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治疗性购物障碍患者的网络购物行为。

Online shopping in treatment-seeking patients with buying-shopping disorder.

机构信息

Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Carl-Neuberg-Straße 1, Hannover 30625, Germany.

Department of Clinical Psychology and Psychotherapy, Otto Friedrich University of Bamberg, Markusplatz 3, Bamberg 96047, Germany.

出版信息

Compr Psychiatry. 2019 Oct;94:152120. doi: 10.1016/j.comppsych.2019.152120. Epub 2019 Aug 23.

Abstract

BACKGROUND AND AIMS

With e-commerce becoming an important shopping activity, it has been argued that traditional buying-shopping disorder (BSD) migrates to the online retail market resulting in BSD predominantly online. The aims of the current study were to investigate how many patients with BSD report symptoms of online BSD, and to determine whether symptoms of probable online BSD are related to sociodemographic variables, anxiety, depression, and a higher severity of general BSD.

METHOD

A post hoc analysis of pooled data collected within previous studies (n = 122 treatment-seeking patients with BSD; age Mdn = 42.50, range 20-68 years; 76% women) was conducted. Assessment included the short version of the Internet Addiction Test modified for online shopping sites (s-IATshop), the Pathological Buying Screener (PBS) as an instrument assessing BSD in general, regardless of the buying or shopping environment, and measures for anxiety and depression.

RESULTS

33.6% of the sample met the s-IAT threshold for probable online BSD. Higher s-IAT scores were related to lower age and to a higher severity of anxiety, depression and general BSD. A hierarchical regression analysis with general BSD (PBS score) as dependent variable and partnership status, symptoms of anxiety, depression and online BSD (s-IAT-shop) as predictors indicated a significant positive association of probable online BSD with the severity of general BSD above and beyond anxiety and depression.

CONCLUSION

The findings may encourage future studies addressing phenomenological characteristics, underlying features, associated comorbidity, and clinical relevance of online BSD.

摘要

背景与目的

随着电子商务成为一种重要的购物活动,有人认为传统的购物障碍(BSD)会转移到在线零售市场,导致 BSD 主要在网上发生。本研究的目的是调查有多少 BSD 患者报告有在线 BSD 症状,并确定可能的在线 BSD 症状是否与社会人口学变量、焦虑、抑郁以及更严重的一般 BSD 有关。

方法

对先前研究中收集的汇总数据进行了事后分析(n=122 名寻求治疗的 BSD 患者;年龄中位数为 42.50 岁,范围为 20-68 岁;76%为女性)。评估包括在线购物网站的互联网成瘾测试简短版(s-IATshop)、一般 BSD 的病理性购买筛查器(PBS),无论购买或购物环境如何,以及焦虑和抑郁的测量。

结果

样本中 33.6%的人达到了可能的在线 BSD 的 s-IAT 阈值。较高的 s-IAT 分数与较低的年龄以及更高的焦虑、抑郁和一般 BSD 严重程度有关。以一般 BSD(PBS 评分)为因变量,以伴侣关系状况、焦虑、抑郁和在线 BSD(s-IAT-shop)症状为预测因子的分层回归分析表明,可能的在线 BSD 与一般 BSD 的严重程度呈显著正相关,超出了焦虑和抑郁的影响。

结论

这些发现可能鼓励未来的研究探讨在线 BSD 的现象学特征、潜在特征、相关共病和临床相关性。

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