The proposed introduction of gaming disorder (GD) in the 11th revision of the International Classification of Diseases (ICD-11) developed by the World Health Organization (WHO) has led to a lively debate over the past year. Besides the broad support for the decision in the academic press, a recent publication by van Rooij et al. (2018) repeated the criticism raised against the inclusion of GD in ICD-11 by Aarseth et al. (2017). We argue that this group of researchers fails to recognize the clinical and public health considerations, which support the WHO perspective. It is important to recognize a range of biases that may influence this debate; in particular, the gaming industry may wish to diminish its responsibility by claiming that GD is not a public health problem, a position which maybe supported by arguments from scholars based in media psychology, computer games research, communication science, and related disciplines. However, just as with any other disease or disorder in the ICD-11, the decision whether or not to include GD is based on clinical evidence and public health needs. Therefore, we reiterate our conclusion that including GD reflects the essence of the ICD and will facilitate treatment and prevention for those who need it.

ClinicalTrials.gov identifier: NCT02508493.

By a standardized interview DSM‐III lifetime diagnoses were assessed in 91 eating disorders patients who were divided in four subgroups. Anorectic patients with bulimic symptoms and normal‐weight bulimic patients with and without a history of anorexia nervosa had a similar history of additional psychiatric diagnoses. In general, restricting anorexics showed lower lifetime rates of psychiatric disorders than patients with bulimic symptomatology. Minor affective disorders, however, were equally distributed across all four groups.

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