Gaming disorder is officially a thing. Here’s what it entails.

Gaming ailment is about more than merely playing video games a lot .
Image: vicky leta/ mashable

Gaming disorder, which basically simmers down to video game addiction, was officially recognized by the World Health Organization Saturday.

After a year and a half of deliberation on the new revision of the International Statistical Classification of Diseases and Related Health Problems( ICD-1 1 ), which included gaming disorder in its 2017 draft, all 194 member states of the WHO agreed to adopt ICD-1 1. The new revise goes into effect Jan. 1, 2022.

So what exactly is gaming disorder? It sits in the subcategory in ICD-1 1 called “Disorders due to substance use or addictive behaviors” alongside alcoholism, gambling craving, and, curiously, a segment devoted to harmful cannabis use dependence.

Here’s the definition in full 😛 TAGEND

Gaming disorder is characterized by a pattern of persistent or recurrent gaming behaviour (‘ digital gaming’ or’ video-gaming’ ), which may be online( i.e ., over the internet) or offline, manifested by 😛 TAGEND

1. impaired control over gaming( e.g ., onset, frequency, intensity, duration, termination, context );

2. increasing priority given to gaming to the extent that gaming takes precedence over other life interests and daily activities; and

3. continuation or escalation of gaming despite the occurrence of negative consequences. The behaviour pattern is of sufficient severity to result in significant impairment in personal, household, social, educational, occupational or other important areas of functioning.

The pattern of gaming behaviour may be continuous or episodic and recurrent. The gaming behaviour and other features are ordinarily evident over a period of at least 12 months in order for a diagnosis to be assigned, although the required duration may be shortened if all diagnostic requirements are met and symptoms are severe.

There are many people that play video games to an extent that feels like they meet some of these descriptors, but it’s important to remember that this is a deeper issue than only playing video games a lot.

What is and isn’t a gaming disorder

As Dr. John Jiao pointed out in a helpful Twitter thread Saturday about gaming ailment( which he refers to as VGA), it’s not about hours put into games. It’s about when gaming gets in accordance with the rules of other, important aspects of life for a long period of time.

Tons of people who play video games take time off from work to play a new release, expend the night inside to play rather than run watch friends, or even( on particularly intense occasions) skip a dinner because they’re so mentally locked in to a game. These aren’t problematic on their own, but if they happen again and again and again over 12 months, then gaming disorder may be a fit diagnosis.

As Jiao points out, there are people who play games for a live, such as esports professionals, streamers, or even simply intense hobbyists like hardcore MMO looters, speedrunners, or completionists. They’re people who can play single games for hours and hours, but if they still maintain a pretty healthy life outside of that, they don’t have gaming disorder.

The importance of gaming disorder as an identifiable and diagnosable problem boils down to treatment. If there are people that fit these descriptions and don’t actually have any underlying ailments, it’s much easier for them to get insurance to pay for therapy if this is a recognise thing. That can be a huge help to people who are struggling.

There’s no saying gaming disorder can’t go hand-in-hand with other issues such as depression, which is something I’ve written about in my own experience with addiction and World of Warcraft .

Plenty of gamers hear “gaming disorder” and turn up their noses or get defensive of their pastime, but they likely haven’t experienced the kind of self-destructive dependence on gaming that I and others have experienced.

If the inclusion of gaming disorder in ICD-1 1 lets more people to recognize and get treatment for this kind of behavior, that’s a net positive for the world.

Problems with gaming disorder diagnoses

Of course, there are valid criticisms of the WHO’s description of gaming disorder, as mental health issues and gaming organisation Take This points out. While Jiao’s thread provides some helpful context to the definition of the disorder, those details are not in the official diagnostic guide.

The definition is rather ambiguous and there’s a lot that can be extrapolated from it. Streamers and esports pros have to start somewhere, and while amateurs aren’t making a living off of gaming at the moment, they still have to put in that time and effort to get to that level. Their time spent playing could fit within the description of gaming disorder.

The lack of details in the gaming ailment definition builds me question my own relationship with it. When I was in middle school and high school, I certainly fit within the diagnosis of gaming disorder at times. Do I still fit that diagnosis even though I don’t game like I used to?

Or how about the few days I took off from work for a little stay-cation a couple years ago when I played Diablo 3 for approximately 15 hours every day for three and a half days straight, forgetting to eat and altogether neglecting everything else in my life? Would that fit in the portion that says “the required duration may be shortened if all diagnostic requirements are met and symptoms are severe”?

Perhaps some additional information on gaming disorder and some more concrete details would strengthen its definition.

Still, its inclusion in the ICD-1 1 is a step forward for people who need help. Does it need run? Yes. But what doesn’t?

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