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Article

Transdiagnostic or Disorder Specific? Indicators of Substance and Behavioral Addictions Nominated by People with Lived Experience

1
Department of Psychology, University of Calgary, 2500 University Drive NW, Calgary, AB T2N 1N4, Canada
2
School of Public Health, University of Alberta, 11405 87 Ave, Edmonton, AB T6G 1C9, Canada
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2020, 9(2), 334; https://doi.org/10.3390/jcm9020334
Received: 19 December 2019 / Revised: 19 January 2020 / Accepted: 22 January 2020 / Published: 24 January 2020
Using a transdiagnostic perspective, the present research examined the prominent indicators of substance (alcohol, cocaine, marijuana, tobacco) and behavioral (gambling, video games, sex, shopping, work, eating) addictions nominated by people with lived experiences. Specifically, we aimed to explore whether the perceived most important indicators nominated were consistent across the 10 addictions or differed based on the specific addiction. Additionally, we explored gender differences in the perceived most important indicators across addictive behaviors. A large online sample of adults recruited from a Canadian province (n = 3503) were asked to describe the most important signs or symptoms of problems with these substances and behaviors. Open-ended responses were analyzed among a subsample of 2603 respondents (n = 1562 in the past year) who disclosed that they had personally experienced a problem with at least one addiction listed above. Content analyses revealed that dependence (e.g., craving, impairments in control) and patterns of use (e.g., frequency) were the most commonly perceived indicators for both substance and behavioral addictions, accounting for over half of all the qualitative responses. Differences were also found between substance and behavioral addictions regarding the proportion of the most important signs nominated. Consistent with the syndrome model of addiction, unique indicators were also found for specific addictive behaviors, with the greatest proportion of unique indicators found for eating. Supplemental analyses found that perceived indicators across addictions were generally gender invariant. Results provide some support for a transdiagnostic conceptualization of substance and behavioral addictions. Implications for the study, prevention, and treatment of addictions are discussed. View Full-Text
Keywords: transdiagnostic; addictions; behavioral addictions; lay-epidemiology; lived experience transdiagnostic; addictions; behavioral addictions; lay-epidemiology; lived experience
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MDPI and ACS Style

Kim, H.S.; Hodgins, D.C.; Kim, B.; Wild, T.C. Transdiagnostic or Disorder Specific? Indicators of Substance and Behavioral Addictions Nominated by People with Lived Experience. J. Clin. Med. 2020, 9, 334. https://doi.org/10.3390/jcm9020334

AMA Style

Kim HS, Hodgins DC, Kim B, Wild TC. Transdiagnostic or Disorder Specific? Indicators of Substance and Behavioral Addictions Nominated by People with Lived Experience. Journal of Clinical Medicine. 2020; 9(2):334. https://doi.org/10.3390/jcm9020334

Chicago/Turabian Style

Kim, Hyoun S., David C. Hodgins, Benjamin Kim, and T. Cameron Wild. 2020. "Transdiagnostic or Disorder Specific? Indicators of Substance and Behavioral Addictions Nominated by People with Lived Experience" Journal of Clinical Medicine 9, no. 2: 334. https://doi.org/10.3390/jcm9020334

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