Should addictive disorders include non-substance-related conditions?
Abstract
Aims In anticipation of the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM‐V), to consider whether addictive disorders should include non‐substance use disorders. Methods The author reviewed data and provided perspective to explore whether disorders such as pathological gambling (PG) should be grouped together with substance dependence, given that they share many features. Results PG and substance dependence currently reside in the DSM, fourth edition, text revision (DSM‐IV‐TR) within separate categories, with PG classified as an impulse control disorder (ICD) and substance dependence as a substance use disorder (SUD). Arguments can be forwarded to support each categorization, as well as to justify their inclusion together as addictions. Conclusion The current state of knowledge suggests that there exist substantial similarities between PG and SUDs. Further research is indicated prior to categorizing PG and other ICDs together with SUDs.
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There is one line of inquiry that considers addiction to be an extensive concept, not limited to substances, with a foundation in its neurobiologic basis.
“Essentially, there is one line of inquiry that considers addiction to be an extensive concept, not limited to substances, that has a foundation in its neurobiologic basis (1, 107, 108).”
From Cell-phone addiction: a review (2016) · cites this paper as [107]
Commonalities between compulsive disorders and substance addiction have been identified in symptomatology, neurochemistry, and adaptations in brain function.
“commonalities between compulsive disorders and substance addiction have been identified in terms of symptomatology, neurochemistry, and adaptations in brain function (Shaffer 1999; Holden 2001; Potenza 2006; Leeman and Potenza 2012).”
From The behavioral, anatomical and pharmacological parallels between social attachment, love and addiction (2012) · cites this paper as Potenza 2006
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- Authors
- Potenza, M. N.
- Affiliations
- Yale University (US)
- Corresponding author
- Potenza, Marc N.
- ORCID
- Potenza, Marc N.
- Venue
- Addiction
- Publisher
- Wiley
- Published
- 2006-08-08
- Volume
- 101
- Issue
- s1
- Pages
- 142-151
- ISSN
- 0965-2140 (ISSN-L)
- 1360-0443
- OpenAlex
- W2141474893
- Cited by
- 663
- References
- 89
- Citations by year
- 2026: 8 · 2025: 17 · 2024: 14 · 2023: 26 · 2022: 29 · 2021: 17 · 2020: 71 · 2019: 29 · 2018: 36 · 2017: 26 · 2016: 42 · 2015: 35 · 2014: 58 · 2013: 48 · 2012: 48
- FWCI
- 3.67
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Addiction (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- addiction, gambling addiction, substance dependence, substance use disorders, impulse control disorders, diagnostic classification, DSM-5
- MeSH terms
- Brain, Culture, Gambling, Humans, Disruptive, Impulse Control, and Conduct Disorders, Models, Psychological, Personality, Research, Socioeconomic Factors, Neurotransmitter Agents, Substance-Related Disorders, Diagnostic and Statistical Manual of Mental Disorders
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