Symposium

Abstract

Behavioral Addictions: Current State of Research.Conceptual Understanding: The concept of Behavioral addictions has gained momentum in recent scientific studies. Current conceptualization of Behavioral addictions is sharing commonalities and similarities with other forms of addictive disorders. Recent neuroscientific literature supported inclusion of Gambling disorder in DSM 5 manual. Internet use disorder, gaming disorder, exercise addition, sex addiction and shopping addiction have been studied but still need more robust evidence. ICD 11 has specified Gaming disorder among such categories. Challenge also occurs to translate updated neurobiological evidence of Behavioral addictions into developing treatment options.Neurobiology and Genetics aspects of Behavioral addictions: Imaging studies with cognitive tasks reported more consistent results. Neurochemical analysis revealed role of dopaminergic and serotonergic transmission, but results are more equivocal. Genetics data and family history findings show heritability for pathological gambling and individuals with Behavioral addictions have family members with psychopathological issues. For other type of Behavioral addictions, findings are limited and need further research.Phenomenology of Behavioral addictions: Behavioral addictions share characteristics with substance use disorder such as natural history, phenomenology and adverse psychosocial outcomes. The degree to which Behavioral addictions share clinical, genetic, phenomenological and biological features need to be understood. The essential aspect of these addictive behaviors is failure to resist an impulse, drive or temptation to perform an act that produces harmful consequences. Repetitive engagements in these behaviors results in dysfunctionManagement of Behavioral Addictions: Treatment involves both pharmacological and psychological interventions but with varied evidence base. It is important to assess the circumstances that led patient to seek help. Patients with Behavioral addiction struggle because of social, occupational or legal problems. The area of treatment modality for Behavioral addictions needs more robust data and longitudinal studies to develop evidence-based models of care.