High Involvement Versus Pathological Involvement in Video Games: a Crucial Distinction for Ensuring the Validity and Utility of Gaming Disorder
High Involvement Versus Pathological Involvement in Video Games: a Crucial Distinction for Ensuring the Validity and Utility of Gaming Disorder
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DOI：
10.1007/s40429-019-00259-x
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发表时间：
2019-09-01
影响因子：
4.3
通讯作者：
Stein, Dan J.
中科院分区：
文献类型：
--
作者：
Billieux, Joel;Flayelle, Maeva;Stein, Dan J.
2018年，游戏障碍（GD）被正式承认为一种精神疾病，并被纳入拟议的第11版国际疾病分类（ICD-11）。最近，一群学者一再批评世界卫生组织（WHO）提出的GD概念，认为将其纳入ICD-11将使高度参与但健康的游戏玩家病态化。因此，它是至关重要的，以澄清高参与与病理性参与视频游戏的特点，这些结构之间的界限，以及实施的筛选和诊断GD工具，区分这两个。最近的findingsIncreasing证据支持这一观点，即激烈的视频游戏可能涉及的游戏模式，其特点是高参与，但非病理性。此外，成瘾和相关疾病的一些标准可能反映不一定指示病理的外围特征，而其他标准可能反映更有可能充分识别病理行为的核心特征，因此具有诊断有效性。最后，它是关键，以评估与游戏相关的功能障碍，使GD诊断具有临床utility.SummaryAvailable证据支持的关键需要区分高和病理参与视频游戏，以避免过度诊断和病理化的正常行为。ICD-11中采用的GD定义具有临床实用性和诊断有效性，因为它明确提到了问题游戏引起的功能损害，其诊断指南涉及核心成瘾特征，反映了病理参与。
Purpose of reviewThe year 2018 was marked by the official recognition of Gaming Disorder (GD) as a mental condition with its inclusion in the proposed eleventh edition of the International Classification of Diseases (ICD-11). Recently, a group of scholars has repeatedly criticized the notion of GD proposed by the World Health Organization (WHO), arguing that its inclusion in ICD-11 would pathologize highly involved but healthy gamers. It is therefore of crucial importance to clarify the characteristics of high involvement versus pathological involvement in video games, the boundaries between these constructs, and the implementation of screening and diagnostic GD tools that distinguish the two.Recent findingsIncreasing evidence supports the view that intense video game playing may involve patterns of gaming that are characterized by high involvement but that are non-pathological. Furthermore, some criteria for addictive and related disorders may reflect peripheral features that are not necessarily indicative of pathology, whereas others may reflect core features that are more likely to adequately identify pathological behavior and so have diagnostic validity. Finally, it is key to assess functional impairment associated with gaming, so that a GD diagnosis has clinical utility.SummaryAvailable evidence supports the crucial need to distinguish between high and pathological involvement in video games, in order to avoid overdiagnosis and pathologization of normal behavior. The definition of GD adopted in ICD-11 has clinical utility and diagnostic validity since it explicitly mentions the functional impairment caused by problem gaming and its diagnostic guidelines refer to core addiction features, reflecting pathological involvement.