Behavioural addictions and the transition from DSM-IV-TR to DSM-5

F. Pinna, B. Dell'Osso, M. Di Nicola, L. Janiri, A. C. Altamura, B. Carpiniello, Eric Hollander

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

The concept of addiction, traditionally applied to psychotropic substances, has been officially extended by the DSM-5 to gambling disorder, a "behavioural addiction" (BA), in which the focus of the addiction is represented by a specific behaviour. BAs are emerging psychopathological disorders with an increased in scientific interest and socio-cultural and economic implications. In this paper, we will review the available evidence on the clinical, diagnostic and psychopathological features of BAs, with particular reference to gambling disorder, sex-addiction, compulsive buying, exercise, work, technological and love addictions. Even though each of these addictions may likely meet the requirements for classification as a separate diagnostic entity, at present, the only two disorders included in DSM-5 are gambling disorder and internet gaming disorder. The absence of specific diagnostic criteria, the present of difficulties in differentiating pathological from "normal" behaviours, and blurring of demarcation lines between physiology and pathology complicate the epidemiologic investigation and diagnostic assessment of BAs. Moreover, the lack of valid screening tools and the frequent comorbidity with other mental disorders further hinder the diagnostic approach to BAs. Therefore, clear-cut and welldefined diagnostic classification needs to be established, along with a better understanding of the clinical and psychopathological features of BAs, as a fundamental prerequisite to prevention, early diagnosis and treatment.

Original languageEnglish (US)
Pages (from-to)380-389
Number of pages10
JournalJournal of Psychopathology
Volume21
Issue number4
StatePublished - 2015

Fingerprint

Gambling
Diagnostic and Statistical Manual of Mental Disorders
Physiological Sexual Dysfunctions
Love
Mental Disorders
Internet
Comorbidity
Early Diagnosis
Economics
Pathology

Keywords

  • Behavioural addictions
  • Clinical features
  • Diagnosis
  • Psychopathology

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

Pinna, F., Dell'Osso, B., Di Nicola, M., Janiri, L., Altamura, A. C., Carpiniello, B., & Hollander, E. (2015). Behavioural addictions and the transition from DSM-IV-TR to DSM-5. Journal of Psychopathology, 21(4), 380-389.

Behavioural addictions and the transition from DSM-IV-TR to DSM-5. / Pinna, F.; Dell'Osso, B.; Di Nicola, M.; Janiri, L.; Altamura, A. C.; Carpiniello, B.; Hollander, Eric.

In: Journal of Psychopathology, Vol. 21, No. 4, 2015, p. 380-389.

Research output: Contribution to journalArticle

Pinna, F, Dell'Osso, B, Di Nicola, M, Janiri, L, Altamura, AC, Carpiniello, B & Hollander, E 2015, 'Behavioural addictions and the transition from DSM-IV-TR to DSM-5', Journal of Psychopathology, vol. 21, no. 4, pp. 380-389.
Pinna F, Dell'Osso B, Di Nicola M, Janiri L, Altamura AC, Carpiniello B et al. Behavioural addictions and the transition from DSM-IV-TR to DSM-5. Journal of Psychopathology. 2015;21(4):380-389.
Pinna, F. ; Dell'Osso, B. ; Di Nicola, M. ; Janiri, L. ; Altamura, A. C. ; Carpiniello, B. ; Hollander, Eric. / Behavioural addictions and the transition from DSM-IV-TR to DSM-5. In: Journal of Psychopathology. 2015 ; Vol. 21, No. 4. pp. 380-389.
@article{0e34a8f4b27f4cd098a0e9806c2abde9,
title = "Behavioural addictions and the transition from DSM-IV-TR to DSM-5",
abstract = "The concept of addiction, traditionally applied to psychotropic substances, has been officially extended by the DSM-5 to gambling disorder, a {"}behavioural addiction{"} (BA), in which the focus of the addiction is represented by a specific behaviour. BAs are emerging psychopathological disorders with an increased in scientific interest and socio-cultural and economic implications. In this paper, we will review the available evidence on the clinical, diagnostic and psychopathological features of BAs, with particular reference to gambling disorder, sex-addiction, compulsive buying, exercise, work, technological and love addictions. Even though each of these addictions may likely meet the requirements for classification as a separate diagnostic entity, at present, the only two disorders included in DSM-5 are gambling disorder and internet gaming disorder. The absence of specific diagnostic criteria, the present of difficulties in differentiating pathological from {"}normal{"} behaviours, and blurring of demarcation lines between physiology and pathology complicate the epidemiologic investigation and diagnostic assessment of BAs. Moreover, the lack of valid screening tools and the frequent comorbidity with other mental disorders further hinder the diagnostic approach to BAs. Therefore, clear-cut and welldefined diagnostic classification needs to be established, along with a better understanding of the clinical and psychopathological features of BAs, as a fundamental prerequisite to prevention, early diagnosis and treatment.",
keywords = "Behavioural addictions, Clinical features, Diagnosis, Psychopathology",
author = "F. Pinna and B. Dell'Osso and {Di Nicola}, M. and L. Janiri and Altamura, {A. C.} and B. Carpiniello and Eric Hollander",
year = "2015",
language = "English (US)",
volume = "21",
pages = "380--389",
journal = "Giornale Italiano di Psicopatologia",
issn = "1592-1107",
publisher = "Pacini Editore s.r.l.",
number = "4",

}

TY - JOUR

T1 - Behavioural addictions and the transition from DSM-IV-TR to DSM-5

AU - Pinna, F.

AU - Dell'Osso, B.

AU - Di Nicola, M.

AU - Janiri, L.

AU - Altamura, A. C.

AU - Carpiniello, B.

AU - Hollander, Eric

PY - 2015

Y1 - 2015

N2 - The concept of addiction, traditionally applied to psychotropic substances, has been officially extended by the DSM-5 to gambling disorder, a "behavioural addiction" (BA), in which the focus of the addiction is represented by a specific behaviour. BAs are emerging psychopathological disorders with an increased in scientific interest and socio-cultural and economic implications. In this paper, we will review the available evidence on the clinical, diagnostic and psychopathological features of BAs, with particular reference to gambling disorder, sex-addiction, compulsive buying, exercise, work, technological and love addictions. Even though each of these addictions may likely meet the requirements for classification as a separate diagnostic entity, at present, the only two disorders included in DSM-5 are gambling disorder and internet gaming disorder. The absence of specific diagnostic criteria, the present of difficulties in differentiating pathological from "normal" behaviours, and blurring of demarcation lines between physiology and pathology complicate the epidemiologic investigation and diagnostic assessment of BAs. Moreover, the lack of valid screening tools and the frequent comorbidity with other mental disorders further hinder the diagnostic approach to BAs. Therefore, clear-cut and welldefined diagnostic classification needs to be established, along with a better understanding of the clinical and psychopathological features of BAs, as a fundamental prerequisite to prevention, early diagnosis and treatment.

AB - The concept of addiction, traditionally applied to psychotropic substances, has been officially extended by the DSM-5 to gambling disorder, a "behavioural addiction" (BA), in which the focus of the addiction is represented by a specific behaviour. BAs are emerging psychopathological disorders with an increased in scientific interest and socio-cultural and economic implications. In this paper, we will review the available evidence on the clinical, diagnostic and psychopathological features of BAs, with particular reference to gambling disorder, sex-addiction, compulsive buying, exercise, work, technological and love addictions. Even though each of these addictions may likely meet the requirements for classification as a separate diagnostic entity, at present, the only two disorders included in DSM-5 are gambling disorder and internet gaming disorder. The absence of specific diagnostic criteria, the present of difficulties in differentiating pathological from "normal" behaviours, and blurring of demarcation lines between physiology and pathology complicate the epidemiologic investigation and diagnostic assessment of BAs. Moreover, the lack of valid screening tools and the frequent comorbidity with other mental disorders further hinder the diagnostic approach to BAs. Therefore, clear-cut and welldefined diagnostic classification needs to be established, along with a better understanding of the clinical and psychopathological features of BAs, as a fundamental prerequisite to prevention, early diagnosis and treatment.

KW - Behavioural addictions

KW - Clinical features

KW - Diagnosis

KW - Psychopathology

UR - http://www.scopus.com/inward/record.url?scp=84983112845&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84983112845&partnerID=8YFLogxK

M3 - Article

VL - 21

SP - 380

EP - 389

JO - Giornale Italiano di Psicopatologia

JF - Giornale Italiano di Psicopatologia

SN - 1592-1107

IS - 4

ER -