Compulsive buying disorder

Compulsive buying disorder (CBD), or oniomania (from Greek ὤνιος ṓnios "for sale" and μανία manía "insanity"[1]), is characterized by an obsession with shopping and buying behavior that causes adverse consequences. According to Kellett and Bolton,[2] compulsive buying "is experienced as an irresistible–uncontrollable urge, resulting in excessive, expensive and time-consuming retail activity [that is] typically prompted by negative affectivity" and results in "gross social, personal and/or financial difficulties".[2] Most people with CBD meet the criteria for a personality disorder. Compulsive shopping is classified by ICD-10 (F63.8) as an "impulse control disorder, not otherwise classified." Several authors consider compulsive shopping rather as a variety of dependence disorder.[3]

History

According to German physician Max Nordau, French psychiatrist Valentin Magnan coined the term "oniomania" in the 1892 German translation of his Psychiatric Lectures (Psychiatrische Vorlesungen).[4] Magnan describes compulsive buying as a symptom of degeneration.[5] In his book Degeneration (1892), Nordau calls oniomania or "buying craze" a "stigma of degeneration".[6] Emil Kraepelin described oniomania as of 1909,[7] and he and Bleuler both included the syndrome in their influential early psychiatric textbooks.[8] However, little interest was taken in CBD until the 1990s,[9] and, even in the 21st century, compulsive shopping can be considered a barely recognised mental illness.[10]

Characteristics

CBD is frequently comorbid with mood, anxiety, substance abuse and eating disorders. People who score highly on compulsive buying scales tend to understand their feelings poorly and have low tolerance for unpleasant psychological states such as negative moods.[11] Onset of CBD occurs in the late teens and early twenties and is generally chronic. Compulsive buying disorder usually mainly affected young people as several reports put in that most interviewees reported to be in the range of 17.5-19 years. The phenomenon of compulsive buying tends to affect women rather than men. The aforementioned reports on this matter indicated that the dominance of the majority group is so great that it accounts for about more than 90% of the affected demographic.[12]. Zadka and Olajossy, suggest the presence of several similar tendencies between consumer type mannerism and pathologic consumption of psychoactive elements. These tendencies include a constant need to consume, personal dependence, and an affinity to lack of sense of control over self-behavior.[13] Additionally, Zadka and Olajossy stated that one could conclude that individuals ailing from this disorder are often in the second decade to fourth decade of their lives and exhibit mannerisms akin to neurotic personality and impulse control disorders.[14]

CBD is similar to, but distinguished from, OCD hoarding and mania. Compulsive buying is not limited to people who spend beyond their means; it also includes people who spend an inordinate amount of time shopping or who chronically think about buying things but never purchase them. Promising treatments for CBD include medication such as selective serotonin reuptake inhibitors (SSRIs), and support groups such as Debtors Anonymous.[15] [16][17][18]

Research revealed that 1.8 to 8.1 percent of the general adult population have CBD and that while the usual onset is late adolescence or early adulthood, it is often recognized as a problem later in life.[19]

Distinctions

Compulsive Buying Disorder is tightly associated with excessive or poorly managed urges related to the purchase of the items and spending of currency in any form; digital, mobile, credit or cash.[20]

The terms compulsive shopping, compulsive buying, and compulsive spending are often used interchangeably, but the behaviors they represent are in fact distinct. [21] One may buy without shopping, and certainly shop without buying: of compulsive shoppers, some 30 percent described the act of buying itself as providing a buzz, irrespective of the goods purchased.[22]

Causes

CBD often has roots in early experience. Perfectionism, general impulsiveness and compulsiveness, dishonesty, insecurity, and the need to gain control have also been linked to the disorder.[23][24] From a medical perspective, it can be concluded that impulsive control disorder is attributed to the yearning of positive stimulus.[14] The normal method of operation in a healthy brain is that the frontal cortex regulation handles the activity of rewarding. However, in individual with behavior disorders, this particular system malfunctions. Scientists reported compulsive buyers have significant changeable activity in this area of the brain.[14]

Compulsive buying seems to represent a search for self in people whose identity is neither firmly felt nor dependable, as indicated by the way purchases often provide social or personal identity-markers. [25] Those with associated disorders such as anxiety, depression and poor impulse control are particularly likely to be attempting to treat symptoms of low self-esteem through compulsive shopping.[26]

Others, however, object that such psychological explanations for compulsive buying do not apply to all people with CBD.[27]

Social conditions also play an important role in CBD, the rise of consumer culture contributing to the view of compulsive buying as a specifically postmodern addiction, particularly with regard to internet buying platforms.[28]

Readily available credit cards enable casual spending beyond one's means, and some would suggest that the compulsive buyer should lock up or destroy credit cards altogether.[29] Online shopping also facilitates CBD, with online auction addiction, used to escape feelings of depression or guilt, becoming a recognizable problem.[30]

What differentiates CBD from healthy shopping is the compulsive, destructive and chronic nature of the buying. Where shopping can be a positive route to self-expression, in excess it represents a dangerous threat.[31]

Materialism and image seeking

A social psychological perspective suggests that compulsive buying may be seen as an exaggerated form of a more normal search for validation through purchasing.[32] Also, pressures from the spread of materialist values and consumer culture over the recent decades can drive people into compulsive shopping.[33]

In a global context where we are all encouraged to "shop till we drop"[34]—compulsive shopping inevitably poses the further question, "Minority pathology or Mass problem?"[33] With advertisements offering not so much products as narratives (of success, glamour) to identify with,[35] compulsive buying may seem only an extreme aspect of what consumer culture demands from us all.[36]

Companies have adopted aggressive neuromarketing by associating the identification of a high social status with the purchasing of items. They strive to bring out such an individual as a sort of folk hero for having the ability to buy several items. As a result, according to Zadka and Olajossy, the act of shopping is then associated with the feeling of being of a higher social status or that of one climbing the social ranks. Zadka holds that these companies are taking advantage the frailties of peoples’ egos in an attempt to get them to spend their money.[14]

Symptoms and course

Diagnostic criteria for compulsive buying have been proposed:

1. Over-preoccupation with buying.

2. Distress or impairment as a result of the activity.

3. Compulsive buying is not limited to hypomanic or manic episodes.[37]

4. Constant obsessing with buying as well as being dissatisfied all the time.

While initially triggered by a perhaps mild need to feel special, the failure of compulsive shopping to actually meet such needs may lead to a vicious cycle of escalation,[38] with sufferers experiencing the highs and lows associated with other addictions.[39] The 'high' of the purchasing may be followed by a sense of disappointment, and of guilt,[40] precipitating a further cycle of impulse buying.[41][42] With the now addicted person increasingly feeling negative emotions like anger and stress, they may attempt to self-medicate through further purchases,[43] followed again by regret or depression once they return home,[44] leading to an urge for buying more. The aforementioned symptoms are aggravated further by the availability of money through access to credit cards and easy bank loans.[45]

As debt grows, the compulsive shopping may become a more secretive act.[39] At the point where bought goods are hidden or destroyed, because the person concerned feels so ashamed of their addiction, the price of the addiction in mental, financial and emotional terms becomes even higher.[46]

Individuals who can be considered addicted to shopping are observed to exhibit repetitive and obsessive urges to go buy items especially when in the vicinity of an environment that supports this venture such as a mall. In this locations, they mostly purchase things that are cheap and of low value mainly just to satisfy the urge to spend. Normally, these items end up being returned to the shop they were brought from or just disposed of entirely after a while. However, according to Zadka and Olajossy, this rarely works as these individuals are known to have low self-esteem.[14]

Consequences

The consequences of compulsive buying, which may persist long after a spree, can be devastating, with marriages, long-term relationships, and jobs all feeling the strain.[47] Further problems can include ruined credit history, theft or defalcation of money defaulted loans, general financial trouble and in some cases bankruptcy or extreme debt, as well as anxiety and a sense of life spiraling out of control.[48] The resulting stress can lead to physical health problems and ruined relationships, or even suicide.[49]

Additionally, the ingestion of medication to combat this disorder may lead to more problems. Further issues can come up, for instance; one may take in substances that they are allergic to thereby leading to unwanted developments. Also, Zadka and Olajossy state that it is quite easy for one to develop a tolerance toward these medication which will force the unfortunate individual to take a larger dosage which is detrimental to their health overall. They believe that 60% of patients who have been taking antiviral medication have experienced an occurrence of neuropsychiatric disorders.[14]

Treatment

Treatment involves becoming conscious of the addiction through studying, therapy and group work. Research done by Michel Lejoyeux and Aviv Weinstein suggests that the best possible treatment for CBD is through cognitive behavioral therapy. They suggest that a patient first be "evaluated for psychiatric comorbidity, especially with depression, so that appropriate pharmacological treatment can be instituted." Their research indicates that patients who received cognitive behavioral therapy over 10 weeks had reduced episodes of compulsive buying and spent less time shopping as opposed to patients who did not receive this treatment (251).

Lejoyeux and Weinstein also write about pharmacological treatment and studies that question the use of drugs on CB. They declare "few controlled studies have assessed the effects of pharmacological treatment on compulsive buying, and none have shown any medication to be effective." (252) The most effective treatment is to attend therapy and group work in order to prevent continuation of this addiction.[50][51]

Hague et al. reports that group therapy rendered the highest results as far as treatment of compulsive buying disorder is concerned. He states that group therapy contributed to about 72.8% in positive change in the reduction of urges of compulsive spending. Additionally, he notes that psychotherapy may not be the treatment of choice for all compulsive buying disorder patients since the suitability of the treatment method to the patient is also an important consideration. He holds that the treatments of the disorder are required to provide a certain reflection of the context in which this phenomenon manifests. [52]

Selective serotonin reuptake inhibitors such as fluvoxamine and citalopram may be useful in the treatment of CBD, although current evidence is mixed.[53][54] Opioid antagonists such as naltrexone and nalmefene are promising potential treatments for CBD.[53] A review concluded that evidence is limited and insufficient to support their use at present, however.[55] Naltrexone and nalmefene have also shown effectiveness in the treatment of gambling addiction, an associated disorder.[55][56]

Historical examples

• Mary Todd Lincoln was addicted to shopping, running up (and concealing) large bills on credit, feeling manic glee at spending sprees, followed by depressive reactions in the face of the results.[57]
• Alexandre De Richaud was part of the very first cases of online shopping addiction. This particular case has been studied by Professor Bratec in its PhD about BEP parties [58]

Gear Acquisition Syndrome (G.A.S.)

Since the 1990s, the acronym G.A.S. ("Gear Acquisition Syndrome") is used in internet forums and magazines for musicians, audio engineers and photographers to denote compulsive accumulation of technical equipment. The acronym was coined by Steely Dan guitarist Walter Becker in a 1994 satirical Guitar Player magazine column titled "The Dreaded G.A.S.".[59] Describing a fellow guitarist's family room covered entirely with guitars, Becker speaks of "Guitar Acquisition Syndrome":

You undoubtedly know someone who has it. Reading this rag, you probably have it yourself. Or will have it someday soon or would like to have it. You may think it's cool. But it's not cool. Not anymore. How many Strats do you need to be happy? How many Strat copies, each extensively modified to be able to produce the variations in tone that once would have required maybe four different guitars? How many knobs and switches does that Strat need?[60]

The acronym "G.A.S." was used on internet forums subsequently, replacing "guitar" with "gear".[61][62] A musicological study published in 2017 conducted an online survey among 418 electric guitar players inquiring their affliction with "G.A.S.". The study finds the main reason for compulsive gear acquisition among musicians to be the quest for stylistic flexibility.[63] "Gear acquisition syndrome" has been called an example of commodity fetishism.[64]

See also

• Money disorders
• Underearners Anonymous
• Shopaholic (novels)
• Confessions of a Shopaholic (film)

References

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4. Max Nordau [1892]: Entartung, Herausgegeben, kommentiert und mit einem Nachwort versehen von Karin Tebben, Berlin u.a.: De Gruyter 2013, p. 38.
5. Valentin Magnan: Psychiatrische Vorlesungen, Bd. 2/3: Über die Geistesstörungen von Entarteten, transl. Otto Möbius, Leipzig: Thieme, p. 12 f.
6. Nordau, Max Simon: Degeneration, 1895, p. 27, Internet Archive.
7. Emil Kraepelin: Psychiatrie. Ein Lehrbuch für Studierende und Ärzte, Leipzig: Barth, S. 408 f.
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10. Jon E. Grant/S. W. Kim, Stop Me Because I Can't Stop Myself (2004) p. 16
11. Rose, Paul; Segrist, Daniel J (June 2012). "Difficulty Identifying Feelings, Distress Tolerance and Compulsive Buying: Analyzing the Associations to Inform Therapeutic Strategies". International Journal of Mental Health and Addiction. 11 (1): 65–68. doi:10.1007/s11469-012-9389-y. ISSN 1557-1874.
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15. Hartston, Heidi J.; Koran, Lorrin M (June 2002). "Impulsive behavior in a consumer culture". International Journal of Psychiatry in Clinical Practice. 6 (2): 65–68. doi:10.1080/136515002753724045. ISSN 1471-1788. PMID 24931930.
16. Black, Donald W. (2001). "Compulsive Buying Disorder: Definition, Assessment, Epidemiology, and Clinical Management". CNS Drugs. 15 (1): 17–27. doi:10.2165/00023210-200115010-00003. ISSN 1172-7047. OCLC 30488303. PMID 11465011.
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18. Vyse, Stuart (2008). Going broke: why Americans can't hold on to their money. Oxford; New York: Oxford University Press. p. 28. ISBN 978-0-19-530699-6. OCLC 153773333.
19. Abramowitz, Jonathan S.; Houts, Arthur C. (2006). Concepts and Controversies in Obsessive-Compulsive Disorder. New York: Springer Science+Business Media. p. 185. ISBN 038723280X.
20. Hague B., Hall J., Kellett S. (2016). "Treatments for compulsive buying: A systematic review of the quality, effectiveness and progression of the outcome evidence". Journal of Behavioral Addictions. 5 (3): 379–394. doi:10.1556/2006.5.2016.064. PMC 5264404. PMID 27640529.CS1 maint: multiple names: authors list (link)
21. Nataraajan and Goff 1992)
22. Helga Dittmar, "Understanding and Diagnosing Compulsive Buying", in Robert H. Coombs, Handbook of Addictive Disorders (2004) p. 438
23. April Lane Benson, I Shop Therefore I Am (2000)
24. Donald Black, "A review of compulsive buying disorder" (2007).
25. Aboujaourde/Koran, p. 8
26. April Lane Benson/Marie Gengler, "Treating Compulsive Buying" in Coombs, p. 451
27. Aboujaourde/Koran, p. 9
28. Dittmar, p. 417
29. Dennis Hayes, Beyond the Silicon Curtain (1989) p. 145
30. Elen Lewis, The eBay Phenomenon (2008) p. 95
31. April Lane Benson and Marie Gengler, "Treating Compulsive Buying", in Coombs, p. 452
32. Helga Dittmar/Emma Halliwell, Consumer Culture, Identity and Well-being (2008) pp. 95-97
33. Dittmar/Halliwell, p. 97
34. Jenny Diski, The Sixties (London 2009) p. 18-20
35. William Gibson, Zero History (London 2010) p. 21 and p. 213
36. Dittmar/Halliwell, p. 119
37. Frances, p. 315
38. Pamela Klaffke, Spree (2004) p. 185
39. Klaffke, p. 185
40. Lucy Costigan, Women and Healing (2006) p. 208
41. Helga Dittmar, "Understanding and Diagnosing Compulsive Buying", in Robert H. Coombs, Handbook of Addictive Disorders (2004) p. 442
42. Oliver James, Britain on the Couch (London 1998) p. 301
43. Dittmar, p. 426
44. Dittmar, p. 424
45. Chakraborty, S.K.; Chakraborty, D. (2006). Culture, Society, And Leadership. ICFAI University Press. p. 196. ISBN 9788131401170.
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48. Bruno Zumo, Advances in quality of life research, 2001 (2002) p. 164
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50. Lejoyeux, Michel; Weinstein, Aviv (1 September 2010). "Compulsive Buying". The American Journal of Drug and Alcohol Abuse. 36 (5): 248–253. doi:10.3109/00952990.2010.493590. PMID 20560822.
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53. Aboujaoude, Elias (2014). "Compulsive Buying Disorder: A Review and Update". Current Pharmaceutical Design. 20 (25): 4021–4025. doi:10.2174/13816128113199990618. ISSN 1381-6128. PMID 24001296.
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55. Piquet-Pessôa, Marcelo; Fontenelle, Leonardo F. (2016). "Opioid Antagonists In Broadly Defined Behavioral Addictions: A Narrative Review". Expert Opinion on Pharmacotherapy. 17 (6): 1–10. doi:10.1517/14656566.2016.1145660. ISSN 1465-6566. PMID 26798982.
56. Yip, Sarah W.; Potenza, Marc N. (2014). "Treatment of Gambling Disorders". Current Treatment Options in Psychiatry. 1 (2): 189–203. doi:10.1007/s40501-014-0014-5. ISSN 2196-3061. PMC 4041397. PMID 24904757.
57. D. K. Goodwin, Team of Rivals (2013) p. 305, 401-2 and 681-2
58. The new web hypnosis (2019) p. 98-115
59. Walter Becker: "The Dreaded G.A.S.", in: Guitar Player, April 1994, p. 15.
60. "G.A.S. Attack".
61. "Google Groups".
62. Power, Rob; April 2015, Matt Parker 01. "7 stages of Gear Acquisition Syndrome". MusicRadar. Retrieved 2020-07-14.
63. Jan-Peter Herbst: "'Gear Acquisition Syndrome': A Survey of Electric Guitar Players", in: Julia Merill (ed.): Popular Music Studies Today. Proceedings of the International Association for the Study of Popular Music 2017, Wiesbaden: Springer 2017, pp. 139–148.
64. Annetts, Alex (2015) Masculinity and gear fetishism in audio technology community discourse. Doctoral thesis, Anglia Ruskin University, p. 5.

Further reading

• Benson, A. To Buy or Not to Buy: Why We Overshop and How to Stop Boston: Trumpeter Books, 2008.
• Black D.W. (2007). "A review of compulsive buying disorder". World Psychiatry. 6 (1): 14–18. PMC 1805733. PMID 17342214.
• Bleuler, E. Textbook of Psychiatry. New York: Macmillan, 1924.
• Catalano E. and Sonenberg, N. Consuming Passions: Help for Compulsive Shoppers. Oakland: New Harbinger Publications, 1993.
• DeSarbo WS, Edwards EA (1996). "Typologies of Compulsive Buying Behavior: A Constrained Cluster-Wise Regression Approach". Journal of Consumer Psychology. 5 (3): 231–252. doi:10.1207/s15327663jcp0503_02.CS1 maint: uses authors parameter (link)
• Elliott R (1994). "Addictive Consumption: Function and Fragmentation in Postmodernity". Journal of Consumer Policy. 17 (2): 159–179. doi:10.1007/bf01016361.
• Faber R. J.; O'Guinn T. C.; Krych R. (1987). "Compulsive Consumption". Advances in Consumer Research. 14: 132–135.
• Kraepelin, E. Psychiatrie (8th ed.). Leipzig: Verlag von Johann Ambrosius Barth, 1915.
• McElroy, SL, Phillips KA, Keck PE, Jr. 1994 "Obsessive Compulsive Spectrum Disorder." Journal of Clinical Psychiatry 55(10, suppl): 33-51
• Nataraajan R., Goff B. (1992). "Manifestations of Compulsiveness in the Consumer-Marketplace Domain". Psychology and Marketing. 9 (1): 31–44. doi:10.1002/mar.4220090105.
• Ridgway NM, Kukar-Kinney M, Monroe K (2008). "An expanded conceptualization and a new measure of compulsive buying". Journal of Consumer Research. 35 (4): 350–406. doi:10.1086/591108. S2CID 3048670.CS1 maint: uses authors parameter (link)
• Lam, Simon Ching; Chan, Zoe Sze-Long; Chong, Andy Chun-Yin; Wong, Wendy Wing-Chi; Ye, Jiawen (September 2018). "Adaptation and validation of Richmond Compulsive Buying Scale in Chinese population" (PDF). Journal of Behavioral Addictions. 7 (3): 760–769. doi:10.1556/2006.7.2018.94. PMC 6426376. PMID 30264602.

External links

• What is Compulsive Shopping Disorder?
• Shopping addiction