Hans-Jürgen Rumpf

Universität zu Lübeck · Klinik für Psychiatrie und Psychotherapie

This paper reports a qualitative survey of experts in problem gaming and/or problem gambling from 19 countries worldwide on the impact of the COVID-19 pandemic on problematic gaming and gambling. Twenty-seven problem gaming experts reported (i) no licensing changes, (ii) few existing or newly introduced policies or regulations, (iii) overall increa...

Zusammenfassung Ziel Digitale Behandlungskonzepte haben das Potenzial, die Behandlungslücke bei Menschen mit Abhängigkeitserkrankungen zu verringern, wenn entsprechende Angebote für die Zielgruppe als attraktiv wahrgenommen werden. Zugleich ist die Akzeptanz und Nutzungsmotivation entsprechender Angebote in der Zielpopulation bislang unzureichend u...

Background: There is evidence for e-Health interventions for full-blown depression. Little is known regarding commonly untreated subthreshold depression in primary care. This randomized controlled multi-centre trial assessed reach and two-year-effects of a proactive e-Health intervention (ActiLife) for patients with subthreshold depression. Metho...

Zusammenfassung Hintergrund Studien zeigen einen Zusammenhang zwischen hoher Mediennutzung und psychischen Auffälligkeiten im Kindesalter. Unklar ist jedoch die Rolle von möglichen weiteren Faktoren, die diesen Zusammenhang beeinflussen. Das Ziel der Studie war die Prüfung von Zusammenhängen zwischen psychischen Auffälligkeiten, hoher Mediennutzun...

Introduction: Previous studies analyzing friendships with people only known through the Internet mainly focused on quantitative aspects (e.g., the number of online friends or the time spent with them). Little is known about the perceived quality of online compared to real-life friends in individuals with an Internet use disorder (IUD). This study...

Rationale: Internet Use Disorders are associated with substantial intraindividual and societal impairments. For the treatment of addictive online behaviors, a novel online short-term therapy was implemented and embedded in the randomized controlled trial Stepped Care Approach for Problematic Internet use Treatment (SCAPIT; ID: DRKS00025994). Althou...

Background: Vocational students have an increased risk to engage in health-risk behaviors compared to same-aged peers. To date, evidence-based digital prevention approaches that address multiple health-risk behaviors are rare. Method: The randomized-controlled trial (RCT) “Prevention of at-risk substance and Internet use disorders among vocational...

The present paper provides an overview of the possible risks, harms, and challenges that might arise with the development of the esports field and pose a threat to professional esports players, spectators, bettors and videogame players, including underage players. These include physical and mental health issues, gambling and gambling-like elements...

Importance Children and adolescents spend considerable time on the internet, which makes them a highly vulnerable group for the development of problematic usage patterns. A variety of screening methods have already been developed and validated for social network use disorder (SNUD); however, a systematic review of SNUD in younger age groups has not...

Background: The present study compared adult usage patterns of online activities, the frequency rate of problematic internet use (PIU), and risk factors (including the psychopathology associated with PIU, i.e., distress and impulsivity) among adults in 15 countries from Europe, America, and Asia. Methods: A total of 5130 adults from Belgium, Fin...

The objective was to test whether Alcohol Use Disorders Identification Test (AUDIT) results may predict mortality after 20 years. An observational study was conducted. It included an interview of a general population sample aged 18 to 64 in northern Germany in the years 1996 − 1997 (baseline) and a mortality-follow-up in the years 2017 − 2018. Stud...

Background: Little is known about how substance use affects health-related quality of life (HRQOL) in depressed individuals. Here, associations between alcohol consumption and HRQOL in hospital and ambulatory care patients with past-year depressive symptoms are analyzed. Method: The sample consisted of 590 participants (26.8% non-drinkers) recru...

Pharmacological treatments for alcohol use disorders have proven efficacy. However, only a minority of treated individuals receive pharmacotherapy. Moreover, in the majority of cases, treatment duration is too short and does not follow recommendations of guidelines. A number of barriers have been identified that are related to the poor adoption of...

Introduction: Excessive internet use can lead to problems for some individuals. The WHO has introduced Gaming Disorder in the International Classification of Diseases-11 (ICD-11). Previous research has shown that other internet applications can cause serious mental health problems as well. It is important to provide measures of prevention, early i...

Aims: The problematic use of social networks is discussed as a further specific type of Internet-use disorders. Our project aims to clarify whether social-networks-use disorder (SNUD) is marked by characteristics of addictive behaviors by tracking behavior and investigating the relevance of 1) implicit cognitions, 2) the experiences of gratificatio...

Background Adolescents and young adults (AYA) have an increased risk for Internet use disorders (IUD) compared to older individuals that may lead to functional impairments in daily life. To date, evidence-based brief interventions are lacking. This study aimed to test the efficacy of a low-threshold counseling approach based on Motivational Intervi...

Background: Surveys assessing alcohol use among physicians most commonly employed the Alcohol Use Disorders Identification Test (AUDIT) or the AUDIT-C. As with other screeners, prevalence estimation is dependent on the accuracy of the test as well as choice of the cut-off value. The aim of the current study is to use samples from various countries...

Zusammenfassung Hintergrund Bei Jugendlichen und jungen Erwachsenen (JujE) mit Diabetes mellitus Typ 1 (DMT1) werden gehäuft Behandlungsverhaltensweisen beobachtet, die mit ungünstigen Gesundheitsoutcomes assoziiert sind. Darüber hinaus verläuft der in diesem Alter erforderliche Transitionsprozess oft problematisch. Insgesamt ist diese Altersspanne...

Zusammenfassung: Hintergrund: Glücksspiele gelten als demeritorische Güter, die mit Suchtgefahren und sozialen Kosten für die Gesellschaft assoziiert sind. Als entsprechend groß erweist sich der Bedarf an regulatorischen Eingriffen, die in evidenzgestützter Weise vor allem den Jugend- und Spielerschutz fördern. Voraussetzung hierfür ist eine qualit...

Global concern about problematic usage of the internet (PUI), and its public health and societal costs, continues to grow, sharpened in focus under the privations of the COVID-19 pandemic. This narrative review reports the expert opinions of members of the largest international network of researchers on PUI in the framework of the European Cooperat...

In this commentary paper, it is discussed if Compulsive Sexual Behavior Disorder (CSBD) is best categorized as an Impulse Control Disorder, an Obsessive-Compulsive Disorder or in light of the overlap of characteristics with both Gaming and Gambling Disorder as an addictive behavior. The overlapping features are: loss of control over the respective...

Background: Gambling and gaming disorders have been included as "disorders due to addictive behaviors" in the International Classification of Diseases (ICD-11). Other problematic behaviors may be considered as "other specified disorders due to addictive behaviors (6C5Y)." Methods: Narrative review, experts' opinions. Results: We suggest the fo...

Background Despite the constant publication of new screening instruments for Internet use disorders (IUD), little is known about their content validity. This study aimed to identify potential mismatches between the items' intention and young adults' interpretation of these items when answering three screening instruments that are commonly used in r...

In this brief letter, we report a new World Health Organization (WHO)-led project developing gold standard instruments to detect gaming disorder and gambling disorder following their inclusion in the ‘disorders due to addictive behaviours’ section of the eleventh revision of the International Classification of Diseases (ICD-11)

Aims: To estimate the prevalence of family members affected by addictive disorders (FMA) with regard to various types of addictive disorders, and self-rated health and depression in the general population. Design: Cross-sectional general population survey. Setting: The "German Health Update" study GEDA 2014/2015, a nationally representative pa...

Objectives: To estimate mortality on grounds of the severity of alcohol dependence which has been assessed by two approaches: the frequency of alcohol dependence symptoms (FADS) and the number of alcohol dependence criteria (NADC). Methods: A random sample of adult community residents in northern Germany at age 18 to 64 had been interviewed in 1...

Background and aims With the inclusion of gaming disorder in the ICD-11, diagnostic criteria were introduced for this relatively new disorder. These criteria may also be applied to other potential specific Internet-use disorders, which may be classified in ICD-11 as other disorders due to addictive behaviors, such as online buying-shopping disorder...

Zusammenfassung Hintergrund Bislang ist zum Sucht- und Gesundheitsverhalten von Jugendlichen, die berufliche Schulen besuchen, nur wenig bekannt. Ziel der Arbeit Auf Grundlage der Daten einer Stichprobe Berufslernender in der Schweiz wird untersucht, (1) in welchen demographischen Subgruppen Suchtverhaltensweisen, Belastungs- und Schutzfaktoren b...

Aim: Studies on brief interventions for Internet use disorders (IUD) are lacking. In this pilot study we tested the feasibility and preliminary efficacy of an approach applying Motivational Interviewing and elements of cognitive behavioral therapy. Methods: Clients in four job centers and the job agency in Lübeck, Germany, were approached for a pro...

Zusammenfassung Ziel war die Erfassung subjektiver Einstellungen von Medizinstudierenden gegenüber alkoholbezogenen Störungen (AS) im direkten Vergleich mit anderen psychischen und somatischen Erkrankungen. Die mithilfe eines Onlinefragebogens befragten Studierenden (n = 1875) bewerteten AS gegenüber anderen Erkrankungen als weniger schwerwiegend (...

Very few general population studies have analyzed the associations of age and gender with several aspects of gambling in Germany. Internationally, conflicting results have been found. Additionally, a decrease in age of onset of gambling was found in the USA but could not yet be demonstrated for Germany. We close these gaps, using data from the 2010...

Background Evidence suggests that people who abstain from alcohol have a higher mortality rate than those who drink low to moderate amounts. However, little is known about factors that might be causal for this finding. The objective was to analyze former alcohol or drug use disorders, risky drinking, tobacco smoking, and fair to poor health among p...

Background and aims An increasing number of people experience negative consequences from the excessive use of different Internet applications or sites (e.g., Instagram, League of Legends, YouTube). These consequences have been referred to as specific Internet Use Disorders (IUDs). The present study aims to examine the Fear of Missing Out (FoMO) on...

Purpose of Review The present paper provides an accessible overview on the potential of digital phenotyping and mobile sensing not only shedding light on the nature of Internet Use Disorders (IUD), but also to provide new ideas on how to improve psycho-diagnostics of mental processes linked to IUD. Recent Findings In detail, the psycho-diagnostic...

In the eleventh International Classification of Diseases (ICD‐11) of the World Health Organization, gambling disorder and gaming disorder are included in the category ‘disorders due to addictive behaviours’, which can be specified further as occurring either predominantly offline or predominantly online. Other specific problematic behaviours may be...

Background The Patient Health Questionnaire-8 (PHQ-8) is a screening questionnaire of depressive symptoms. However, it is unknown whether it is equivalent across time and between groups of individuals. The aim of our paper was to test whether the PHQ-8 has the same meaning in two groups of individuals over time. Methods Primary care patients were...

Zusammenfassung. Fragestellung: Es existiert eine Vielzahl von Begriffen für Verhaltenssüchte, die Mängel in Operationalisierung, Bezug zum Verhalten, Kompatibilität mit internationalen Klassifikationen sowie nicht stigmatisierender Nutzung aufweisen. Daher werden einheitliche Begriffe für Verhaltenssüchte benötigt. Methode: Im Rahmen einer Leitlin...

Internet gaming disorder (IGD) has become an important health concern in a significant proportion of adolescents. Intervention studies in this age group are scarce, mostly follow quantitative designs, and rarely consider adolescents’ experiences. This study aimed to evaluate the requirements for a group therapy program for adolescents with IGD. A q...

Objective: Increased impulsiveness is a risk factor for health-endangering behavior patterns. Little is known about whether increased impulsiveness is associated with Internet Use Disorder (IUD) and whether individuals with various main activities on the internet differ in their levels of impulsiveness. Methods: In total, we screened 8,230 vocation...

Background and Aims A definition of gaming disorder (GD) was introduced in ICD-11. The purpose of this study was to develop a short screening test for GD, utilizing a reference GD group. It also sought to estimate the prevalence of GD among individuals, representative of the general young population in Japan. Methods Two hundred eighty one men and...

Purpose of Review With its inclusion in the International Statistical Classification of Diseases and Related Health Problems, 11th Revision, gaming disorder (GD) has been officially recognized as a behavioral addiction. Etiological models of GD refer to the interaction of personal, environmental, and game-related risk factors. However, the role of...

Objectives This scoping review aims to facilitate psychometric developments in the field of digital media usage and well-being in young people by (1) identifying core concepts in the area of “screen time” and digital media use in children, adolescents, and young adults, (2) synthesising existing research paradigms and measurement tools that quantif...

Zusammenfassung Eine 2020 veröffentlichte, aktualisierte Cochrane-Analyse zu Anonymen Alkoholikern und 12-Schritte Programmen zur Behandlung alkoholbezogener Störungen schreibt diesen Interventionsformen eine bessere Evidenz gegenüber etablierten psychotherapeutischen Verfahren zu. Der Beitrag stellt zentrale Befunde des Reviews vor und überprüft d...

Ziel der Prävention ist, das Auftreten alkohol-attributabler Krankheiten und sozialer Schäden in der Gesamtbevölkerung zu reduzieren und dadurch zu einer Verbesserung der Lebensqualität und -dauer beizutragen. Prävention ist ein Versorgungssystem wie die medizinische Versorgung und umfasst drei Elemente: die Erreichung eines möglichst großen Teils...

Background: Motivational factors in health-relevant modes of behavior are an important matter in medical practice. Motivational interviewing (MI) is a technique that has been specifically developed to help motivate ambivalent patients to change their behavior. Methods: This review is based on pertinent publications retrieved by a selective search i...

Background and aims Following the recognition of ‘internet gaming disorder’ (IGD) as a condition requiring further study by the DSM‐5, ‘gaming disorder’ (GD) was officially included as a diagnostic entity by the World Health Organization (WHO) in the eleventh revision of the International Classification of Diseases (ICD‐11). However, the proposed d...

This chapter provides an overview of the current conceptual and methodological challenges in light of gaming disorder recently being included in the ICD-11 (WHO, Gaming disorder, 2018). This is discussed in reference to the DSM-5 (APA, Diagnostic and statistical manual of mental disorders. 5th ed. Arlington: American Psychiatric Association, 2013)...

Purpose The purpose of this paper is to give an overview of the scientific evidence for reduced drinking in alcohol use disorders. While the aim of alcohol use disorders (AUD) treatment usually focuses on abstinence, only a minority of individuals with AUD enter treatment. Lack of alternative treatment goals, including reduced drinking instead of a...

Drawing a distinction between mobile and non-mobile Internet Use Disorders is an important step to clarify blurred current concepts in the field of behavioral addictions. Similarly, future technological advances related to virtual or augmented reality, artificial intelligence or the Internet of things might lead to further modifications or new taxo...

Abstract A reliable diagnosis of adult Attention Deficit/Hyperactivity Disorder (ADHD) is challenging as many of the symptoms of ADHD resemble symptoms of other disorders. ADHD is associated with gambling disorder and obesity, showing overlaps of about 20% with each diagnosis. It is important for clinical practice to differentiate between condition...

Aims: To investigate latent patterns of alcohol use and bingeing by gender and their association with depressive symptom severity and individual depressive symptoms. Design: Cross-sectional data were collected January 2017 to March 2018 as part of a joint screening recruiting for different intervention studies. Setting: Ambulatory practices an...

Zusammenfassung: Einführung und Zielsetzung: Die COVID-19 Pandemie und die entsprechenden Lockdown-Maßnahmen verdeutlichen, dass besondere Strategien der Verhaltens-und Verhältnisprävention für Online-Verhaltenssüchte notwendig sind. Begründung: Die Wahr-scheinlichkeit ist hoch, dass die COVID-19 Krise und die begleitenden Maßnahmen zu deren Eindäm...