Acad Sci. 2010; 1187: 294–315.CrossRefGoogle Scholar
4. Potenza, MN. Should addictive disorders include non-substance-related conditions? Addiction. 2006; 101(Suppl 1): 142–151.CrossRefGoogle ScholarPubMed
5. Grant, JE, Potenza, MN, Weinstein, A, Gorelick, DA. Introduction to behavioral addictions. Am J Drug Alcohol Abuse. 2010; 36(5): 233–241.Google Scholar
6. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 5th ed. Washington, DC: American Psychiatric Association; 2013.Google Scholar
7. de Castro, V, Fong, T, Rosenthal, RJ, Tavares, H. A comparison of craving and emotional states between pathological gamblers and alcoholics. Addict Behav. 2007; 32(8): 1555–1564.Google Scholar
8. el-Guebaly, N, Patten, SB, Currie, S, et al. Epidemiological associations between gambling behavior, substance use & mood and anxiety disorders. J Gambl Stud. 2006; 22(3): 275–287.CrossRefGoogle ScholarPubMed
9. Brewer, JA, Potenza, MN. The neurobiology and genetics of impulse control disorders: relationships to drug addictions. Biochem Pharmacol. 2008; 75(1): 63–75.Google Scholar
10. Grant, JE, Brewer, JA, Potenza, MN. The neurobiology of substance and behavioral addictions. CNS Spectr. 2006; 11(12): 924–930.CrossRefGoogle ScholarPubMed
11. Potenza, MN. Review. The neurobiology of pathological gambling and drug addiction: an overview and new findings. Philos Trans R Soc Lond B Biol Sci. 2008; 363(1507): 3181–3189.CrossRefGoogle ScholarPubMed
12. Stein, DJ, Phillips, KA, Bolton, D, Fulford, KW, Sadler, JZ, Kendler, KS. What is a mental/psychiatric disorder? From DSM-IV to DSM-V. Psychol Med. 2010; 40(11): 1759–1765.Google Scholar
13. Grant, JE, Odlaug, BL, Kim, SW. Kleptomania: clinical characteristics and relationship to substance use disorders. Am J Drug Alcohol Abuse. 2010; 36(5): 291–295.CrossRefGoogle ScholarPubMed
14. Grant, JE, Atmaca, M, Fineberg, NA, et al. Impulse control disorders and “behavioural addictions” in the ICD-11. World Psychiatry. 2014; 13(2): 125–127.CrossRefGoogle ScholarPubMed
15. International Advisory Group for the Revision of the ICD-10 Mental and Behavioural Disorders. A conceptual framework for the revision of the ICD-10 classification of mental and behavioural disorders. World Psychiatry. 2011; 10(2): 86–92.CrossRefGoogle Scholar
16. Hollander, E, Pallanti, S, Allen, A, Sood, E, Baldini Rossi, N. Does sustained-release lithium reduce impulsive gambling and affective instability versus placebo in pathological gamblers with bipolar spectrum disorders? Am J Psychiatry. 2005; 162(1): 137–145.CrossRefGoogle ScholarPubMed
17. Cowlishaw, S, Merkouris, S, Dowling, N, et al. Psychological therapies for pathological and problem gambling. Cochrane Database Syst Rev. 2012; 11: CD008937.Google ScholarPubMed
18. Ziauddeen, H, Fletcher, PC. Is food addiction a valid and useful concept? Obes Rev. 2013; 14(1): 19–28.Google Scholar
19. Martin, PR, Petry, NM. Are non-substance-related addictions really addictions? Am J Addict. 2005; 14(1): 1–7.CrossRefGoogle ScholarPubMed
20. Fong, TW, Reid, RC, Parhami, I. Behavioral addictions: where to draw the lines? Psychiatr Clin North Am. 2012; 35(2): 279–296.Google Scholar
21. Grant, JE, Chamberlain, SR. Gambling disorder and its relationship with substance use disorders: implications for nosological revisions and treatment. Am J Addict. 2015; 24(2): 126–131.Google Scholar
22. Grant, JE, Odlaug, BL, Schreiber, LR, Kim, SW. The opiate antagonist, naltrexone, in the treatment of trichotillomania: results of a double-blind, placebo-controlled study. J Clin Psychopharmacol. 2014; 34(1): 134–138.CrossRefGoogle ScholarPubMed