CNS Drugs

, Volume 15, Issue 1, pp 17–27 | Cite as

Compulsive Buying Disorder

Definition, Assessment, Epidemiology and Clinical Management
  • Donald W. Black
Therapy in Practice

Abstract

Compulsive buying disorder is characterised by excessive or poorly controlled preoccupations, urges or behaviours regarding shopping and spending, which lead to adverse consequences.

Compulsive buying disorder has been estimated to affect from 2 to 8% of the general adult population in the US; 80 to 95% of those affected are female. Onset occurs in the late teens or early twenties, and the disorder is generally chronic. Psychiatric comorbidity is frequent, particularly mood, anxiety, substance use, eating and personality disorders.

Treatment has not been well delineated, but individual and group psychotherapy, cognitive-behavioural therapy and 12-step programmes may be helpful. Debt consolidation and credit counselling will be appropriate for many individuals who have compulsive buying disorder. Serotonin (5-hydroxytryptamine; 5-HT) reuptake inhibitors may help some patients regulate their buying impulses. Self-help books are also available.

References

  1. 1.
    Hollander E, editor. Obsessive-compulsive related disorders. Washington, DC: American Psychiatric Press, 1993Google Scholar
  2. 2.
    Koran L. Obsessive compulsive and related disorders in adults. New York: Cambridge University Press, 1999Google Scholar
  3. 3.
    Osborn I. Tormenting thoughts and secret rituals. New York: Pantheon Books, 1998Google Scholar
  4. 4.
    Kraepelin E. Psychiatrie. 8th ed. Leipzig: Verlag Von Johann Ambrosius Barth, 1915: 408–9Google Scholar
  5. 5.
    Bleuler E. Textbook of psychiatry. New York: McMillan, 1930Google Scholar
  6. 6.
    Black DW. The obsessive-compulsive spectrum: fact or fancy? In: Maj M, Sartorius N, Okasha A, et al., editors. Obsessive-compulsive disorders. New York: John Wiley, 2000: 233–5Google Scholar
  7. 7.
    Krueger DW. On compulsive shopping and spending: a psychodynamic inquiry. Am J Psychother 1988; 42(4): 574–84PubMedGoogle Scholar
  8. 8.
    Lawrence L. The psychodynamics of the compulsive female shopper. Am J Psychoanal 1990; 50(1): 67–70PubMedCrossRefGoogle Scholar
  9. 9.
    Winestine MC. Compulsive shopping as a derivative of childhood seduction. Psychoanal Q 1985; 54: 70–2PubMedGoogle Scholar
  10. 10.
    Valence G, D’Astous A, Fortier L. Compulsive buying: concept and measurement. J Clin Policy 1988; 11: 419–33CrossRefGoogle Scholar
  11. 11.
    Scherhorn G, Reisch LA, Raab G. Addictive buying in West Germany: an empirical study. J Consumer Policy 1990; 13: 355–87CrossRefGoogle Scholar
  12. 12.
    Faber RJ, O’Guinn TC. A clinical screener for compulsive buying. J Consumer Res 1992; 19: 459–69CrossRefGoogle Scholar
  13. 13.
    Faber RJ, O’Guinn TC. Classifying compulsive consumers: advances in the development of a diagnostic tool. Adv Consum Res 1989; 16: 147–57CrossRefGoogle Scholar
  14. 14.
    O’Guinn TC, Faber RJ. Compulsive buying: a phenomenological exploration. J Consumer Res 1989; 16: 147–57CrossRefGoogle Scholar
  15. 15.
    McElroy S, Satlin A, Pope Jr HG, et al. Treatment of compulsive shopping with antidepressants: a report of three cases. Ann Clin Psychiatry 1991; 3(3): 199–204CrossRefGoogle Scholar
  16. 16.
    McElroy SL, Keck Jr PE, Pope Jr HG, et al. Compulsive buying: a report of 20 cases. J Clin Psychiatry 1994; 55(6): 242–8PubMedGoogle Scholar
  17. 17.
    Schlosser S, Black DW, Repertinger S, et al. Compulsive buying: demography, phenomenology, and comorbidity in 46 subjects. Gen Hosp Psychiatry 1994; 16: 205–12PubMedCrossRefGoogle Scholar
  18. 18.
    Christenson GA, Faber JR, de Zwann M. Compulsive buying: descriptive characteristics and psychiatric comorbidity. J Clin Psychiatry 1994; 55(1): 5–11PubMedGoogle Scholar
  19. 19.
    American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington, DC: American Psychiatric Press, 1994Google Scholar
  20. 20.
    Black DW. Compulsive buying: a review. J Clin Psychiatry 1996; 57 Suppl. 8: 50–5Google Scholar
  21. 21.
    Glatt MM, Cook CC. Pathological spending as a form of psychological dependence. Brit J Addict 1987; 82: 1252–8Google Scholar
  22. 22.
    Krych R. Abnormal consumer behavior: a model of addictive behaviors. Adv Consum Res 1989; 16: 745–8Google Scholar
  23. 23.
    Black DW. Assessment of compulsive buying. In: I shop, therefore I am — compulsive buying and the search for self. Benson A, editor. New York: Jason Aronson, 2000; 191–216Google Scholar
  24. 24.
    Lejoyeux M, Tassian V, Solomon J. Study of compulsive buying in depressed patients. J Clin Psychiatry 1997; 58(4): 169–73PubMedCrossRefGoogle Scholar
  25. 25.
    Monahan P, Black DW, Gabel J. Reliability and validity of a scale to measure change in persons with compulsive buying. Psychiatry Res 1995; 64: 59–67CrossRefGoogle Scholar
  26. 26.
    Black DW, Repertinger S, Gaffney GR, et al. Family history and psychiatric comorbidity in persons with compulsive buying: preliminary findings. Am J Psychiatry 1998; 155(7): 960–3PubMedGoogle Scholar
  27. 27.
    Lejoyeux M, Haberman N, Solomon J, et al. Comparison of buying behavior in depressed patients presenting with or without compulsive buying. Compr Psychiatry 1999; 40(1); 51–6PubMedCrossRefGoogle Scholar
  28. 28.
    Ninan PT, McElroy SL, Kane CP, et al. Placebo-controlled study of fluvoxamine in the treatment of patients with compulsive buying. J Clin Psychopharmacol 2000; 20: 362–6PubMedCrossRefGoogle Scholar
  29. 29.
    Bernik MA, Akerman D, Amaral JAMS, et al. Cue exposure in compulsive buying [letter]. J Clin Psychiatry 1996; 57(2): 90PubMedGoogle Scholar
  30. 30.
    Elliott R. Addictive consumption: function and fragmentation in post-modernity. J Consumer Policy 1994; 17: 159–79CrossRefGoogle Scholar
  31. 31.
    Faber RJ, Christenson GA, De Zwaan M, et al. Two forms of compulsive consumption: comorbidity of compulsive buying and binge eating. J Consum Res 1995; 22: 296–394CrossRefGoogle Scholar
  32. 32.
    American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 3rd rev. ed, Washington, DC: American Psychiatric Press, 1987Google Scholar
  33. 33.
    Devor EJ, Magee HJ, Dill-Devor RM, et al. Serotonin transporter gene (5-HTT) polymorphisms and compulsive buying. Am J Med Genet 1999; 88: 123–5PubMedCrossRefGoogle Scholar
  34. 34.
    Black DW, Monahan P, Schlosser S. Repertinger S. Compulsive buying severity: an analysis of compulsive buying scale results in 44 subjects. J Nerv Ment Dis. In pressGoogle Scholar
  35. 35.
    Lejoyeux M, Adès J, Tassian V, et al. Phenomenology and psychopathology of uncontrolled buying. Am J Psychiatry 1996; 153(12): 1524–9PubMedGoogle Scholar
  36. 36.
    Burgard M, Mitchell JE. Group cognitive-behavioral therapy for buying disorders. In: I shop, therefore I am: compulsive buying and the search for self. Benson A, editor. New York: Jason Aronson 2000; 367-97Google Scholar
  37. 37.
    Lejoyeux M, Hourtane M, Ades J. Compulsive buying and depression [letter]. J Clin Psychiatry 1995; 56(1): 38PubMedGoogle Scholar
  38. 38.
    Black DW, Monahan P, Gabel J. Fluvoxamine in the treatment of compulsive buying. J Clin Psychiatry 1997; 58(4): 159–63PubMedCrossRefGoogle Scholar
  39. 39.
    Black DW, Gable J, Hansen J, et al. A double-blind comparison of fluvoxamine versus placebo in the treatment of compulsive buying disorder. Ann Clin Psychiatry. In pressGoogle Scholar
  40. 40.
    Kim SW. Opioid antagonists in the treatment of impulse-control disorders. J Clin Psychiatry 1998; 59: 159–64PubMedCrossRefGoogle Scholar
  41. 41.
    Brazer L. Psychoeducation group therapy for money disorders. In: I shop, therefore I am — compulsive buying and the search for self. Benson A, editor. New York: Jason Aronson, 2000; 398–427Google Scholar
  42. 42.
    McCall K. Financial Recovery Counseling. In: I shop, therefore I am — compulsive buying and the search for self. Benson A, editor. New York: Jason Aronson, 2000; 455–83Google Scholar
  43. 43.
    Levine B, Kellen B. Debtors anonymous and psychotherapy. In: I shop, therefore I am — compulsive buying and the search for self. Benson A, editor. New York: Jason Aronson, 2000; 431–54Google Scholar
  44. 44.
    Damon JE. Shopaholics: serious help for addicted spenders. Los Angeles: Price Stein Sloan, 1988Google Scholar
  45. 45.
    Arenson G. Born to spend: how to overcome compulsive spending. Blue Ridge Summit (PA): Tab Books, 1991Google Scholar
  46. 46.
    Wesson C. Women who shop too much: overcoming the urge to splurge. New York: St. Martin’s Press, 1991Google Scholar

Copyright information

© Adis International Limited 2001

Authors and Affiliations

  • Donald W. Black
    • 1
  1. 1.Psychiatry Research — MEBUniversity of Iowa College of MedicineIowa CityUSA

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