Compulsive buying: a report of 20 cases.
Compulsive buying: a report of 20 cases.
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强迫性购买：20个案例报告
DOI：
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发表时间：
1994
影响因子：
5.3
通讯作者：
S. Strakowski
中科院分区：
文献类型：
--
作者：
S. McElroy;P. Keck;H. Pope;Jacqueline Smith;S. Strakowski
背景
强迫性购买可能是一种常见但很少被研究的疾病。为了进一步描述这种综合症的特征，作者对 20 名强迫性购物者进行了评估。
方法
连续二十名患有问题购买行为的精神病患者的特征是（1）无法控制； (2) 明显令人痛苦、耗时和/或导致家庭、社会、职业和/或经济困难； (3) 不仅仅发生在轻躁狂或躁狂症状的情况下，通过结构化诊断访谈进行评估。还评估了精神疾病家族史以及患者对心理和生物治疗的反应。
结果
十九名（95%）的强迫性购物者在一生中被诊断出患有严重的情绪障碍。 16 人 (80%) 终生诊断为焦虑症，8 人 (40%) 患有冲动控制障碍，7 人 (35%) 患有饮食失调。一级亲属情绪障碍的患病率很高。 13 名在强迫性购买发作时接受抗抑郁药治疗的患者中，有 9 名 (69%) 报告购买症状减轻或缓解。
结论
强迫性购买可能会导致严重的心理、人际关系和财务困难；可能与其他精神疾病同时发生；可能是可以治疗的；因此，应该将其作为一种精神障碍进行进一步研究。为此，提出了其诊断的初步操作标准。
BACKGROUND
Compulsive buying is a probably common but little studied disorder. To further characterize this syndrome, the authors assessed 20 compulsive buyers.
METHOD
Twenty consecutive psychiatric patients with problematic buying behavior characterized as (1) uncontrollable; (2) markedly distressing, time-consuming, and/or resulting in family, social, vocational, and/or financial difficulties; and (3) not occurring only in the context of hypomanic or manic symptoms were evaluated with structured diagnostic interviews. Family histories of psychiatric disorders and patients' responses to psychological and biological treatments were also assessed.
RESULTS
Nineteen (95%) of the compulsive buyers studied had lifetime diagnoses of major mood disorders. Sixteen (80%) had lifetime diagnoses of anxiety disorders, 8 (40%) had impulse control disorders, and 7 (35%) had eating disorders. First-degree relatives displayed a high prevalence of mood disorders. Nine (69%) of 13 patients receiving thymoleptics at the time of compulsive buying episodes reported reduction or remission of their buying symptoms.
CONCLUSION
Compulsive buying may cause significant psychological, interpersonal, and financial difficulties; may co-occur with other psychiatric disorders; may be treatable; and, thus, should be further studied as a mental disorder in its own right. To this end, preliminary operational criteria for its diagnosis are proposed.