Arnaud Nicolas, Thomasius Rainer
Deutsches Zentrum für Suchtfragen des Kindes- und Jugendalters (DZSKJ), Universitätsklinikum Hamburg-Eppendorf.
Z Kinder Jugendpsychiatr Psychother. 2021 Nov;49(6):486-493. doi: 10.1024/1422-4917/a000748. Epub 2020 Aug 14.
Disorders due to substance use or addictive behaviours in the ICD-11 This paper concerns the revised classification of Substance-Related and Addictive Disorders in the 11th edition of the International Classification of Diseases (ICD-11) of the World Health Organization. The revision of the ICD serves to reflect changes in the understanding and diagnosis of addictive disorders and the need to improve clinical applicability. Regarding substance-related and non-substance-related addictive disorders, considerable innovations were introduced compared to the previous version. Major innovations include an expanded range of substance classes, significant adjustments (i. e., simplifications) in the conceptual and diagnostic guidelines of substance-related disorders, particularly "substance dependence", the introduction of the category of "addictive behaviour," and, associated with this, the assignment of "gambling disorder" to the addictive disorders, and the inclusion of the new (screen-related) "gaming disorder." In addition, for the first time the ICD catalogue includes an expansion of diagnostic options for early, preclinical phenotypes of addiction disorders ("Episodic Harmful Use"). This article summarizes the changes in the field of addiction disorders and discusses them from a child and adolescent psychiatric perspective.
《国际疾病分类第11版》中物质使用或成瘾行为所致障碍 本文涉及世界卫生组织《国际疾病分类第11版》(ICD - 11)中物质相关及成瘾性障碍的修订分类。ICD的修订旨在反映成瘾性障碍在理解和诊断方面的变化以及提高临床适用性的需求。与上一版相比,在物质相关和非物质相关成瘾性障碍方面引入了相当多的创新。主要创新包括物质类别范围的扩大、物质相关障碍(特别是“物质依赖”)概念和诊断指南的重大调整(即简化)、“成瘾行为”类别的引入,与此相关的是将“赌博障碍”归为成瘾性障碍,以及纳入新的(与屏幕相关的)“游戏障碍”。此外,ICD目录首次扩大了成瘾性障碍早期、临床前表型(“发作性有害使用”)的诊断选项。本文总结了成瘾性障碍领域的变化,并从儿童和青少年精神病学角度进行了讨论。