WHO "If the game is recognized, many treatment programs will be developed"



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▲ WHO Spokesperson Tarik Jasarevic (Source: UN News)

The World Health Organization (WHO) announced on June 18 that the International Clbadification of ICD-11, the latest revision of ICD-11. The full version of ICD-11 will be announced at the World Health Assembly in May 2019 and will come into effect on January 1, 2022.

Meanwhile, the controversy over the coding of game disease since December last has not been resolved so far. We welcome and hope for more active research on the incorrect behaviors badociated with games. There is a lack of evidence about the coding of the disease in the game, an unclear definition of the game's disability, and doubts about its practical utility. In addition, there is a lot of concern about negative stigma and possible abuse due to the coding of this disease. The game industry and its badociations have issued counterclaims on this subject and psychologists and psychiatrists continue to hold debates on the official list of gambling diseases.

In order to hear the official position of WHO, Dr. Vladimir Poznyak, Director of Mental Health and Addiction of WHO, asked for a written interview. Dr. Poznag did not respond directly to the interviews, but through a spokesman for the WHO, Tarik Jasarevic, he was able to hear the position of the doctor. WHO on recently expressed opinions and how to cultivate a culture of healthy play


Q. ICD-11, including game disease, has been published. Opinions on the pros and cons of the game's coding illness are disjoint. On the contrary, there is an opinion that the coding of the game's disease has proceeded without proof and without proof. What do you think about this?

The work on ICD-11 has been done since 2005. The clbadification of mental disorders and behavior has been revised following special expert consultations on this issue. All the recommendations of current practitioners are based on the valid evidence examined and the final conclusion reflects the consensus of the different areas and regional experts constituted by WHO and the results of the relevant technical activities conducted by WHO.

The experts concluded that valid evidence is not as certain as the other conditions, but that it is sufficient to include game deficiency in ICD-11.

Clinical studies of gambling behavior leading to severe pain and dysfunction The case has been reported for years in the academic press and clinical practice. In 2013, the North American Psychiatrists Association added the DSM-5's "Internet Gambling Disability" to mental and behavioral disabilities as a condition for future research. There are hundreds and thousands of scientific publications that support this problem, the need for continuous worldwide treatment and the rigorous development of ICD-11. The view that ICD-11 has progressed without sufficient research is not true.

Q. Some people think that the decision of the WHO was premature.

Since 2014, WHO has been working with experts, WHO cooperation centers, academics and clinicians on the Internet, computers and smartphones. And other similar electronic devices, we started activities related to public health. If people say that a gambling problem is a serious problem to solve, it should be included in the ICD to solve the problem.

Q. On the other hand, there are opinions that the coding of game disease is to find reasons to support and conclude that game is a disease to the extent that experts are not coordinated.

The decision to include the games in ICD-11 was based on a review of available data and on the various areas involved in the WHO's technical consultation process during the course of the year. development of ICD-11. It is based on agreements concluded by local experts.

The inclusion of gambling impairments in ICD-11 will result in the development of treatment programs for people with the same health problems as gambling disorders in many parts of the world, including the risk of gambling troubles, This will spark interest.

Q. There is concern that the coding of the disease in the game is a negative stigma for the gambling industry.

We do not consider each game as a game handicap but how do you think about it and how do you approach the game's handicap to nurture a healthier gaming culture without stigmatizing it? At the same time, however, the number of gambling disorder patients worldwide is increasing, and we can not ignore the fact that excessive gambling causes health problems. The International Clbadification of Diseases (ICD) is the basis of health statistics. He schematizes the human condition from birth to death. Any illness or trauma that we may experience in life, and anything that can lead to death, is coded. In addition, the ICD provides a comprehensive picture of all aspects of life that can affect health by identifying the external causes of health-related factors, mortality and morbidity. These health statistics form the basis of all health decisions. Understanding where people contract the disease and what leads to death can help determine trends and epidemics and how to program health services, allocate health expenditures, and invest in research and development.

Q. There is also a voice in the voices concerned about the coding of game disease that the illogical misguided game will form, diagnose and abuse of any other "disability" as well as of the game.

Research shows that gaming disability only affects a handful of people playing video and digital games. But those who participate in the game must pay attention to the time they spend on the game.

At the same time, health problems badociated with gambling behaviors are often called games (games), games ( games), games This is not limited to handicap. This includes mental health and psychosocial functions such as inadequate physical activity, visual and auditory problems, physical and sleep problems such as musculoskeletal problems, injuries, aggressive behaviors, depression and mental health problems. suicidal behavior.

. In fact, there are critics that the WHO standards on game diseases can only subtract the pun to make it addicted to any other culture or other behavior. For example, "pet" could be a pet addiction. It is emphasized that the test was made without sufficient and specific study of the game.

As defined in ICD-11, play handicap is a game in which play takes precedence over games in the game. to the extent that it gives priority to the game over other interests and day-to-day activities.

Up to the diagnosis of a gambling disorder, behaviors can be categorized into individual, family, social, educational, occupational or other functions. It must be serious enough to cause damage in critical areas. In addition, symptoms should be clear for 12 months in general.

Q. Some argue that a failure of the game can not be a disease, but can be explained by a symptom of depression or obsessive-compulsive disorder.

Gambling disorders can be divided into different independent clinical conditions, but like many other mental and behavioral disorders, many cases Lt; RTI ID = 0.0 & gt; coincidence & lt; / RTI & gt; conditions. At the same time, in some cases, gambling behavior or changes may be the sign of other basic mental and behavioral disorders such as mood disorders.

Q.

The CIM is the basis for identifying statistics and trends in global health, reporting on diseases and the state of health, it is an international standard for. ICD is used by health professionals around the world to diagnose diseases and clbadify the status of researchers.

By adding disability to INN, health professionals can learn about health problems and establish appropriate management practices. It will be possible to study and be considered by observing trends in public health policy or disability.

Q. In fact, since the release of the latest version of ICD-11, facilities and treatment programs have already been opened in the United Kingdom.

In addition to ICD-11, there is only one clinical description of gambling disorder, which does not include prevention and treatment. By including game failures in ICD-11, we hope to be able to create good practices to recognize and manage research disorders and international games.

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