Psychotherapy for compulsive buying disorder: A systematic review

Leite, Priscilla Lourenço; Pereira, Valeska Martinho; Nardi, Antônio Egídio; Silva, Adriana Cardoso

doi:10.1016/j.psychres.2014.05.037

Cited by 35 publications

(24 citation statements)

References 24 publications

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“…Interestingly, higher levels of reward sensitivity were associated with reduced risk of dropout. It is possible that patients with CB disorder are motivated by social factors and, therefore, are more likely to form a therapeutic alliance and not abandon treatment (Lourenço Leite, Pereira, Nardi, & Silva, 2014). Likewise, patients with high levels of punishment sensitivity had an increased risk of dropping out of treatment.…”

Section: Discussionmentioning

confidence: 99%

Reward and punishment sensitivity in women with gambling disorder or compulsive buying: Implications in treatment outcome

Mestre‐Bach¹,

Granero²,

Steward³

et al. 2016

J Behav Addict

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Background and aimsGray’s Reinforcement Sensitivity Theory has been widely applied to different clinical populations, but few studies have reported empirical evidence based on this theory for treatment outcomes in patients with gambling disorder (GD) and compulsive buying (CB). The aims of this study were to explore the association between clinical variables and personality traits with reward and punishment sensitivity (RPS) levels in women (n = 88) who met diagnostic criteria for GD (n = 61) and CB (n = 27), and to determine the predictive capacity of RPS for primary short-term outcomes in a cognitive-behavioral therapy (CBT) intervention.MethodsThe CBT intervention consisted of 12 weekly sessions. Data on patients’ personality traits, RPS levels, psychopathology, sociodemographic factors, GD, and CB behavior were used in our analysis.ResultsHigh RPS levels were associated with higher psychopathology in both CB and GD, and were a risk factor for dropout in the CB group. In the GD group, higher reward sensitivity scores increased the risk of dropout.Discussion and conclusionsOur findings suggest that both sensitivity to reward and sensitivity to punishment independently condition patients’ response to treatment for behavioral addictions. The authors uphold that CBT interventions for such addictions could potentially be enhanced by taking RPS into consideration.

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Section: Discussionmentioning

confidence: 99%

Reward and punishment sensitivity in women with gambling disorder or compulsive buying: Implications in treatment outcome

Mestre‐Bach¹,

Granero²,

Steward³

et al. 2016

J Behav Addict

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“…These putative behavioural addictions in fact often, but not always, respond positively to the same psychosocial and pharmacological treatments used for substance addictions. The self-help approaches based on the 12-step model, motivational interviewing, and cognitive behavioural therapies commonly used to treat SUDs have been successfully used to treat gambling disorder, compulsive sexual behavior and kleptomania (Garcia and Thibaut 2010;Grant et al 2012b;Lourenco Leite et al 2014;Rash and Petry 2014)Psychosocial interventions for both behavioural addictions and SUDs often rely on a relapse prevention model that encourages abstinence by identifying and coping with high-risk triggers for use and modifying lifestyle to reinforce healthier behaviours.…”

Section: Treatmentmentioning

confidence: 99%

Behavioural addiction—A rising tide?

Chamberlain

Löchner

Stein

et al. 2016

European Neuropsychopharmacology

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The term 'addiction' was traditionally used in relation to centrally active substances, such as cocaine, alcohol, or nicotine. Addiction is not a unitary construct but rather incorporates a number of features, such as repetitive engagement in behaviours that are rewarding (at least initially), loss of control (spiralling engagement over time), persistence despite untoward functional consequences, and physical dependence (evidenced by withdrawal symptoms when intake of the substance diminishes). It has been suggested that certain psychiatric disorders characterized by maladaptive, repetitive behaviours share parallels with substance addiction and therefore represent 'behavioural addictions'. This perspective has influenced the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), which now has a category 'Substance Related and Addictive Disorders', including gambling disorder. Could other disorders characterised by repetitive behaviours, besides gambling disorder, also be considered 'addictions'? Potential examples include kleptomania, compulsive sexual behaviour, 'Internet addiction', trichotillomania (hair pulling disorder), and skin-picking disorder. This paper seeks to define what is meant by 'behavioural addiction', and critically considers the evidence for and against this conceptualisation in respect of the above conditions, from perspectives of aetiology, phenomenology, co-morbidity, neurobiology, and treatment. Research in this area has important implications for future diagnostic classification systems, neurobiological models, and novel treatment directions.

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“…CBD is distinguished by a motivation to feel better, rather than from excessive spending and materialism alone (O’Guinn & Faber, 1989), often creating serious associated impacts on lives, such as substantial debt, relationship problems, elevated risk of criminal behavior, and suicide attempts (Black, 2007; Boundy, 2000; Lejoyeux, Tassain, Solomon, & Adès, 1997; O’Guinn & Faber, 1989). …”

Section: Background and Aimsmentioning

confidence: 99%

Treatments for compulsive buying: A systematic review of the quality, effectiveness and progression of the outcome evidence

Hague¹,

Hall²,

Kellett³

2016

J Behav Addict

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Background and aimsThis review appraises the progression and status of the evidence base for the treatment of compulsive buying disorder (CBD), in order to highlight what currently works and to prompt useful future research.MethodsOnline databases ISI Web of Knowledge, PsycINFO, and PubMed via Ovid were searched at two time points. Two quality checklists and an established model of therapy evaluation (hourglass model) evaluated the quality and progression of both psychotherapy and pharmacotherapy treatments for CBD. Uncontrolled effect sizes were calculated and meta-regression analyses were performed regarding treatment duration.ResultsA total of 29 articles met the inclusion criteria, which were divided into psychotherapy (n = 17) and pharmacotherapy treatments (n = 12). Of the 29 studies, only 5 studies have been tested under conditions of high methodological quality. Both forms of treatment had been evaluated in a haphazard manner across the stages of the hourglass model. Although large effects were demonstrated for group psychotherapy and pharmacotherapy, such evidence of effectiveness was undermined by poor study quality and risk of publication bias. Long-term CBD treatment was associated with improved outcome with pharmacotherapy, but not when delivering psychotherapy.DiscussionGroup psychotherapy currently appears the most promising treatment option for CBD. Poor methodological control and sporadic evaluation of specific treatments have slowed the generation of a convincing evidence base for CBD treatment. Defining the active ingredients of effective CBD treatment is a key research goal.

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Psychotherapy for compulsive buying disorder: A systematic review

Cited by 35 publications

References 24 publications

Reward and punishment sensitivity in women with gambling disorder or compulsive buying: Implications in treatment outcome

Reward and punishment sensitivity in women with gambling disorder or compulsive buying: Implications in treatment outcome

Behavioural addiction—A rising tide?

Treatments for compulsive buying: A systematic review of the quality, effectiveness and progression of the outcome evidence

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