Table 2.
A. Recurrent failure to resist impulses to engage in a specified behavior |
B. Increasing sense of tension immediately prior the initiation of behavior |
C. Pleasure or relief at the time of engaging in the behavior |
D. A feeling of a lack of control while engaging in the behavior |
E. At least five of the following: |
1. Frequent preoccupation with the behavior or preparatory activities |
2. Frequent engaging in the behavior to a greater extent or over a longer period than intended |
3. Repeated efforts to reduce, control, or stop the behavior |
4. A great deal of time spent in activities necessary for the behavior, engaging in the behavior, or recovering from its effects |
5. Frequent engaging in the behavior when expected to fulfill occupational, academic, domestic, or social obligations |
6. Important social, occupational, or recreational activities given up or reduced because of the behavior |
7. Continuation of the behavior despite knowledge of having a persistent or recurrent social, financial, psychological, or physical problem that is caused or exacerbated by the behavior |
8. Tolerance: need to increase the intensity or frequency of the behavior in order to achieve the desired effect or diminished effect with continued behavior of the same intensity |
9. Restlessness or irritability if unable to engage in the behavior |
F. Some symptoms of the disturbance have persisted for at least 1 month or have occurred repeatedly over a longer period of time |
To reach the categorical diagnosis of addictive disorder according to Goodman (1990), criteria A–D plus criterion E (five among nine symptoms) must be met for at least 1 month.