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[Treatment of compulsive buying]
1Psychosomatische und Psychotherapeutische Abteilung, Universitätsklinikum Erlangen, Schwabachanlage 6, Erlangen. astrid.mueller@uk-erlangen.de
Fortschritte Der Neurologie-Psychiatrie
|August 5, 2008
Summary
Compulsive buying disorder (CBD) is a condition often overlooked in clinical settings, despite its significant impact. Cognitive-behavioral therapy shows promise for treating this impulse control disorder, unlike antidepressants.
Area of Science:
- Psychiatry
- Clinical Psychology
Context:
- Compulsive buying disorder (CBD) is increasingly researched but neglected in clinical practice.
- CBD involves excessive spending, distress, functional impairment, and financial issues, classified as an impulse control disorder.
- CBD frequently co-occurs with mood, anxiety, obsessive-compulsive, eating, substance use, personality, and other impulse control disorders, as well as compulsive hoarding.
Purpose:
- To review the current understanding of compulsive buying disorder (CBD).
- To discuss the limited evidence-based treatment approaches for CBD.
- To evaluate the efficacy of antidepressants and cognitive-behavioral therapy (CBT) for CBD.
Summary:
- Antidepressant efficacy for CBD is inconclusive due to high placebo response rates in small trials.
- Two controlled trials indicate group cognitive-behavioral therapy (CBT) is more effective than waitlist controls for CBD.
- The study discusses clinical and therapeutic implications for managing compulsive buying disorder.
Impact:
- Highlights the need for greater clinical attention to compulsive buying disorder.
- Suggests cognitive-behavioral therapy as a potentially effective treatment for CBD.
- Informs clinical practice regarding the management of impulse control disorders.
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