Lejoyeux M, Adès J, Tassain V, Solomon J
Department of Psychiatry, Hôpital Bichat-Claude-Bernard, Paris, France.
Am J Psychiatry. 1996 Dec;153(12):1524-9. doi: 10.1176/ajp.153.12.1524.
Uncontrolled buying, defined by the presence of repetitive impulsive and excessive buying that leads to personal and familial distress, is a psychiatric disorder that has only recently been recognized. This review focuses on the prevalence, clinical features, and etiology of this disorder.
All published articles on the topic were collected and reviewed. The literature concerning the typology of normal consumerism was also reviewed.
The prevalence of the disorder in the general population is reported to be 1.1%. The main clinical features of uncontrolled buying are impulsivity and repetition of buying, the invasive need to buy, unsuccessful attempts to control spending, and the existence of tangible negative consequences of buying (marked distress, interference with social or occupational functioning, or financial problems). Uncontrolled buying may be related to obsessive-compulsive disorder, depression, addiction, or impulsivity.
In most cases, uncontrolled buying can be understood as "compensatory buying" that temporarily alleviates depressive symptoms and can thus be associated with the results of antidepressant treatment in cases in which uncontrolled buying is symptomatically associated with depression.
无节制购物被定义为反复出现冲动性和过度购买行为，导致个人和家庭困扰，这是一种直到最近才被认识到的精神障碍。本综述聚焦于该障碍的患病率、临床特征和病因。
收集并审阅了所有关于该主题的已发表文章。还审阅了有关正常消费主义类型学的文献。
据报道，该障碍在普通人群中的患病率为1.1%。无节制购物的主要临床特征是购买的冲动性和重复性、强烈的购买需求、控制支出的尝试失败以及购买存在明显负面后果（显著困扰、干扰社交或职业功能或财务问题）。无节制购物可能与强迫症、抑郁症、成瘾或冲动性有关。
在大多数情况下，无节制购物可被理解为“补偿性购物”，它能暂时缓解抑郁症状，因此在无节制购物与抑郁症症状相关的情况下，可能与抗抑郁治疗的结果有关。
