Abstract
The clinical assessment of a common behavior that disrupts a person’s life only when it becomes excessive is controversial. The inclusion of pathological gambling in the Diagnostic and Statistical Manual, Third Edition (DSM-III) in 1980 was one of the initial formal attempts to develop diagnostic criteria for this type of behavior. The diagnostic criteria for pathological gambling were based on substance dependency, but the disorder was classified as an impulse control disorder. One attempt to resolve the controversy has been the development of a general psychological model of addiction that includes both substance related behaviors and excessive behaviors. An example is the Griffiths component model that describes salience, mood modification, tolerance, withdrawal, conflict and relapse as the central features of addiction. An addictive disorders section including excessive behaviors and substance use disorders is one of the proposals for the DSM-V, scheduled to be published in 2012.
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Allegre, B., Souville, M., Therme, P., & Griffiths, M. D. (2006). Definitions and measures of exercise dependence. Addiction Research and Theory, 14, 631–646.
American Psychiatric Association (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: American Psychiatric Association.
American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders, 4th ed., text revision. Washington, DC: American Psychiatric Association.
Black, D. W., Monahan, P. O., Temkit, M., & Shaw, M. (2006). A family study of pathological gambling. Psychiatry Research, 141(3), 295–303.
Blum, K., Braverman, E. R., Holder, J. M., Lubar, J. F., Monastra, V. J., Miller, D., et al. (2000). Reward deficiency syndrome: A biogenetic model for the diagnosis and treatment of impulsive, addictive, and compulsive behaviors. Journal of Psychoactive Drugs, 32(Suppl:i–iv), 1–112.
Brown, R. I. F. (1993). Some contributions of the study of gambling to the study of other addictions. In W. R. Eadington & J. Cornelius (Eds.), Gambling behavior and problem gambling. Reno, NV: University of Nevada Press.
Campbell, W. G. (2003). Addiction: A disease of volition caused by a cognitive impairment. Canadian Journal of Psychiatry, 48(10):669–674.
Castle, D. J., & Phillips, K. A. (2006). Obsessive-compulsive spectrum of disorders: A defensible construct? Australia and New Zealand Journal of Psychiatry, 40(2):114–120.
Christenson, G. A., Faber, R. J., de Zwaan, M., Raymond, N. C., Specker, S. M., Ekern, M. D., et al. (1994). Compulsive buying: Descriptive characteristics and psychiatric comorbidity. Journal of Clinical Psychiatry, 55(1), 5–11.
Dell’Osso, B., Altamura, A. C., Allen, A., Marazziti, D., & Hollander, E. (2006). Epidemiologic and clinical updates on impulse control disorders: A critical review. European Archives of Psychiatry and Clinical Neuroscience, 256(8), 464–475.
Duvarci, I., Varan, A., Coskunol, H., & Ersoy, M. A. (1997). DSM-IV and the South Oaks Gambling Screen: Diagnosing and assessing pathological gambling in Turkey. Journal of Gambling Studies, 13(3), 193–206.
Grant, J. E., Brewer, J. A., & Potenza, M. N. (2006). The neurobiology of substance and behavioral addictions. CNS Spectrums, 11(12), 924–930.
Griffiths, M. D. (1992). Pinball wizard: A case study of a pinball addict. Psychological Reports, 71, 160–162.
Griffiths, M. D. (1993). Tolerance in gambling: An objective measure using the psychophysiological analysis of male fruit machine gamblers. Addictive Behaviors, 18, 365–372.
Griffiths, M. D. (1994a). Co-existent fruit machine addiction and solvent abuse in adolescence: A cause for concern? Journal of Adolescence, 17, 491–498.
Griffiths, M. D. (1994b). An exploratory study of gambling cross addictions. Journal of Gambling Studies, 10, 371–384.
Griffiths, M. D. (1995). Technological addictions. Clinical Psychology Forum, 76, 14–19.
Griffiths, M. D. (1996). Behavioural addictions: An issue for everybody? Journal of Workplace Learning, 8(3), 19–25.
Griffiths, M. D. (1997). Video games and clinical practice: Issues, uses and treatments. British Journal of Clinical Psychology, 36, 639–641.
Griffiths, M. D. (2001). Sex on the internet: Observations and implications for sex addiction. Journal of Sex Research, 38, 333–342.
Griffiths, M. D. (2004). Sex addiction on the Internet. Janus Head: Journal of Interdisciplinary Studies in Literature, Continental Philosophy, Phenomenological Psychology and the Arts, 7(2), 188–217.
Griffiths, M. D. (2005a). A “components” model of addiction within a biopsychosocial framework. Journal of Substance Use, 10, 191–197.
Griffiths, M. D. (2005b). The biopsychosocial approach to addiction. Psyke & Logos (Journal of the Danish Psychological Society), 26, 9–26.
Griffiths, M. D. (2005c). Workaholism is still a useful construct. Addiction Research and Theory, 13, 97–100.
Griffiths, M. D., & Duff, J. S. (1993). Etiologies of excessive behaviour: A study of non-professional peoples’ beliefs. Addiction Research, 1, 199–206.
Griffiths, M. D., & Hunt, N. (1998). Dependence on computer games by adolescents. Psychological Reports, 82, 475–480.
Griffiths, M. D., & Larkin, M. (2004). Conceptualizing addiction: The case for a ‘complex systems’ account. Addiction Research and Theory, 12, 99–102.
Griffiths, M. D., Miller, H., Sparrow, P., & Gillespie, T. (1998). Internet usage and “internet addiction” in students and its implications for student learning. Journal of Computer Assisted Learning, 15, 89–91.
Griffiths, M. D., & Smeaton, M. (2002). Withdrawal in pathological gamblers: A small qualitative study. Social Psychology Review, 4, 4–13.
Griffiths, M. D., & Sutherland, I. (1998). Adolescent gambling and drug use. Journal of Community and Applied Social Psychology, 8, 423–427.
Griffiths, M. D., Szabo, A., & Terry, A. (2005). The Exercise Addiction Inventory: A quick and easy screening tool for health practitioners. British Journal of Sports Medicine, 39, 30–31.
Hodgins, D. C. (2004). Using the NORC DSM screen for gambling problems as an outcome measure for pathological gambling: Psychometric evaluation. Addictive Behavior, 29(8), 1685–1690.
Hodgson, R. J., Budd, R., & Griffiths, M. (2001). Compulsive behaviours (Chapter 15). In H. Helmchen, F. A. Henn, H. Lauter, & N. Sartorious (Eds.), Contemporary psychiatry. Vol. 3 (Specific Psychiatric Disorders) (240–250). London: Springer.
Hollander, E. (1993). In E. Hollander (Ed.), Obsessive–compulsive related disorders (1–46). Washington, DC: American Psychiatric.
Hollander, E. (1998).Treatment of obsessive–compulsive spectrum disorders with SSRIs. British Journal of Psychiatry, Suppl. (35), 7–12.
Hollander, E. (2006). Behavioral and substance addictions: A new proposed DSM-V category characterized by impulsive choice, reward sensitivity, and fronto-striatal circuit impairment. CNS Spectrum, 11(11), 814.
Hollander, E., & Rosen, J. (2000). Impulsivity. Journal of Psychopharmacology, 14(2 Suppl 1), S39–S44.
Hollander, E., Stein, D. J., & DeCaria, C. M. (1992). Disorders related to OCD-neurobiology. Clinical Neuropharmacology, 15(S1)Pt A, 259A–260A.
Hyman, S. E. (2005). Addiction: A disease of learning and memory. American Journal of Psychiatry, 162(8), 1414–1422.
Jaisoorya, T. S., Reddy, Y. C., & Srinath S. (2003). The relationship of obsessive-compulsive disorder to putative spectrum disorders: Results from an Indian study. Comprehensive Psychiatry, 44(4), 317–323.
Kupfer, D., First, M., & Regier, D. (2002). A research agenda for the DSM-V. Washington: American Psychiatric Association.
Kuzma, J. M., & Black, D. W. (2004). Compulsive disorders. Current Psychiatry Reports, 6(1):58–65.
Larkin, M., & Griffiths, M. D. (1998). Response to Shaffer (1996): The case for ‘complex systems’ conceptualizations of addiction. Journal of Gambling Studies, 14, 73–82.
Larkin, M., & Griffiths, M. D. (2002). Experiences of addiction and recovery: The case for subjective accounts. Addiction Research and Theory, 10, 281–311.
Larkin, M., & Griffiths, M. D. (2004). Dangerous sports and recreational drug-use: Rationalising and contextualising risk. Journal of Community and Applied Social Psychology, 14, 215–232.
Larkin, M., Wood, R. T. A., & Griffiths, M. D. (2006). Towards addiction as relationship. Addiction Research and Theory, 14, 207–215.
Lejoyeux, M., Mc Loughlin, M., & Ades, J. (2000). Epidemiology of behavioral dependence: Literature review and results of original studies. European Psychiatry, 15(2), 129–134.
Lesieur, H. R., & Rosenthal, R. J. (1991). Pathological gambling: A review of the literature. Journal of Gambling Studies, 7, 5–39.
Lochner, C., Hemmings, S. M., Kinnear, C. J., Niehaus, D. J., Nel, D. G., Corfield, V. A., et al. (2005). Cluster analysis of obsessive-compulsive spectrum disorders in patients with obsessive-compulsive disorder: Clinical and genetic correlates. Comprehensive Psychiatry, 46(1), 14–19.
Lubman, D. I., Yucel, M., & Pantelis, C. (2004). Addiction, a condition of compulsive behaviour? Neuroimaging and neuropsychological evidence of inhibitory dysregulation. Addiction, 99(12), 1491–1502.
McElroy, S. L., Phillips, K. A., & Keck, P. E., Jr. (1994). Obsessive compulsive spectrum disorder. Journal of Clinical Psychiatry, 55(Suppl), 33–51;discussion 52–3.
Miller, W. R. (1980). The addictive behaviors. Oxford: Pergamon.
Moeller, F. G., Barratt, E. S., Dougherty, D. M., Schmitz, J. M., & Swann, A. C. (2001). Psychiatric aspects of impulsivity. American Journal of Psychiatry, 158(11), 1783–1793.
Orford, J. (2001). Excessive appetites: A psychological view of the addictions. Chichester: Wiley.
Petry, N. M. (2006). Should the scope of addictive behaviors be broadened to include pathological gambling? Addiction, 101(Suppl 1), 152–160.
Petry, N. M., Stinson, F. S., & Grant, B. F. (2005). Comorbidity of DSM-IV pathological gambling and other psychiatric disorders: Results from the national epidemiologic survey on alcohol and related conditions. Journal of Clinical Psychiatry, 66(5), 564–574.
Potenza, M. N. (2006) Should addictive disorders include non-substance-related conditions? Addiction, 101(Suppl 1), 142–51.
Rosenthal, R. J. (1992). Pathological Gambling. Psychiatric Annuals, 22(2), 72–78.
Saunders, J. B. (2006). Substance dependence and non-dependence in the diagnostic and statistical manual of mental disorders (DSM) and the international classification of diseases (ICD): Can an identical conceptualization be achieved? Addiction, 101(Suppl 1), 48–58.
Saunders, J. B., & Schuckit, M. A. (2006). The development of a research agenda for substance use disorders diagnosis in the Diagnostic and Statistical Manual of Mental Disorders, 5th edn. (DSM-V). Addiction, 101(Suppl 1), 1–5.
Shaffer, H. J., Freed, C. R., & Healea, D. (2002). Gambling disorders among homeless persons with substance use disorders seeking treatment at a community center. Psychiatric Services, 53(9), 1112–1117.
Shaffer, H., Hall, M., & Vander Bilt, J. (1997). Estimating the prevalence of disordered gambling behavior in the United States and Canada. A meta-analysis. Cambridge, Boston: Harvard Medical School, Division of Addictions.
Shaffer, H. J., LaPlante, D. A., LaBrie, R. A., Kidman, R. C., Donato, A. N., & Stanton, M. V. (2004). Toward a syndrome model of addiction: Multiple expressions, common etiology. Harvard Review of Psychiatry, 12(6), 367–374.
Stanbury, A., & Griffiths, M. D. (2007). Obsessive love as an addiction. Psychology Review, 12(3), 2–4.
Stein, D. J., Chamberlain, S. R., & Fineberg, N. (2006). An A-B-C model of habit disorders: Hair-pulling, skin-picking, and other stereotypic conditions. CNS Spectrums, 11(11), 824–827.
Stein, D. J., & Lochner, C. (2006). Obsessive-compulsive spectrum disorders: A multidimensional approach. Psychiatric Clinics of North America, 29(2), 343–351.
Stinchfield, R. (2003) Reliability, validity, and classification accuracy of a measure of DSM-IV diagnostic criteria for pathological gambling. American Journal of Psychiatry, 160(1), 180–182.
Stinchfield, R., Govoni, R., & Frisch, G. R. (2005). DSM-IV diagnostic criteria for pathological gambling: Reliability, validity, and classification accuracy. American Journal of Addiction, 14(1), 73–82.
Stone, K. D., Rush, B. D., & Westphal, J. R. (1998). Trichotillomania resulting in a trichobezoar: A case report. Louisiana Medical Journal, 150(10), 478–481.
Strong, D. R., Lesieur, H. R., Breen, R. B., Stinchfield, R., & Lejuez, C. W. (2004). Using a rasch model to examine the utility of the South Oaks Gambling screen across clinical and community samples. Addict Behaviors, 29(3), 465–481.
Terry, A., Szabo, A., & Griffiths, M. (2004). The Exercise Addiction Inventory: A new brief screening tool. Addiction Research and Theory, 12, 489–499.
Toce-Gerstein, M., Gerstein, D. R., & Volberg, R. A. (2003). A hierarchy of gambling disorders in the community. Addiction, 98(12), 1661–1672.
Welte, J., Barnes, G., Wieczorek, W., Tidwell, M. C., & Parker, J. (2001) Alcohol and gambling pathology among U.S. adults: Prevalence, demographic patterns and comorbidity. Journal of Studies of Alcohol, 62, 706–712.
Werme, M., Thoren, P., Olson, L., & Brene, S. (2000). Running and cocaine both upregulate dynorphin mRNA in medial caudate putamen. European Journal of Neuroscience, 12(8), 2967–2974.
Westphal, J. (2007). Are the Effects of Gambling Treatment Overestimated? International Journal of Mental Health and the Addictions, 5(1), 65–79.
Westphal, J., & Johnson, L. (2007). Multiple co-occurring behaviours among gamblers in treatment: Implications and assessment. International Gambling Studies, 6(2), 129–145.
World Health Organization (1969). WHO expert committee on drug dependence. Sixteenth Report. World Health Organization Technical Report Service, 407, 1–28.
Zimmerman, M., Chelminski, I., & Young, D. (2006). A psychometric evaluation of the DSM-IV pathological gambling diagnostic criteria. Journal of Gambling Studies, 22(3):329–337.
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Westphal, J. Emerging Conceptual Models of Excessive Behaviors. Int J Ment Health Addiction 5, 107–116 (2007). https://doi.org/10.1007/s11469-007-9060-1
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DOI: https://doi.org/10.1007/s11469-007-9060-1