Crane Katelin, Carman Copel Linda, Domoff Sarah E, Weissinger Guy, Bernhardt Paul, Yost Jennifer
School of Nursing, Villanova University, Villanova, Pennsylvania, USA.
State University of New York, University at Albany, Albany, New York, USA.
J Adv Nurs. 2025 Apr 16. doi: 10.1111/jan.16969.
This concept analysis aims to clarify the uncertain and evolving concept of behavioural addiction, addressing its complexities and ambiguities to better inform its potential inclusion and classification in future revisions of the Diagnostic and Statistical Manual (DSM) and International Classification of Diseases (ICD).
Evidence suggests that rates of behavioural addictions continue to rise. Conceptual clarity of behavioural addictions is essential for mental health providers. Clarifying the concept of behavioural addiction will aid in developing specialised tools in diagnosis and treatment.
The Walker and Avant method of concept analysis was applied to 17 articles after a literature search that included search terms such as 'behavioral addiction', 'non-substance use addiction' and 'internet gaming disorder', among others, was conducted. Characteristics, antecedents and consequences of behavioural addiction were identified, and model, borderline and contrary cases were developed.
Articles from PubMed, PsycINFO and Google Scholar.
Six essential characteristics of behavioural addiction were identified: salience, euphoria, tolerance, withdrawal symptoms, conflict and reinstatement. Additionally, antecedents identified were family psychiatric history, psychiatric comorbidity, environmental factors, accessibility and exposure to stressors. There are four major consequences of behavioural addiction: physical and mental health problems, disruption of interpersonal relationships, neurobiological adaptation and financial, social or occupational repercussions.
This analysis examined the concept of behavioural addiction to promote an understanding for clinical utility. Further research is required to establish additional support for establishing clarity of the concept of behavioural addiction and aid in the development and implementation of diagnostic tools and treatments for people experiencing behavioural addiction.
A thorough concept analysis of behavioural addiction helps to delineate its boundaries, core attributes, antecedents and consequences. This clarity allows for more precise communication among researchers, practitioners and policymakers. It can lead to the development of standardised diagnostic criteria and intervention strategies tailored to behavioural addictions.
This analysis addressed the concept of behavioural addictions and increased clarity on the characteristics, antecedents and consequences that define this phenomenon.
No patient or public contribution.
本概念分析旨在澄清行为成瘾这一不确定且不断演变的概念，解决其复杂性和模糊性问题，以便为其在未来《精神疾病诊断与统计手册》（DSM）和《国际疾病分类》（ICD）修订版中的潜在纳入和分类提供更充分的信息。
有证据表明行为成瘾的发生率持续上升。行为成瘾的概念清晰对于心理健康服务提供者至关重要。阐明行为成瘾的概念将有助于开发诊断和治疗的专门工具。
在进行了包括“行为成瘾”“非物质使用成瘾”“网络游戏障碍”等搜索词的文献检索后，运用沃克和阿凡特的概念分析方法对17篇文章进行分析。确定了行为成瘾的特征、前因和后果，并构建了典型案例、临界案例和相反案例。
来自PubMed、PsycINFO和谷歌学术的文章。
确定了行为成瘾的六个基本特征：显著性、欣快感、耐受性、戒断症状、冲突和复吸。此外，确定的前因包括家族精神病史、精神共病、环境因素、可及性和接触应激源。行为成瘾有四个主要后果：身心健康问题、人际关系破裂、神经生物学适应以及经济、社会或职业影响。
本分析审视了行为成瘾的概念，以促进对其临床效用的理解。需要进一步研究以建立更多支持，以明确行为成瘾的概念，并有助于为有行为成瘾问题的人开发和实施诊断工具及治疗方法。
对行为成瘾进行全面的概念分析有助于界定其边界、核心属性、前因和后果。这种清晰性有助于研究人员、从业者和政策制定者之间进行更精确的交流。它可以导致开发针对行为成瘾的标准化诊断标准和干预策略。
本分析探讨了行为成瘾的概念，并提高了对定义这一现象的特征、前因和后果的清晰度。
无患者或公众参与。
