Laskowski Nora M, Ballero Reque Cristina, Reiß Pauline, Pahlenkemper Marie, Brandt Gerrit, Paslakis Georgios
J Behav Addict. 2025 May 28;14(2):679-713. doi: 10.1556/2006.2025.00042. Print 2025 Jul 2.
Compulsive Buying-Shopping Disorder (CBSD) is linked to disordered eating behaviors (DEB) and body image (BI) concerns, sharing traits like impulsivity and low self-control. Societal pressures and idealized body standards exacerbate body dissatisfaction, which may drive individuals toward buying/shopping or DEB as coping strategies. This review aims to clarify these connections, including from a gender-sensitive perspective.
This systematic review was pre-registered (PROSPERO CRD42023489555) and followed PRISMA guidelines. A search was conducted across PsycINFO, Web of Science, PubMed MEDLINE, and Scopus. Study quality was assessed using the Quality Assessment Tool for Observational Studies.
CBSD is often associated with DEB regardless of gender, particularly binge-eating disorder. Women are more affected by CBSD than men, with higher rates of comorbid bulimia nervosa, and they experience greater psychological distress. Several studies found that CBSD and DEB are often linked through maladaptive coping strategies. Body dissatisfaction is consistently identified as a key predictor of CBSD, which may serve as a coping mechanism for emotional distress.
Gender differences were analyzed in only 14 studies, limiting the generalizability of the findings. A significant gap in research on sexual and/or gender minorities (SGM) is highlighted. This gap is crucial to address, as SGM individuals often face unique stressors (e.g., social stigma) that may influence their mental health and coping behaviors differently than cisgender/heterosexual individuals. Future research should focus on more diverse, longitudinal studies.
强迫性购买-购物障碍（CBSD）与饮食失调行为（DEB）和身体意象（BI）问题相关，具有冲动性和低自我控制等共同特征。社会压力和理想化的身体标准加剧了身体不满，这可能促使个体将购买/购物或饮食失调行为作为应对策略。本综述旨在阐明这些联系，包括从性别敏感的角度。
本系统综述已预先注册（PROSPERO CRD42023489555）并遵循PRISMA指南。在PsycINFO、科学网、PubMed MEDLINE和Scopus上进行了检索。使用观察性研究质量评估工具对研究质量进行评估。
无论性别如何，CBSD通常都与饮食失调行为相关，尤其是暴饮暴食障碍。女性比男性更容易受到CBSD的影响，合并神经性贪食症的发生率更高，并且她们经历更大的心理困扰。几项研究发现，CBSD和饮食失调行为通常通过适应不良的应对策略联系在一起。身体不满一直被认为是CBSD的关键预测因素，它可能作为一种应对情绪困扰的机制。
仅在14项研究中分析了性别差异，限制了研究结果的普遍性。强调了在性和/或性别少数群体（SGM）研究方面存在重大差距。解决这一差距至关重要，因为SGM个体通常面临独特的压力源（例如社会耻辱），这些压力源可能以与顺性别/异性恋个体不同的方式影响他们的心理健康和应对行为。未来的研究应侧重于更多样化的纵向研究。
