Müller A, de Zwaan M
Psychosomatische und Psychotherapeutische Abteilung, Universitätsklinikum Erlangen, Schwabachanlage 6, 91054, Erlangen, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2010 Apr;53(4):289-94. doi: 10.1007/s00103-010-1032-0.
Compulsive buying is characterized by frequent excessive purchasing of items that are primarily not needed or used. The compulsive buying behavior results in mental, social, financial and often legal problems. Although compulsive buying affects a significant percentage of the general population and has received increasing attention in research, it has largely been ignored in clinical practice. Compulsive buying disorder is currently conceptualized as an"impulse control disorder not otherwise specified". However, the appropriate classification continues to be debated. Compulsive buying is associated with significant psychiatric co-morbidity, especially with depressive, anxiety, obsessive-compulsive, substance use, personality, and other impulse control disorders. Small controlled trials failed to confirm the efficacy of antidepressants in the treatment of compulsive buying disorder, whereas early evidence suggests that cognitive behavioral therapy is helpful in alleviating compulsive buying symptoms. Further research is needed to establish a better understanding of etiology, classification, and treatment strategies.
强迫性购物的特点是频繁过度购买主要并不需要或不会使用的物品。强迫性购物行为会导致心理、社交、财务以及常常还会引发法律问题。尽管强迫性购物影响着相当比例的普通人群，并且在研究中受到越来越多的关注，但在临床实践中它在很大程度上被忽视了。目前，强迫性购物障碍被概念化为一种“未另行说明的冲动控制障碍”。然而，其恰当的分类仍在争论之中。强迫性购物与显著的精神共病有关，尤其是与抑郁、焦虑、强迫、物质使用、人格及其他冲动控制障碍有关。小型对照试验未能证实抗抑郁药在治疗强迫性购物障碍方面的疗效，而早期证据表明认知行为疗法有助于减轻强迫性购物症状。需要进一步研究以更好地理解病因、分类及治疗策略。
