Matone Alice, Gandin Claudia, Ghirini Silvia, Scafato Emanuele
Osservatorio Nazionale Alcol, Centro Nazionale Dipendenze e Doping, Istituto Superiore di Sanità, Rome, Italy.
Clin Psychol Eur. 2022 Dec 15;4(Spec Issue):e9539. doi: 10.32872/cpe.9539. eCollection 2022 Dec.
The new revision of the ICD came into effect on January 1st, 2022, and significant changes have been introduced in the section related to substance use disorders.
In the present work we describe the new ICD-11 section "Disorders due to Substance Use and Addictive Behaviors" and outline the innovations in classification and diagnosis introduced, with a view to addressing the most important issues in terms of new opportunities for identifying and caring for people in need of treatment.
The main innovations introduced in the ICD-11 chapter of interest are the expanded classes of psychoactive substances, the introduction of single episodes of substance use, the introduction of harmful patterns of substance use and severity qualifiers for substance intoxication. Furthermore, the new category "Disorders due to addictive behaviors" has been added, including "Gambling disorder" and the new diagnostic category "Gaming disorder".
ICD-11 calls for renewed public health response and policies fostering the multi-professional and multidisciplinary management of alcohol and substance abuse treatment, giving to these forms of addiction new chances also towards the reaching of the UN 2030 Agenda Sustainable Development Goals.
国际疾病分类（ICD）的新修订版于2022年1月1日生效，与物质使用障碍相关的章节引入了重大变化。
在本研究中，我们描述了ICD-11中“物质使用和成瘾行为所致障碍”这一新章节，并概述了所引入的分类和诊断方面的创新，旨在解决在识别和治疗有需求者方面新机遇的最重要问题。
ICD-11相关章节引入的主要创新包括精神活性物质类别扩大、单次物质使用情况的引入、有害物质使用模式的引入以及物质中毒严重程度限定词。此外，新增了“成瘾行为所致障碍”类别，包括“赌博障碍”和新诊断类别“游戏障碍”。
ICD-11要求重新开展公共卫生应对措施以及制定促进酒精和物质滥用治疗多专业和多学科管理的政策，为这些成瘾形式实现联合国2030年议程可持续发展目标带来新机遇。
