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Expanding the definition of addiction: DSM-5 vs. ICD-11

机译：扩展成瘾的定义：DSM-5与ICD-11

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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.
机译：尽管已经做出了巨大的努力来理解物质成瘾的神经生物学基础，但是相对地忽略了重复行为的潜在“成瘾性”特质，以及这种行为是否构成“行为成瘾”。有人提出，某些情况，例如赌博障碍，强迫偷窃，强迫购买，强迫性行为和互联网使用问题，在现象学和神经生物学方面都与物质使用障碍相似。这篇综述考虑了《精神疾病诊断和统计手册》（DSM）和《国际疾病分类》（ICD）的最新修订版如何处理“行为成瘾”问题，从而导致了不同的方法。我们还考虑了未来研究的关键领域，以便针对此类重复性，使人衰弱的行为提供最佳的诊断分类和治疗方法。

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