CHICAGO - Doctors backed away on Sunday from a controversial proposal to
designate video game addiction as a mental disorder akin to alcoholism, saying
psychiatrists should study the issue more.
The Mario character in Nintendo video games waits for
visitors at a booth being set up for 2007 International CES (Consumer
Electronics Show) in Las Vegas, Nevada January 7, 2007. [Reuters]
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Addiction experts also strongly
opposed the idea at a debate at the American Medical Association's annual
meeting.
They said more study is needed before excessive use of video and online games
- a problem that affects about 10 percent of players - could be considered a
mental illness.
"There is nothing here to suggest that this is a complex physiological
disease state akin to alcoholism or other substance abuse disorders, and it
doesn't get to have the word addiction attached to it," said Dr. Stuart Gitlow
of the American Society of Addiction Medicine and Mt. Sinai School of Medicine
in New York.
A committee of the influential physicians' group had proposed video game
addiction be listed as a mental disorder in the American Diagnostic and
Statistic Manual of Mental Disorders, a guide used by the American Psychiatric
Association in diagnosing mental illness.
Such a move would ease the path for insurance coverage of video game
addiction.
Even before debate on the subject began, the committee that made the proposal
backed away from its position, and instead recommended that the American
Psychiatric Association consider the change when it revises its next diagnostic
manual in 5 years.
The psychiatrist group has said if the science warrants, it could be
considered for inclusion in the next diagnostic manual, which will be published
in 2012.
While occasional use of video games is harmless and may even help with some
disorders like autism, doctors said in extreme cases it can interfere with
day-to-day necessities like working, showering or even eating.
"Working with this problem is no different than working with alcoholic
patients. The same denial, the same rationalization, the same inability to give
it up," Dr. Thomas Allen of the Osler Medical Center in Towson, Maryland.
Dr. Louis Kraus of the American Academy of Child and Adolescent Psychiatry
and a psychiatrist at Rush University Medical Center, said it is not yet clear
whether video games are addictive.
"It's not necessarily a cause-and-effect type issue. There may be certain
kids who have a compulsive component to what they are doing," he said in an
interview.
But addictive or not, too much time spent playing video games takes away from
other important activities.
"The more time kids spend on video games, the less time they will have
socializing, the less time they will have with their families, the less time
they will have exercising," Kraus said.
"They can make up academic deficits, but they can't make up the social ones,"
he said.
The AMA committee will consider the testimony and make its final
recommendation to the AMA's 555 voting delegates, who will vote on the matter
later this week.
The Entertainment Software Association, which represents
the $30 billion global video game industry, said more research is needed before
video game addiction should be categorized as a mental
disorder.