Klaus Wölfling

Klaus Wölfling
Universitätsmedizin der Johannes Gutenberg-Universität Mainz · Department of Psychosomatic Medicine and Psychotherapy

PhD

About

213
Publications
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Introduction

Publications

Publications (213)
Article
Purpose of review: After its initial recognition in the DSM-5, Gaming Disorder has now officially been included as a mental disorder in the ICD-11 as a behavioral addiction. In the past decades, research on this phenomenon has increased and in particular theories on its etiopathology have been suggested. In that respect, underlying factors, includ...
Article
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Background: Problematic sexual internet use has been attracting increasing research attention in recent years. However, there is a paucity of qualitative studies about how this problem manifests on a daily basis in the clinical population and whether the phenomenon should fall within the hypersexual, compulsive-impulsive, or addictive spectrums of...
Poster
Full-text available
In der psychosomatisch-psychotherapeutischen Versorgung bestehen noch Unsicherheiten bezüglich des Auftretens von Verhaltenssüchten in der täglichen Routine. Im Poster sollen behandlungssuchende Patientinnen mit detektierten Verhaltenssüchten die aufgrund von anderen psychischen Diagnosen klinisch vorstellig wurden, charakterisiert werden. Das hier...
Article
In the 11th revision of the World Health Organization International Classification of Diseases, gambling disorder and computer gaming disorder are classified as addictive behavioral disorders, which can be further specified as primarily offline and primarily online, respectively. Evidence of the good efficacy of cognitive behavioral therapy approac...
Article
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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...
Article
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Internet-related disorders (IRD) are increasingly becoming a major health issue. IRD are defined as the predominant use of online content, related to a loss of control and continued use despite negative consequences. Despite findings from cross-sectional studies, the causality of pathways accelerating the development of IRD are unclear. While etiol...
Chapter
Verhaltenssüchte zeichnen sich durch ihren dominanten Einfluss auf das gesamte Erleben der Betroffenen aus. Die bisher am besten untersuchten Formen der Verhaltenssüchte sind die Glücksspielsucht, die Online-Computerspielsucht (eine Subform der Inernetsucht), die Kaufsucht und die (Online-)Sexsucht. Bisher haben die Glücksspielsucht und die Online-...
Article
Zusammenfassung Ziel der Studie Verhaltenssüchte treten in der Regel mit komorbiden psychischen Störungen auf und werden immer noch unterdiagnostiziert. Ziel dieser multizentrischen Querschnittsuntersuchung war es, die geschätzte Punktprävalenz von Verhaltenssüchten bei konsekutiven Patient*innen, die wegen anderer Diagnosen in der Psychosomatik be...
Article
Zusammenfassung Ziel der Studie Internetsucht ist eine Verhaltensstörung, von welcher v. a. Jugendliche und junge Erwachsene, unter ihnen auch Studierende an Hochschulen betroffen sind. Die COVID-19 Pandemie führte aufgrund der Maßnahmen zu ihrer Eindämmung zu starken Einbußen sozialer Beziehungen, Studium und Freizeitaktivitäten der Studierenden....
Article
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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...
Article
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Introduction In May 2019, the WHO classified internet gaming disorder (IGD) as a mental disorder in the upcoming International Classification of Diseases 11th Revision. However, individuals affected by IGD or internet use disorders (IUDs) are often not provided with adequate therapy due to a lack of motivation or absence of adequate local treatment...
Article
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...
Article
Full-text available
Gambling disorder and gaming disorder have recently been recognized as behavioral addictions in the ICD-11 (International Classification of Diseases, 11th edition). The association between behavioral addictions and personality has been examined before, yet there is a lack of studies on maladaptive traits and their relationship to specific outcome e...
Article
Full-text available
Background Gambling Disorder (GD) has been associated with considerable mental and physical health risks in clinical samples. The paper determines risk factors, mental and physical health burden of probable GD for both men and women in the general population. Methods In the Gutenberg Health Study, a population-based sample of N = 11,875 aged 40–80...
Article
Zusammenfassung Ziel der Studie Internetbezogene Störungen (IBS) sind durch eine unkontrollierte Nutzung gekennzeichnet und gehen mit psychosozialen Beeinträchtigungen und einer erhöhten Rate anderer psychischer Erkrankungen einher. Ziel der Studie war die Identifikation nicht diagnostizierter IBS und die Bestimmung geschlechtsspezifischer Untersch...
Article
Full-text available
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...
Article
Zusammenfassung Internetbezogene Störungen umfassen unterschiedliche Onlineaktivitäten, die exzessiv entgleiten, das Leben Betroffener dominieren und zu nachhaltigen negativen Folgen führen können. Da internetbezogene Störungen einen chronischen Verlauf nehmen und eine erhöhte psychopathologische Symptombelastung bedingen können, sind wirksame Inte...
Article
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 Wahrscheinlichkeit ist hoch, dass die COVID-19 Krise und die begleitenden Maßnahmen zu deren Eindäm...
Chapter
Computerspiel- und Internetsucht ist ein relativ junges Störungsbild aus dem Spektrum der substanzungebundenen Abhängigkeitserkrankungen, den sogenannten Verhaltenssüchten. Erstmals wurde „Internet Gaming Disorder“ als Forschungsdiagnose im DSM-5 etabliert. In der kommenden ICD-11 wird sich eine Diagnose „Gaming Disorder“ im Suchkapitel finden. Als...
Article
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Background: Although gender plays a pivotal role in the psychological adaptation of immigrant youth, its association with acculturation strategy and mental health among 1st generation immigrant adolescents are still scarce and inconsistent. Therefore, the purpose of the current study was to investigate gender-related differences in acculturation p...
Article
Although most people enjoy video gaming (typically online) without problems, some may experience gaming-associated harms. Psychiatrists and other health professionals may encounter individuals in treatment settings, typically young male patients, who report gaming-associated negative outcomes on interpersonal relationships, work, education, physica...
Article
Behavior addictions, such as Gambling Disorder and Internet Gaming Disorder, have been demonstrated to have severe negative impact. Heightened impulsivity, deficits in decision making, and cognitive biases in the preference of immediate rewards have been shown to be crucial aspects in addictive disorders. While for Gambling Disorder (GD), dysfuncti...
Article
Repetitive, extensive engagement in some rewarding behaviors can result in distress or reduction in the psychosocial functional levels of those affected. Due to similarities with substance use disorders, certain excessive behaviors are considered behavioral addictions or disorders due to addictive behavior. The recently released 11th revision of th...
Article
Liebe Leserinnen und Leser, seit 30 Jahren durchdringt das Internet zunehmend alle unsere Lebensbereiche und wird omnipräsent in allen Alters- und Bevölkerungsgruppen genutzt. Seit etwa 20 Jahren wird im wissenschaftlichen Sinn die suchtartige Nutzung des Internets mit ihren negativen Auswirkungen auf die Psyche, die geistigen Funktionen und den Kö...
Article
Zusammenfassung Ausgewählte Beiträge eines internationalen Reviews zu schulbasierten Präventionsansätzen werden vorgestellt. Aufgrund ihrer Wirksamkeit werden 2 internationale Ansätze dargestellt. Ergänzend werden 5 z.T. evaluierte Ansätze des deutschen Sprachraumes beschrieben. Um einer subklinisch exzessiven Nutzungsgruppe ein benötigtes präventi...
Article
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Background: Internet-related disorders (IRDs) as a growing mental health issue will probably be included in the upcoming ICD-11. While research on psychological aspects has progressed, less data are available regarding the physical health status of patients. Thus, we provide new data on physical health complaints, prediagnosed illness, level of fu...
Article
Importance Internet and computer game addiction represent a growing mental health concern, acknowledged by the World Health Organization. Objective To determine whether manualized cognitive behavioral therapy (CBT), using short-term treatment for internet and computer game addiction (STICA), is efficient in individuals experiencing internet and co...
Article
We propose an updated version of the Interaction of Person-Affect-Cognition-Execution (I-PACE) model, which we argue to be valid for several types of addictive behaviors, such as gambling, gaming, buying-shopping, and compulsive sexual behavior disorders. Based on recent empirical findings and theoretical considerations, we argue that addictive beh...
Article
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Background and aims: Internet Gaming Disorder (IGD) and other Internet-related disorders (IRDs) have become growing health concerns in our today's lives. Based on defined diagnostic criteria, IGD has been recognized as a condition for further research in the DSM-5; however, other IRDs have been excluded. Since the release of the DSM-5, representat...
Article
In this case history a 31-year old patient with symptomatology of "online sex addiction" and wish for a psychotherapy in a specific outpatient clinic for behavioral addictions will be presented. The patient reports an unability of distancing oneself from the feeling of craving and excessive usage of online pornographic content. At first the patient...
Article
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The intensity of using sexually explicit internet material (SEIM) is contingent on users’ gender. However, gender differences in the motivations for watching SEIM have not yet been comprehensively explored. Drawing on a representative survey of German internet users, we therefore analyze how women and men use SEIM to satisfy escapist needs. Lower l...
Article
Der Begriff «internetbezogene Störungen» wird derzeit genutzt, um unterschiedliche Online-Aktivitäten zu beschreiben, die sich dysfunktional und zumeist zeitlich ausufernd darstellen. Von Betroffenen beschriebene Merkmale wie Kontrollverlust, Fortführung des Konsums trotz negativer Konsequenzen und das Auftreten aversiver Zustände bei Konsumverhind...
Article
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The proposed introduction of gaming disorder (GD) in the 11th revision of the International Classification of Diseases (ICD-11) developed by the World Health Organization (WHO) has led to a lively debate over the past year. Besides the broad support for the decision in the academic press, a recent publication by van Rooij et al. (2018) repeated the...
Article
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Adolescents with a strong tendency for irrational task delay (i.e., high trait procrastination) may be particularly prone to use Internet applications simultaneously to other tasks (e.g., during homework) and in an insufficiently controlled fashion. Both Internet multitasking and insufficiently controlled Internet usage may thus amplify the negativ...
Article
Full-text available
Background and aims Gambling disorder is a significant public health concern. Especially, male minors have been shown to gamble in a problematic way, despite legal prohibitions. Methods We examined representative samples of students aged from 12 to 18 years (N = 9,309) in two German federal states to provide prevalence data and clinical descriptio...
Article
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A growing number of studies suggest that Internet users frequently utilize online media as “tools for procrastination.” This study thus investigated the relationship between trait procrastination, Internet use, and psychological well-being in a representative sample of N = 1,577 German Internet users. The results revealed that trait procrastination...
Article
The short form of the General Procrastination Scale (GPS-K; Klingsieck & Fries, 2012; Lay, 1986) is a reliable self-report scale measuring general procrastination. The presumed one-dimensional factor structure of the scale, however, has never been examined. Thus, the purposes of this representative study were to examine its dimensionality and facto...
Article
Full-text available
Verhaltenssüchte sind eine relativ neue Form von Suchterkrankungen, die sich im Gegensatz zu klassischen substanzgebundenen Süchten auf die exzessive Ausführung bestimmter Verhaltensweisen beziehen. Erste Wirksamkeitsstudien belegen, dass die Behandlung von Verhaltenssüchten auf der Basis von kognitiv-verhaltenstherapeutischen Ansätzen gute Erfolge...
Article
Purpose: Problematic Internet use (PIU) that has recently been referred to as Internet-related disorder is a growing health concern. Yet, it is unclear why some adolescents are developing problematic use, whereas others sustain control. Based on previous research, we hypothesize that personality traits (low conscientiousness and high neuroticism)...
Article
Full-text available
Problematic internet use may lead to serious psychosocial dysfunction. Recent studies have found comparable prevalence in both male and female adolescents. We pursue the neglected questions how male and female adolescents differ regarding their patterns of internet use and how gender, peer attachment and patterns of use are related to pathological...
Article
Nach einer Darstellung des aktuellen Forschungsstandes zum Störungsbild Internetsucht und der Abbildung der diagnostischen Entitäten werden zunächst Ursachen und Auswirkungen der Internet- und Computerspielsucht im Kontext von Verhaltenssüchten beschrieben. Dem Suchtverhalten zugrunde liegende Lernmechanismen werden dargestellt und mit dem Störungs...
Article
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According to the World Health Organization well-being has been defined as one outcome parameter indicating successful recovery from diseases. One disease causing significant psychosocial problems and distress is Gambling Disorder that is being characterized as a poorly controlled excessive engagement in gambling activities. While there are several...
Article
Zusammenfassung. Hintergrund: Internetbezogene Störungen stellen ein noch junges Forschungsgebiet dar. Das gilt insbesondere auch für den Bereich der Prävention und Frühintervention. Methode: Eine Expertengruppe hat auf Initiative der Drogenbeauftragten, Frau Marlene Mortler, für den Drogen-und Suchtrat der Bundesregierung Empfehlungen hinsichtlich...
Article
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Aims: This paper examines the addictive potential of 8 different Internet applications, distinguishing male and female users. Moreover, differential correlates of problematic use are investigated in Internet gamers (IG) and generalized Internet users (GIU). Method: In a representative sample of 5,667 adolescents aged 12-19 years, use of Internet...
Article
Introduction: The unlimited access to sexual features in the World Wide Web has raised concerns about excessive and problematic online-sex use. However, little is known about antecedents of internet-sex use of different intensity. Based on a representative German sample of 2,522 participants between the ages of 14 and 97 years, the aims of the pre...
Article
Full-text available
The proposed inclusion of Internet gaming disorder (IGD) into the upcoming ICD-11 has caused mixed reactions. Having a sound diagnostic framework for defining this new phenomenon has been applauded but concerns have risen regarding overpathologizing a mere pastime activity. The review by Aarseth et al. (2016) provides a fine but one-sided impressio...
Chapter
Treatment of Internet addiction within the German healthcare system is performed by two main clinical disciplines, “Psychiatry and Psychotherapy” on the one hand and “Psychosomatic medicine and Psychotherapy” on the other. Acute states of addiction and withdrawal are usually treated in psychiatric hospitals, which can deal with any medical implicat...
Article
Symptome wie Kontrollverlust, Fortfuhrung des Konsums trotz ­negativer Konsequenzen und Toleranzentwicklung gelten seit jeher als diagnostische Merkmale klassischer Substanzabhangigkeiten. Unter bestimmten Voraussetzungen scheinen diese Kriterien jedoch auch auf spezifische Verhaltensweisen ubertragbar zu sein, etwa die Internet- und Computerspiels...
Article
Objective: Research has indicated that internet addiction is associated with psychosocial maladjustment in adolescence. Many epidemiologic surveys are lacking representativeness, and knowledge on disorder-specific risk factors is scarce. One weakness of epidemiologic studies often regards their lack of generalizability to clinical reality. The aim...
Article
The proportion of adolescent migrants in Germany aged 15-20 years has risen to about 29.5% in 2014 according to Federal census statistics. The purpose of the current study was to describe and to compare the psychological strains of adolescent 1st and 2nd generation migrants with non-migrants in a representative school survey. Acceptance of violence...