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Expert Appraisal of Criteria for Assessing Gaming Disorder: An International Delphi Study Publisher Pubmed



Castrocalvo J1 ; King DL2 ; Stein DJ3 ; Brand M4 ; Carmi L5 ; Chamberlain SR6, 7 ; Demetrovics Z8 ; Fineberg NA9, 10 ; Rumpf HJ11 ; Yucel M12 ; Achab S13, 14 ; Ambekar A15 ; Bahar N16 ; Blaszczynski A17 Show All Authors
Authors
  1. Castrocalvo J1
  2. King DL2
  3. Stein DJ3
  4. Brand M4
  5. Carmi L5
  6. Chamberlain SR6, 7
  7. Demetrovics Z8
  8. Fineberg NA9, 10
  9. Rumpf HJ11
  10. Yucel M12
  11. Achab S13, 14
  12. Ambekar A15
  13. Bahar N16
  14. Blaszczynski A17
  15. Bowdenjones H18, 19
  16. Carbonell X20
  17. Chan EML21
  18. Ko CH22
  19. De Timary P23
  20. Dufour M24
  21. Grallbronnec M25, 26
  22. Lee HK27
  23. Higuchi S28
  24. Jimenezmurcia S29, 30
  25. Kiraly O8
  26. Kuss DJ31
  27. Long J32, 33
  28. Muller A34
  29. Pallanti S35
  30. Potenza MN36
  31. Rahimimovaghar A37
  32. Saunders JB38
  33. Schimmenti A39
  34. Lee SY40
  35. Siste K41, 42
  36. Spritzer DT43
  37. Starcevic V44
  38. Weinstein AM45
  39. Wolfling K46
  40. Billieux J47, 48
Show Affiliations
Authors Affiliations
  1. 1. Department of Personality, Assessment, and Psychological Treatments, University of Valencia, Spain
  2. 2. College of Education, Psychology, and Social Work, Flinders University, Australia
  3. 3. SAMRC Unit on Risk and Resilience in Mental Disorders, Department of Psychiatry and Neuroscience Institute, University of Cape Town, Cape Town, South Africa
  4. 4. General Psychology: Cognition and Center for Behavioral Addiction Research (CeBAR), University Duisburg-Essen, Germany
  5. 5. The Data Science Institute, Inter-disciplinary Center, Herzliya, Israel
  6. 6. Department of Psychiatry, Faculty of Medicine, University of Southampton, Southampton, United Kingdom
  7. 7. Southern Health NHS Foundation Trust, Southampton, United Kingdom
  8. 8. Institute of Psychology, ELTE Eotvos Lorand University, Budapest, Hungary
  9. 9. University of Hertfordshire, Hatfield, UK, Hertfordshire Partnership University NHS Foundation Trust, Welwyn Garden City, United Kingdom
  10. 10. University of Cambridge School of Clinical Medicine, Cambridge, United Kingdom
  11. 11. Department of Psychiatry and Psychotherapy, University of Luebeck, Luebeck, Germany
  12. 12. BrainPark, School of Psychological Sciences, Turner Institute for Brain and Mental Health and Monash Biomedical Imaging Facility, Monash University, Melbourne, VIC, Australia
  13. 13. Specialized Facility In Behavioral Addictions, ReConnecte, Department of Psychiatry, University Hospitals of Geneva, Generva, Switzerland
  14. 14. Faculty of Medicine, Geneva University, Geneva, Switzerland
  15. 15. National Drug Dependence Treatment Centre, All India Institute of Medical Sciences, New Delhi, India
  16. 16. Department of Psychiatry and Mental Health, Hospital Selayang, Ministry of Health, Malaysia
  17. 17. Faculty of Science, Brain and Mind Centre, School of Psychology, University of Sydney, Sydney, Australia
  18. 18. National Centre for Gaming Disorders, London, United Kingdom
  19. 19. University College London, London, United Kingdom
  20. 20. Faculty of Psychology, Education and Sports Sciences Blanquerna, Ramon Llull University, Barcelona, Spain
  21. 21. St John's Cathedral Counselling Service, and Division on Addiction, Hong Kong
  22. 22. Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung City, Taiwan
  23. 23. Department of Adult Psychiatry, Institute of Neuroscience, UCLouvain and Cliniques Universitaires Saint-Luc, Brussels, Belgium
  24. 24. Universite du Quebec a Montreal, Montreal, QC, Canada
  25. 25. CHU Nantes, Department of Addictology and Psychiatry, Nantes, France
  26. 26. Universites de Nantes et Tours, UMR 1246, Nantes, France
  27. 27. Department of Psychiatry, College of Medicine, The Catholic University of Korea, Seoul, South Korea
  28. 28. National Hospital Organization, Kurihama Medical and Addiction Center, Japan
  29. 29. Department of Psychiatry, Bellvitge University Hospital-IDIBELL, Barcelona, Spain
  30. 30. Ciber Fisiopatologia Obesidad y Nutricion (CIBERObn), Instituto de Salud Carlos III, Madrid, Spain
  31. 31. International Gaming Research Unit, Psychology Department, Nottingham Trent University, Nottingham, United Kingdom
  32. 32. Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
  33. 33. Laboratory for Experimental Psychopathology, Psychological Science Research Institute, Universite Catholique de Louvain, Louvain, Belgium
  34. 34. Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Hanover, Germany
  35. 35. Neuroscience Institute, University of Florence, Italy
  36. 36. Departments of Psychiatry and Neuroscience and the Child Study Center, Yale School of Medicine and Connecticut Mental Health Center, New Haven, CT, United States
  37. 37. Iranian National Center for Addiction Studies, Tehran University of Medical Sciences, Tehran, Iran
  38. 38. Centre for Youth Substance Abuse Research, University of Queensland, Brisbane, QLD, Australia
  39. 39. Faculty of Human and Social Sciences, Kore University of Enna, Enna, Italy
  40. 40. Department of Psychiatry, Eunpyeong St Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea
  41. 41. Department of Psychiatry, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
  42. 42. Cipto Mangunkusumo Hospital, Jakarta, Indonesia
  43. 43. Postgraduate Program in Psychiatry and Behavioral Sciences, Federal University of Rio Grande do Sul, Brazil
  44. 44. Faculty of Medicine and Health, Sydney Medical School, Nepean Clinical School, University of Sydney, Sydney, Australia
  45. 45. Department of Behavioral Science, Ariel University, Israel
  46. 46. Outpatient Clinic for Behavioral Addictions, Department of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg-University Mainz, Germany
  47. 47. Institute of Psychology, University of Lausanne, Lausanne, Switzerland
  48. 48. Health and Behaviour Institute, University of Luxembourg, Esch-sur-Alzette, Luxembourg

Source: Addiction Published:2021


Abstract

Background and aims: Following the recognition of ‘internet gaming disorder’ (IGD) as a condition requiring further study by the DSM-5, ‘gaming disorder’ (GD) was officially included as a diagnostic entity by the World Health Organization (WHO) in the 11th revision of the International Classification of Diseases (ICD-11). However, the proposed diagnostic criteria for gaming disorder remain the subject of debate, and there has been no systematic attempt to integrate the views of different groups of experts. To achieve a more systematic agreement on this new disorder, this study employed the Delphi expert consensus method to obtain expert agreement on the diagnostic validity, clinical utility and prognostic value of the DSM-5 criteria and ICD-11 clinical guidelines for GD. Methods: A total of 29 international experts with clinical and/or research experience in GD completed three iterative rounds of a Delphi survey. Experts rated proposed criteria in progressive rounds until a pre-determined level of agreement was achieved. Results: For DSM-5 IGD criteria, there was an agreement both that a subset had high diagnostic validity, clinical utility and prognostic value and that some (e.g. tolerance, deception) had low diagnostic validity, clinical utility and prognostic value. Crucially, some DSM-5 criteria (e.g. escapism/mood regulation, tolerance) were regarded as incapable of distinguishing between problematic and non-problematic gaming. In contrast, ICD-11 diagnostic guidelines for GD (except for the criterion relating to diminished non-gaming interests) were judged as presenting high diagnostic validity, clinical utility and prognostic value. Conclusions: This Delphi survey provides a foundation for identifying the most diagnostically valid and clinically useful criteria for GD. There was expert agreement that some DSM-5 criteria were not clinically relevant and may pathologize non-problematic patterns of gaming, whereas ICD-11 diagnostic guidelines are likely to diagnose GD adequately and avoid pathologizing. © 2021 The Authors. Addiction published by John Wiley & Sons Ltd on behalf of Society for the Study of Addiction.