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. 2021 Apr 13;10(2):208–222. doi: 10.1556/2006.2021.00013

Table 3.

Proposed draft diagnostic criteria for compulsive buying-shopping disorder

  1. Persistent and/or recurrent dysfunctional buying/shopping-related behaviors, thoughts and related phenomena, as indicated by the following characteristics:
    1. Intrusive and/or irresistible urges and/or impulses and/or cravings and/or preoccupations for buying/shopping as evidenced by:
      1. Repetitive impulses to buy/shop
      2. Strong desire or irresistible urge to engage in buying/shopping activities
      3. Preoccupations with buying/shopping
      4. Craving for the high or for relief while buying/shopping
      5. Repetitive intrusive thoughts about buying/shopping
    2. Diminished control over buying/shopping as evidenced by:
      1. Buying many more things or spending more than necessarily needed/intended
      2. Purchasing many more things than can be afforded
      3. Spending much more time buying/shopping than intended
      4. Repeated unsuccessful efforts to reduce or control buying/shopping activities
      5. Repeated unsuccessful efforts to stop thinking about buying/shopping
      6. Buying/shopping something “on the spur of the moment”
    3. Excessive purchasing of items without utilizing them for their intended purposes
    4. Use of buying/shopping to regulate internal states, e.g.,
      1. Generate or chase positive mood (e.g., pleasure, excitement, “high” while buying/shopping)
      2. Relieve negative mood (e.g., nervousness, tension, negative feelings and thoughts, discomfort, boredom)
    5. Persistent and recurrent dysfunctional buying/shopping symptoms result in negative consequences and impairment in important areas of functioning, e.g.,
      1. Impairment in social life (e.g., familial discord, jeopardizing relationships)
      2. Clinically significant distress
      3. Negative feelings (e.g., shame, guilt, embarrassment, regret)
      4. Financial difficulties including indebtedness and bankruptcy
      5. Loss of interest or impairment in other important areas of functioning, e.g. everyday activities and hobbies, daily responsibilities
      6. Lying to others about buying/shopping (e.g., buying/shopping in secret, hiding bought things)
      7. Impairment in occupational functioning (e.g., risking career opportunities)
    6. Reduction or cessation of excessive buying/shopping results in
      1. Negative emotional states (e.g., anxiety, restlessness, agitation, impatience, sadness, irritability, dysphoria, uncertainty, insecurity, anger, sustained tension) and/or
      2. Cognitive symptoms (e.g., worries, rumination, distractibility, cognitive constriction on buying/shopping)
  • B. Maintenance or escalation of dysfunctional buying/shopping behaviors despite negative consequences

  • C. The pattern of buying/shopping does not occur exclusively during a period of mania/hypomania

  • D. The pattern of buying/shopping is not better explained by the symptoms of another mental disorder (e.g., psychosis) or attributable to a medical condition (e.g., organic psychosyndrome)

Specifier: With vs. without excessive hoarding of purchased items