Mueller Astrid, Mueller Ulrike, Albert Patricia, Mertens Christian, Silbermann Andrea, Mitchell James E, de Zwaan Martina
Department of Psychosomatic Medicine and Psychotherapy, University-Hospital of Erlangen, Schwabachanlage 6, D-91054 Erlangen, Germany.
Behav Res Ther. 2007 Nov;45(11):2754-63. doi: 10.1016/j.brat.2007.07.012. Epub 2007 Aug 8.
Previous research has indicated that many compulsive buyers also suffer from compulsive hoarding. The present work specifically examined hoarding in a compulsive buying sample. Sixty-six treatment-seeking compulsive buyers were assessed prior to entering a group therapy for compulsive buying using the Compulsive Buying Scale (CBS), the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS)-Shopping Version, the Compulsive Acquisition Scale (CAS), the German-CBS, the Saving Inventory-Revised (SI-R), the Maudsley Obsessive Compulsive Inventory (MOCI), the Barratt Impulsiveness Scale (BIS-11), and the Structured Clinical Interview for DSM-IV Axis I (SCID). Inclusion criteria were current problems with compulsive buying according to the proposed diagnostic criteria for compulsive buying by McElroy, Keck, Pope, Smith, and Strakowski [(1994). Compulsive buying: A report of 20 cases. Journal of Clinical Psychiatry, 55, 242-248]. Our results support the assumption that many but not all compulsive buyers suffer from compulsive hoarding. A significant association between the SI-R and the compulsive buying measures CBS, Y-BOCS-SV, German-CBS, and the CAS-Buy subscale was found, which is mostly caused by the SI-R subscale acquisition. The SI-R subscales clutter and difficulty discarding were more closely associated with the CAS-Free subscale and with obsessive-compulsive symptoms. Hoarding compulsive buyers reported more severe buying symptoms and obsessive-compulsive symptoms and presented with a higher psychiatric co-morbidity, especially any current affective, anxiety and eating disorder. Specific therapeutic interventions for compulsive buyers who also report compulsive hoarding appear indicated.
先前的研究表明,许多强迫性购买者也患有强迫性囤积症。本研究专门考察了强迫性购买样本中的囤积行为。66名寻求治疗的强迫性购买者在进入强迫性购买团体治疗之前,使用强迫性购买量表(CBS)、耶鲁-布朗强迫量表(Y-BOCS)购物版、强迫性获取量表(CAS)、德文版CBS、修订后的储蓄量表(SI-R)、莫兹利强迫量表(MOCI)、巴拉特冲动量表(BIS-11)以及《精神疾病诊断与统计手册》第四版轴I障碍结构化临床访谈(SCID)进行了评估。纳入标准为根据麦克尔罗伊、凯克、波普、史密斯和斯特拉科夫斯基提出的强迫性购买诊断标准[(1994年。强迫性购买:20例报告。《临床精神病学杂志》,55,242-248)],目前存在强迫性购买问题。我们的研究结果支持了这样一种假设,即许多但并非所有强迫性购买者都患有强迫性囤积症。研究发现,SI-R与强迫性购买测量指标CBS、Y-BOCS-SV、德文版CBS以及CAS购买子量表之间存在显著关联,这主要是由SI-R子量表获取导致的。SI-R子量表杂乱和丢弃困难与CAS无购买子量表以及强迫症状的关联更为密切。囤积型强迫性购买者报告了更严重的购买症状和强迫症状,并且具有更高的精神疾病共病率,尤其是任何当前的情感、焦虑和饮食障碍。对于那些还报告有强迫性囤积行为的强迫性购买者,似乎需要采取特定的治疗干预措施。