Psychiatrische Praxis · 2008
[A case of compulsive buying--impulse control disorder or dependence disorder?].
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Croissant Bernhard, Klein Oliver, Löber Sabine, Mann Karl
Аннотация
OBJECTIVE: It is unclear what disease entity causes compulsive buying. In ICD-10 and DSM-IV, compulsive buying is classified as "Impulse control disorder--not otherwise classified". Some publications interpret compulsive buying rather as a dependence disorder.
METHOD: We present the case of a male patient with compulsive buying syndrome. We discuss the close relationship to dependence disorders.
CONCLUSIONS: The patient showed symptoms which would normally be associated with a dependence disorder. On the basis of a wider understanding of the dependency concept, as it is currently being discussed, we believe that the patient has shown a typical buying behavior that has presumably activated a reward loop similar to that of a substance dependency.
METHOD: We present the case of a male patient with compulsive buying syndrome. We discuss the close relationship to dependence disorders.
CONCLUSIONS: The patient showed symptoms which would normally be associated with a dependence disorder. On the basis of a wider understanding of the dependency concept, as it is currently being discussed, we believe that the patient has shown a typical buying behavior that has presumably activated a reward loop similar to that of a substance dependency.