An Overview of and Rationale for Changes Proposed for Pathological Gambling in DSM-5

Petry, Nancy M.; Blanco, Carlos; Auriacombe, Marc; Borges, Guilherme; Bucholz, Kathleen K.; Crowley, Thomas J.; Grant, Bridget F.; Hasin, Deborah S.; O’Brien, Charles P.

doi:10.1007/s10899-013-9370-0

Cited by 140 publications

(99 citation statements)

References 48 publications

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“…They charged the Substance Use Disorder Workgroup to consider behavioral or non-substance addictions. After review of potential nonsubstance addictive behaviors, including gambling, Internet gaming, Internet use generally, work, shopping, sex, and This article is part of the Topical Collection on Psychiatric Diagnosis * Nancy M. Petry npetry@uchc.edu exercise, the Workgroup proposed to realign gambling disorder with substance use disorders due to their overlap with respect to etiology, biology, comorbidity, and treatment [7]. Of the remaining possible non-substance addictions, the Workgroup voted to include only IGD in the research appendix because it was the condition with the most evidence of clinically significant harms.…”

Section: Non-substance Addictions and The Dsm-5mentioning

confidence: 99%

Internet Gaming Disorder in the DSM-5

Petry

Rehbein

et al. 2015

Curr Psychiatry Rep

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234

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The fifth revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) includes in its research appendix a potential new diagnosis-Internet gaming disorder. This article outlines the debate surrounding non-substance addictions and the rationale for including this condition in the "Conditions for Further Study" chapter in DSM-5 Section III. It also describes the diagnostic criteria that DSM-5 recommends and methods to assess Internet gaming disorder. The paper details international research related to prevalence rates, demographic, psychiatric, and neurobiological risk factors, the natural course of the condition, and promising treatment approaches. The paper concludes by describing important issues for research to address prior to official recognition of this condition as a mental disorder.

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Section: Non-substance Addictions and The Dsm-5mentioning

confidence: 99%

Internet Gaming Disorder in the DSM-5

Petry

Rehbein

et al. 2015

Curr Psychiatry Rep

Self Cite

234

180

View full text Add to dashboard Cite

show abstract

“…The DSM-5 clinical description of GD is largely similar to the DSM-IV criteria of PG [3]. Changes in the DSM-5 diagnostic criteria are the elimination of the criterion of having committed illegal acts, minor changes in the wording, lowering the threshold from 5 out of 10 to 4 out of 9 criteria as well as the introduction of a time criterion of 12 months.…”

Section: A New Classification: Towards Addictionmentioning

confidence: 99%

From Symptoms to Neurobiology: Pathological Gambling in the Light of the New Classification in DSM-5

2014

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Pathological gambling (PG), as defined until recently in the DSM-IV, shares many clinical characteristics with substance use disorders (SUDs), such as craving and loss of control. Moreover, an increasing body of literature also revealed neurobiological similarities between PG and substance-related addictions. Further, specific treatments for SUD are also effective in pathological gamblers. These observations resulted in a recent change in the diagnostic classification of PG in DSM-5: maladaptive gambling behavior is now subsumed as ‘gambling disorder' (GD) under the category ‘substance-related and addictive disorders'. On the basis of similarities in clinical characteristics between GD and SUDs, this article proposes 3 main clusters of diagnostic criteria: ‘loss of control', ‘craving/withdrawal' and ‘neglect of other areas in life'. These symptom clusters can then be related to the experimental paradigms commonly used in the neuroscience of addiction, including neuropsychological, neurophysiological and neuroimaging studies. In this paper, we present the neurobiological evidence for PG by focusing on key functional magnetic resonance imaging studies related to these 3 symptom clusters. It is concluded that these symptom clusters provide a useful framework for systematic comparisons of new evidence in GD and SUDs in the future.

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“…Whereas the comparability with obsessive compulsive disorders was also evaluated, the support for placement on a "compulsive spectrum" was mixed (Hollander and Wong, 1995). This process culminated in the recent reclassification of pathological gambling (now to be called "Gambling Disorder") into the addictions category of the DSM5 (Petry et al, 2013). This ratification of the so-called "behavioral addictions" is a pivotal step for not only the gambling field, but for addictions research in general.…”

Section: Introductionmentioning

confidence: 99%

Pathological Choice: The Neuroscience of Gambling and Gambling Addiction

et al. 2013

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Gambling is pertinent to neuroscience research for at least two reasons. First, gambling is a naturalistic and pervasive example of risky decision making, and thus gambling games can provide a paradigm for the investigation of human choice behavior and "irrationality." Second, excessive gambling involvement (i.e., pathological gambling) is currently conceptualized as a behavioral addiction, and research on this condition may provide insights into addictive mechanisms in the absence of exogenous drug effects. This article is a summary of topics covered in a Society for Neuroscience minisymposium, focusing on recent advances in understanding the neural basis of gambling behavior, including translational findings in rodents and nonhuman primates, which have begun to delineate neural circuitry and neurochemistry involved.

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An Overview of and Rationale for Changes Proposed for Pathological Gambling in DSM-5

Cited by 140 publications

References 48 publications

Internet Gaming Disorder in the DSM-5

Internet Gaming Disorder in the DSM-5

From Symptoms to Neurobiology: Pathological Gambling in the Light of the New Classification in DSM-5

Pathological Choice: The Neuroscience of Gambling and Gambling Addiction

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