Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Hanover, Germany.
Department of Clinical Psychology and Psychotherapy, Otto-Friedrich-University of Bamberg, Bamberg, Germany.
Compr Psychiatry. 2024 Jul;132:152482. doi: 10.1016/j.comppsych.2024.152482. Epub 2024 Apr 8.
Theoretical frameworks of behavioral addictions mostly acknowledge the role of stress in the development and maintenance of these disorders, models of compulsive buying-shopping disorder (CBSD) however rarely incorporated stress. The association between stress and CBSD has not been reviewed yet.
A scoping review was conducted to evaluate empirical results on the association between stress and CBSD. A comprehensive search string was employed in three databases.
16 studies were included. Correlative studies suggested significant correlations between general perceived stress and CBSD symptom severity. Studies involving mean comparisons found higher general perceived stress levels in persons with problematic buying-shopping behavior/CBSD compared to control participants (large effects). Mixed results were found in studies involving regression/structural equation models and ecological momentary assessments. One study with a stress/negative mood induction observed more CBSD symptoms in a high stress group compared to a low stress group.
The studies are heterogeneous concerning design, samples and measures. Only very few studies surpass the level of cross-sectional correlative data which limits the ability to draw clear conclusions. Future research should study the impact of experimentally induced stress on CBSD symptoms, examine the relationship between stress and CBSD longitudinally and assess objective stress markers.
行为成瘾的理论框架大多承认压力在这些障碍的发展和维持中的作用,但强迫性购买-购物障碍(CBSD)的模型很少纳入压力。压力与 CBSD 之间的关联尚未得到审查。
进行了范围综述,以评估压力与 CBSD 之间关联的实证结果。在三个数据库中使用了综合搜索字符串。
纳入了 16 项研究。相关性研究表明,一般感知压力与 CBSD 症状严重程度之间存在显著相关性。涉及均值比较的研究发现,有问题的购买-购物行为/CBSD 患者的一般感知压力水平高于对照组参与者(大效应)。涉及回归/结构方程模型和生态瞬时评估的研究结果喜忧参半。一项涉及压力/负面情绪诱导的研究观察到,高压力组的 CBSD 症状比低压力组更多。
这些研究在设计、样本和测量方面存在异质性。只有极少数研究超过了横断面相关性数据的水平,这限制了得出明确结论的能力。未来的研究应研究实验诱导的压力对 CBSD 症状的影响,纵向研究压力与 CBSD 之间的关系,并评估客观压力标志物。