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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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