Challet-Bouju Gaëlle, Mariez Julie, Perrot Bastien, Grall-Bronnec Marie, Chauchard Emeline
CHU Nantes, Addictology and Psychiatry Department, Nantes, France.
Université de Nantes, Université de Tours, INSERM, SPHERE U1246 "methodS in Patient-centered outcomes and HEalth ResEarch", Nantes, France.
Front Psychiatry. 2020 Apr 21;11:277. doi: 10.3389/fpsyt.2020.00277. eCollection 2020.
Our objective was to identify meaningful subgroups of buyers based on psychological risk factors for compulsive buying. A community sample of 242 adult women fulfilled an online survey exploring buying habits and motives, impulsivity, self-esteem, and severity of compulsive buying. A latent class cluster analysis was performed. A nonproblematic cluster (28%) was characterized by low levels of impulsivity and buying motives. An intermediary cluster (51%) was characterized by higher levels of positive and negative reinforcement-related buying motives. Both clusters were characterized by a low frequency of compulsive buying (2 and 8%, respectively), but the severity of compulsive buying was higher for the intermediary cluster. A third cluster (21%) was characterized by a higher frequency of compulsive buying (43%), a higher severity of compulsive buying, a stronger feeling of losing control, and higher levels of negative urgency and coping motive. These results present similarities with the Interaction of Person-Affect-Cognition-Execution (I-PACE) model of addiction and the negative reinforcement model of drug addiction, which both postulate that negative feelings play a central role in motivating and maintaining addiction. These results also echo other typologies performed in problem gamblers and problematic videogame users. These similarities of psychological profiles with other addictive behaviors, and with common symptoms and clinical expressions, are supplementary arguments to consider conceptualizing compulsive buying as an addictive disorder.
我们的目标是根据强迫性购买的心理风险因素来识别有意义的购买者亚组。对242名成年女性的社区样本进行了一项在线调查,该调查探讨了购买习惯与动机、冲动性、自尊以及强迫性购买的严重程度。进行了潜在类别聚类分析。一个无问题聚类组(28%)的特征是冲动性和购买动机水平较低。一个中间聚类组(51%)的特征是与正负强化相关的购买动机水平较高。这两个聚类组的强迫性购买频率都较低(分别为2%和8%),但中间聚类组的强迫性购买严重程度更高。第三个聚类组(21%)的特征是强迫性购买频率较高(43%)、强迫性购买严重程度更高、失控感更强以及负面紧迫感和应对动机水平更高。这些结果与成瘾的人-情感-认知-执行交互(I-PACE)模型以及药物成瘾的负强化模型存在相似之处,这两个模型都假定负面情绪在激发和维持成瘾方面起着核心作用。这些结果也与对问题赌徒和问题电子游戏使用者进行的其他类型分析结果相呼应。这些心理特征与其他成瘾行为以及常见症状和临床表现的相似性,是将强迫性购买概念化为成瘾性障碍的补充论据。