Compulsive buying disorder: A review of the evidence.

被引:76
作者
Black, Donald W. [1 ]
机构
[1] Univ Iowa, Roy J & Lucille A Carver Coll Med, Dept Psychiat, Iowa City, IA 52242 USA
关键词
IMPULSE-CONTROL DISORDERS; PSYCHIATRIC COMORBIDITY; SHOPPING DISORDER; OPEN-LABEL; PHENOMENOLOGY; FLUVOXAMINE; CITALOPRAM; SCALE;
D O I
10.1017/S1092852900020630
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Compulsive buying disorder is characterized by excessive or poorly controlled preoccupations, urges, or behaviors regarding shopping and spending that lead to subjective distress or impaired functioning. Compulsive buying disorder is estimated to have a lifetime prevalence of 5.8% in the United States general adult population. In clinical settings, most individuals with compulsive buying disorder are women (similar to 80%). This gender difference may be artifactual. Compulsive buying disorder is typically chronic or intermittent, with an age of onset in the late teens or early 20s. Comorbid mood and anxiety disorders, substance use disorders, eating disorders, and other disorders of impulse control are common, as are Axis II disorders. The disorder occurs worldwide, mainly in developed countries with market-based economies, and it tends to run in families with mood disorders and substance abuse. There is no standard treatment for compulsive buying disorder, but group cognitive-behavioral models seem promising, and psychopharmacologic treatments are being actively studied Other treatment options include simplicity circles, 12-step programs, financial counseling, bibliotherapy, marital therapy, and financial counseling. Directions for future research are discussed.
引用
收藏
页码:124 / 132
页数:11
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