Non-Substance-Related Disorders: Gambling disorder and internet addiction

Rumpf, Hans-Jürgen; Bischof, Anja; Wölfling, Klaus; Leménager, Tagrid; Thon, Natasha; Moggi, Franz; Dom, Geert; Wurst, Friedrich Martin (2015). Non-Substance-Related Disorders: Gambling disorder and internet addiction. In: Dom, Geert; Moggi, Franz (eds.) Co-Occurring Addictive and Psychiatric Disorders. A Practice-Based Handbook from a European Perspective (pp. 221-236). Heidelberg: Springer 10.1007/978-3-642-45375-5_16

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Behavioral addictions are highly prevalent and have a major individual and societal impact. Moreover, given the availability and increase of potentially addictive activities in our societal development (e.g. internet, gaming, online pornography) an increase in these types of behavioral disorders is very likely. Gambling Disorders are best studied among the non-chemical addictions. However, effective treatment interventions need to be further developed, in particular for Internet Addiction. Most of the available evidence supports behavioral interventions as first line treatment. Specifically for Gambling Disorder, pharmacotherapy can be an useful augmentation.. Psychiatric comorbidities are frequent in patients with behavioral addictions and negatively affect the course of non-substance-related disorders. Concurrent treatment of these comorbid disorders is advised, although there is a clear need of conducting studies evaluating the effectiveness of integrated treatment approaches.

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