Table 3.
Characteristics and main findings of included controlled studies for compulsive buying-shopping disorder (CBSD)
Study Country | Diagnosis of CBSD | Treatment | Treatment group (TG) | Control group (CG) | Primary endpoints | Main outcomes |
Psychotherapy | ||||||
Mitchell et al. (2006) USA |
CBS | 12 sessions group CBT | CBT n = 28 Mage = 45.1 ± 10.2 100% female Dropout 25% |
WL n = 11 Mage = 44.6 ± 11.2 100% female Dropout 36.4% |
CBS, Y-BOCS-SV, purchasing recall changes pre to post treatment and 6-months-FU (only TG) | Significant differences between CBT and WL on primary outcomes; improvement CBT > WL CBT: improvement maintained at FU |
Müller, Mueller, et al. (2008) Germany |
McElroy et al. criteria | 12 sessions group CBT | CBT n = 31 87.1% female Mage = 45.3 ± 8.5 Dropout 19.4% |
WL n = 29 82.8% female Mage = 37.2 ± 10.5 Dropout 13.8% |
CBS, Y-BOCS-SV, G-CBS changes pre to post treatment and 6-months-FU (only TG) | Significant differences between CBT and WL on primary outcomes; improvement CBT > WL CBT: improvement maintained at FU |
Müller et al. (2013) USA |
McElroy et al. criteria | 12 sessions group CBT Guided self-help (5 telephone sessions at week 1,2,3,5,8) |
CBT n = 22 Dropout 27.3% (age and sex not reported for TG) |
WL n = 14 Dropout: 28.6% (age and sex not reported for CG) GSH n = 20 Dropout: 15.0% (age and sex not reported for CG) |
CBS, Y-BOCS-SV changes pre to post treatment and 6-months-FU (only TG) | Y-BOCS-SV: significant time × group interactions, significant improvement in CBT and GSH but not in waiting list CBS: no significant time x group interaction, but significant improvement in CBT and GSH CBT and GSH: improvement maintained at FU |
Benson et al. (2014) USA |
McElroy et al. criteria | 12 group sessions ‘Stopping Overshopping’ treatment (including CBT, DBT, psychodynamic, ACT, and mindfulness-based interventions) |
‘Stopping overshopping’ n = 6 (age and sex not reported for TG) Dropout 0% |
WL n = 5 (age and sex not reported for CG) Dropout 0% |
Change score means Valence-CBS, Richmond-CBS, CBS, Y-BOCS-SV; Purchasing recalls pre, mid, post, 6-months-FU (only TG) |
Significant improvement in all measures, TG > WL |
Psychopharmacology | ||||||
Black et al. (2000) USA |
McElroy et al. criteria, duration of CBSD of at least 1 year | Fluvoxamine up to 300 mg d−1 9 weeks | Fluvoxamine n = 12 100% female Mage = 42.0 ± 11.0 Dropout 25% |
Placebo n = 11 91.0% female; Mage = 42.3 ± 9.8 Dropout 18% |
Y-BOCS-SV changes pre to post treatment | Both groups improved similarly |
Ninan et al. (2000) USA |
ICD-SCID criteria for CBSD | Fluvoxamine up to 300 mg d−1 12 weeks | Fluvoxamine n = 20, age and sex not reported by group | Placebo: n = 17, age and sex not reported by group | Y-BOCS-SV changes pre to post treatment | No significant time × group effect |
Koran et al. (2003) USA |
Y-BOCS-SV, McElroy et al. criteria | Citalopram up to 60 mg d−1 9-week double-blind discontinuation phase (after 7-week open-label phase) | Citalopram n = 7 (age and sex not reported for TG) | Placebo n = 8 (age and sex not reported for CG) | Relapse rate (i.e. Y-BOCS-SV score ≥17) end of week 7 to end of week 16; CBS, Impulse Buying Tendency Scale |
Relapse rates: 0% (TG) vs. 62.5% (CG); Improvement in CBS and Impulse Buying Tendency Scale (reached at end of open-label phase) maintained in TG but not CG |
Koran et al. (2007) USA |
Y-BOCS-SV, McElroy et al. criteria | Escitalopram up to 20 mg d−1 9-week double-blind discontinuation phase (after 7-week open-l phase) | Escitalopram n = 8 100% female (age not reported for TG) |
Placebo n = 9 100% female (age not reported for CG) |
Relapse rate (i.e. Y-BOCS-SV score ≥17) end of week 7 to end of week 9 | Relapse rates: 62.5% (TG) vs. 66.7% (CG) |
Nicoli de Mattos et al. (2020) Brazil |
McElroy et al. criteria, SCID | Topiramate up to 300 mg d−1 12 weeks and 4 sessions of psychoeducation (at week 1, 4, 7, 10) | Topiramate n = 25 Mage = 37.2 ± 9.1 80.9% female Dropout 28% |
Placebo n = 25 Mage = 39.5 ± 10.1 82.6% female Dropout 12% |
Y-BOCS-SV, CBS, CBFS changes pre to post treatment | No significant time × group effect (in Y-BOCS-SV and CBS) Improvement time × group (CBSF) |
Note. ACT = Acceptance and Commitment Therapy; CBFS = Compulsive Buying Follow-up Scale; CBS = Compulsive Buying Scale; CBT = Cognitive Behavioral Treatment; DBT = Dialectical Behavior Therapy; FU = Follow-Up Assessment; G-CBS = German Compulsive Buying Scale; GSH = Guided Self-help; ICD-SCID = Structured Clinical Interview for impulse control disorders; Richmond-CBS = Richmond Compulsive Buying Scale; SCID = semi-structured interview modeled after the Schedules for clinical assessment in neuropsychiatry; Valence-CBS = Valence Compulsive Buying Scale; WL = Waiting List; Y-BOCS-SV = Yale–Brown Obsessive Compulsive Scale-Shopping Version.