Compulsive Buying
Compulsive Buying
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DOI：
10.3109/00952990.2010.493590
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发表时间：
2010-09-01
影响因子：
2.7
通讯作者：
Weinstein, Aviv
中科院分区：
文献类型：
--
作者：
Lejoyeux, Michel;Weinstein, Aviv
背景：强迫性购买是一种慢性、重复的购买，成为对负面事件和感觉的主要反应，可能包括等同于渴望和戒断的症状。目的：本文描述了强迫性购买的成瘾特征、精神疾病的共病以及治疗的可能性。方法：利用PubMed和Medline搜索引擎，以“强制购买”为关键词，对1990-2010年间发表的文献进行综述。结果：强迫症买家区别于普通消费者、收藏家和囤积者的一个关键特征是，前者关注的是购买过程本身，而不是购买的物品。在这种情况下，购买的物品通常从未使用过，但往往被隐藏或扔掉。最近的一项筛查研究发现，多达5%的美国成年人似乎受到这种强迫症的困扰。强迫性购买会导致不良后果，包括财务和法律问题、心理困扰(抑郁、内疚)和人际冲突。最常见的合并症是抑郁症和饮食失调。人们对强迫性购买的神经生物学和遗传学知之甚少，对其治疗也相对知之甚少。认知行为疗法有一些疗效，但在对照试验中没有药物有效。结论：强迫性购买可以被描述为一种行为依赖。未来需要进行大量研究，以提高我们对强迫性购买的理解。
Background: Compulsive buying is a chronic, repetitive purchasing that becomes a primary response to negative events and feelings, and may include symptoms equivalent to craving and withdrawal. Objectives: This article describes the addictive characteristics of compulsive buying, the psychiatric comorbidity, and the possibilities of treatment. Methods: Using PubMed and MedLine search engines, we performed a review of published literature over the period 1990-2010 using the keyword "compulsive buying". Results: A key feature distinguishing compulsive buyers from normal consumers, collectors, and hoarders is that the former focuses on the buying process itself, rather than the items bought. In this instance, the purchased items are usually never used, but tend to be hidden or thrown away. A recent screening study found that up to 5% of adult Americans appear to be afflicted with this compulsion. Compulsive buying results in adverse consequences, including financial and legal problems, psychological distress (depression, guilt), and interpersonal conflict. The most commonly associated comorbidities are depression and eating disorders. Nothing is known about the neurobiology and genetics of compulsive buying and relatively little about its treatment. Cognitive behavioral therapy has some efficacy, but no medication has been effective in controlled trials. Conclusions: Compulsive buying can be described as a behavioral dependence. A great deal of future research is needed to improve our understanding of compulsive buying.