{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T02:49:42Z","timestamp":1788317382807,"version":"build-2803163510"},"reference-count":24,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychiatr Prax"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>ICD-11 unterscheidet 3 Formen des sch\u00e4dlichen Gebrauches und 5 Formen der Substanzabh\u00e4ngigkeit. Zudem werden laut einer Vorversion die bisherigen 6 Kriterien der Substanzabh\u00e4ngigkeit in 3 Doppelkriterien zusammengefasst. Die Formulierung des fortgesetzten Konsums \u201etrotz eindeutig sch\u00e4dlicher Folgen\u201c soll durch \u201etrotz des Auftretens von Problemen\u201c ersetzt werden. Pathologischen Gl\u00fccksspielen und pathologischen Spielens werden als Verhaltenss\u00fcchte neben den substanzbezogenen St\u00f6rungen aufgef\u00fchrt.<\/jats:p><jats:p>Die Reduktion der Diagnosekriterien der Substanzabh\u00e4ngigkeit von 6 auf 3 ist problematisch. Laut erster Studien kommt es unter Anwendung des ICD-11 zu h\u00e4ufigeren Diagnosen von Alkohol- und Cannabisabh\u00e4ngigkeit. Dass die Formulierung des Konsums \u201etrotz eindeutig sch\u00e4dlicher Folgen\u201c durch \u201etrotz des Auftretens von Problemen\u201c ersetzt werden soll, w\u00e4re problematisch, da dies auch juristische und soziale Probleme beinhalten kann und damit die Pathologisierung sozialer Probleme bef\u00f6rdern k\u00f6nnte.<\/jats:p>","DOI":"10.1055\/a-1548-6256","type":"journal-article","created":{"date-parts":[[2021,12,18]],"date-time":"2021-12-18T01:13:50Z","timestamp":1639790030000},"page":"156-163","source":"Crossref","is-referenced-by-count":2,"title":["Ver\u00e4nderungen in der ICD-11: St\u00f6rungen durch Substanzgebrauch und Verhaltenss\u00fcchte"],"prefix":"10.1055","volume":"49","author":[{"given":"Stefan","family":"Gutwinski","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Psychiatrie und Psychotherapie, Psychiatrische Universit\u00e4tsklinik der Charit\u00e9 im St. Hedwig Krankenhaus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Heinz","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Psychiatrie und Psychotherapie, Charit\u00e9 Universit\u00e4tsmedizin Berlin Campus Charit\u00e9 Mitte"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2021,12,17]]},"reference":[{"key":"ref2","doi-asserted-by":"publisher","first-page":"1617","DOI":"10.1111\/acer.14128","article-title":"Alcohol Use Disorders in ICD-11: Past, Present, and Future","volume":"43","author":"J B Saunders","year":"2019","journal-title":"Alcohol Clin Exp Res"},{"key":"ref4","volume-title":"Taschenf\u00fchrer zur ICD-10-Klassfikation psychischer St\u00f6rungen","author":"H Dillinger","year":"2013"},{"key":"ref5","doi-asserted-by":"crossref","DOI":"10.17433\/978-3-17-030091-0","volume-title":"Alkoholabh\u00e4ngigkeit \u2013 Ein Leitfaden zur Gruppentherapie","author":"S Gutwinski","year":"2016"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"12","DOI":"10.1016\/j.drugalcdep.2014.08.005","article-title":"Synthetic cannabinoids: epidemiology, pharmacodynamics, and clinical implications","volume":"144","author":"M S Castaneto","year":"2014","journal-title":"Drug Alcohol Depend"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1111\/add.14434","article-title":"Which individual, social and environmental influences shape key phases in the amphetamine type stimulant use trajectory? 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