Elsevier

Comprehensive Psychiatry

Volume 94, October 2019, 152120
Comprehensive Psychiatry

Online shopping in treatment-seeking patients with buying-shopping disorder

https://doi.org/10.1016/j.comppsych.2019.152120Get rights and content
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Highlights

  • Online shopping is prevalent among treatment-seeking patients with general BSD.

  • Probable online BSD is associated with a higher severity of general BSD.

  • Future research should address the underlying features of offline vs. online BSD.

Abstract

Background and aims

With e-commerce becoming an important shopping activity, it has been argued that traditional buying-shopping disorder (BSD) migrates to the online retail market resulting in BSD predominantly online. The aims of the current study were to investigate how many patients with BSD report symptoms of online BSD, and to determine whether symptoms of probable online BSD are related to sociodemographic variables, anxiety, depression, and a higher severity of general BSD.

Method

A post hoc analysis of pooled data collected within previous studies (n = 122 treatment-seeking patients with BSD; age Mdn = 42.50, range 20–68 years; 76% women) was conducted. Assessment included the short version of the Internet Addiction Test modified for online shopping sites (s-IATshop), the Pathological Buying Screener (PBS) as an instrument assessing BSD in general, regardless of the buying or shopping environment, and measures for anxiety and depression.

Results

33.6% of the sample met the s-IAT threshold for probable online BSD. Higher s-IAT scores were related to lower age and to a higher severity of anxiety, depression and general BSD. A hierarchical regression analysis with general BSD (PBS score) as dependent variable and partnership status, symptoms of anxiety, depression and online BSD (s-IAT-shop) as predictors indicated a significant positive association of probable online BSD with the severity of general BSD above and beyond anxiety and depression.

Conclusion

The findings may encourage future studies addressing phenomenological characteristics, underlying features, associated comorbidity, and clinical relevance of online BSD.

Keywords

Compulsive buying-shopping disorder
Online buying-shopping disorder
Pathological buying
Buying addiction
Internet-use disorder

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