{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T03:15:49Z","timestamp":1787022949364,"version":"build-2736575974"},"reference-count":48,"publisher":"Akademiai Kiado Zrt.","issue":"1","license":[{"start":{"date-parts":[[2024,3,26]],"date-time":"2024-03-26T00:00:00Z","timestamp":1711411200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["JBA"],"published-print":{"date-parts":[[2024,3,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and aims<\/jats:title>\n                    <jats:p>The ICD-11 chapter on mental, behavioral and neurodevelopmental disorders contains new controversial diagnoses including compulsive sexual behavior disorder (CSBD), intermittent explosive disorder (IED) and gaming disorder. Using a vignette-based methodology, this field study examined the ability of mental health professionals (MHPs) to apply the new ICD-11 diagnostic requirements for impulse control disorders, which include CSBD and IED, and disorders due to addictive behaviors, which include gaming disorder, compared to the previous ICD-10 guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Across eleven comparisons, members of the WHO's Global Clinical Practice Network (\n                      <jats:italic>N<\/jats:italic>\n                      = 1,090) evaluated standardized case descriptions that were designed to test key differences between the diagnostic guidelines of ICD-11 and ICD-10.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The ICD-11 outperformed the ICD-10 in the accuracy of diagnosing impulse control disorders and behavioral addictions in\u00a0most comparisons, while the ICD-10 was not superior in any. The\u00a0superiority of the ICD-11 was particularly clear where new diagnoses had been added to the classification system or major revisions had been made. However, the ICD-11 outperformed the ICD-10 only in a minority of comparisons in which mental health professionals were asked to evaluate cases with non-pathological high involvement in rewarding behaviors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion and Conclusions<\/jats:title>\n                    <jats:p>Overall, the present study indicates that the ICD-11 diagnostic requirements represent an improvement over the ICD-10 guidelines. However, additional efforts, such as training programs for MHPs and possible refinements of diagnostic guidance, are needed to avoid over-diagnosis of people who are highly engaged in a repetitive and rewarding behavior but below the threshold for a disorder.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1556\/2006.2023.00083","type":"journal-article","created":{"date-parts":[[2024,1,15]],"date-time":"2024-01-15T05:06:09Z","timestamp":1705295169000},"page":"276-292","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":8,"title":["Mental health professionals' use of the ICD-11 classification of impulse control disorders and behavioral addictions: An international field study"],"prefix":"10.1556","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0445-5021","authenticated-orcid":true,"given":"Johannes","family":"Fuss","sequence":"first","affiliation":[{"name":"Institute of Forensic Psychiatry and Sex Research, Center for Translational Neuro- and Behavioral Sciences, University of Duisburg-Essen, Essen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1437-5810","authenticated-orcid":true,"given":"Jared W.","family":"Keeley","sequence":"additional","affiliation":[{"name":"Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7218-7810","authenticated-orcid":true,"given":"Dan J.","family":"Stein","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Cape Town, South Africa"},{"name":"South African Medical Research Council Unit on Risk and Resilience in Mental Disorders, Cape Town, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tahilia J.","family":"Rebello","sequence":"additional","affiliation":[{"name":"Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 \u00c1ngel","family":"Garc\u00eda","sequence":"additional","affiliation":[{"name":"Centro de Investigaci\u00f3n y Docencia Econ\u00f3mica, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peer","family":"Briken","sequence":"additional","affiliation":[{"name":"Institute for Sex Research, Sexual Medicine and Forensic Psychiatriy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebeca","family":"Robles","sequence":"additional","affiliation":[{"name":"Global Mental Health Research Center, National Institute of Psychiatry Ram\u00f3n de la Fuente Mu\u00f1iz, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chihiro","family":"Matsumoto","sequence":"additional","affiliation":[{"name":"Japanese Society of Psychiatry and Neurology, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Ab\u00e9","sequence":"additional","affiliation":[{"name":"Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden"},{"name":"Quantify Research, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7388-6194","authenticated-orcid":true,"given":"Jo\u00ebl","family":"Billieux","sequence":"additional","affiliation":[{"name":"Institute of Psychology, University of Lausanne, Switzerland"},{"name":"Centre for Excessive Gambling, Addiction Medicine, Lausanne University Hospital (CHUV), Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jon E.","family":"Grant","sequence":"additional","affiliation":[{"name":"Department of Psychiatry & Behavioral Neuroscience, University of Chicago, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0404-9480","authenticated-orcid":true,"given":"Shane W.","family":"Kraus","sequence":"additional","affiliation":[{"name":"Department of Psychology, University of Nevada, Las Vegas, NV, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Lochner","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, SA MRC Unit on Risk and Resilience in Mental Disorders, University of Stellenbosch, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6323-1354","authenticated-orcid":true,"given":"Marc N.","family":"Potenza","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA"},{"name":"Child Study Center, Yale University School of Medicine, New Haven, CT, USA"},{"name":"Department of Neuroscience, Yale University, New 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