Comprehensive psychiatry最新文献

{"title":"A comparison of cognitive performance of individuals with anxiety and mood disorders with and without obsessive-compulsive personality disorder: A pilot study","authors":"Agne Stanyte , Naomi A. Fineberg , Aurelija Podlipskyte , Julija Gecaite-Stonciene , Vilma Jakiene , Alicja Juskiene , Vesta Steibliene , Julius Burkauskas","doi":"10.1016/j.comppsych.2026.152684","DOIUrl":"10.1016/j.comppsych.2026.152684","url":null,"abstract":"","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"147 ","pages":"Article 152684"},"PeriodicalIF":4.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147756261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Continuous theta burst stimulation (cTBS) as an augmentation strategy in a sample of patients with treatment-resistant obsessive-compulsive disorder (TR-OCD)","authors":"Rodolfo Leuzzi , Beatrice Benatti , Michele Castiglioni , Luca Larini , Emma Rinaldi , Matteo Marcatili , Carlo Sala , Luciano Conti , Camilla Gesi , Nicolaja Girone , Matteo Vismara , Alessandra Minelli , Massimo Gennarelli , Bernardo Dell'Osso","doi":"10.1016/j.comppsych.2026.152678","DOIUrl":"10.1016/j.comppsych.2026.152678","url":null,"abstract":"","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"147 ","pages":"Article 152678"},"PeriodicalIF":4.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147756333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations of personality traits and work-related stress with positive somatic symptom disorder screening – A cross-sectional study","authors":"Roland von Känel ,&nbsp;Sebastian Euler ,&nbsp;Anke Schneiders ,&nbsp;Doris Straus ,&nbsp;Gavin Brupbacher ,&nbsp;Marc Dörner","doi":"10.1016/j.comppsych.2026.152695","DOIUrl":"10.1016/j.comppsych.2026.152695","url":null,"abstract":"<div><h3>Background</h3><div>Empirical evidence on psychological factors associated with somatic symptom disorder (SSD) is scarce so far, but could provide a better understanding of the psychological embeddedness of SSD. The current study targeted this research gap.</div></div><div><h3>Methods</h3><div>This cross-sectional study included 1536 participants of an inpatient psychosomatic unit between 2018 and 2024. A set of different self-report questionnaires was applied to evaluate SSD, depression and anxiety, narcissism, alexithymia, overcommitment, effort-reward imbalance (ERI), and burnout. A hierarchical multivariable binary logistic regression, applying a multiple imputation (MI) model considering missing data and a complete case model, was used to analyse associations between positive SSD screening and these psychological factors. Complementary analyses were conducted to further assess associations with the self-report questionnaires' subscales.</div></div><div><h3>Results</h3><div>547 (35.6%) participants indicated a diagnosis of SSD. In the final MI model, alexithymia (OR 1.02, 95% CI 1.01–1.03), narcissism (1.06, 1.03–1.08), and ERI (1.76, 1.10–2.82) were significantly associated with a higher risk for positive SSD screening. Complementary analyses revealed significant associations with the alexithymia subscales difficulty identifying feelings (1.08, 1.01–1.15) and difficulty describing feelings (0.96, 0.92–0.99), the narcissism subscales threatened self (0.97, 0.94–0.99) and hypochondriac self (1.25, 1.15–1.35), and the burnout subscales emotional exhaustion (1.07, 1.01–1.13) and cynicism (0.94, 0.90–0.98).</div></div><div><h3>Conclusions</h3><div>Positive SSD screening was common in the observed population. Future studies may strive to unravel the mechanisms linking SSD potentially with alexithymia, narcissism, ERI, and burnout. A deeper understanding of the relationship between these psychological factors' subscales and SSD might be a key element in this endeavour.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"147 ","pages":"Article 152695"},"PeriodicalIF":4.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147653942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Esports bettors versus traditional sports bettors: Differences in demographics, impulsivity, psychopathological symptoms, and gaming and gambling behavior","authors":"Harshdeep S. Mangat ,&nbsp;Orsolya Király ,&nbsp;Róbert Urbán ,&nbsp;Shu M. Yu ,&nbsp;Mark D. Griffiths ,&nbsp;Borbála Paksi ,&nbsp;Katalin Felvinczi ,&nbsp;Zsolt Demetrovics ,&nbsp;Andrea Czakó","doi":"10.1016/j.comppsych.2026.152667","DOIUrl":"10.1016/j.comppsych.2026.152667","url":null,"abstract":"<div><h3>Background and aims</h3><div>Esports betting (i.e., betting on the outcome of professional competitive videogaming matches) has become a regular feature of most online gambling websites in recent years. The present study compared differences between esports bettors and traditional sports bettors, in addition to exploring factors that predict participation in esports betting.</div></div><div><h3>Methods</h3><div>Data regarding demographics, impulsivity, psychopathological symptoms, gaming, and gambling among 359 esports bettors (mean age = 37.98 years [SD = 13.64]; 86.9% male) and 326 sports bettors (mean age = 43.79 years [SD = 13.75]; 91.7% male) from the United Kingdom, Hungary, and Canada were collected through surveys via two gambling service providers (<em>Betway</em> and <em>Midnite</em>) and a gaming magazine.</div></div><div><h3>Results</h3><div>Compared to sports bettors, esports bettors were significantly younger, scored higher on gambling risk severity, and had more gaming disorder symptoms. Esports bettors were also more likely than sports bettors to report higher levels of stress, anxiety, and depression symptoms, and impulsivity, as well as be driven by coping, social, and financial motives to engage in betting. In an unadjusted binary regression model, being younger, being driven by coping, social, and financial motives, and reporting elevated levels of impulsivity, depression, anxiety, and stress symptoms were predictors of esports betting. Higher rates of problem gambling severity and gaming disorder symptoms were also predictors of esports betting.</div></div><div><h3>Conclusions</h3><div>The findings suggest that esports bettors are a distinct betting group, and vulnerable to multiple gaming/gambling-related harms and psychopathological harms.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"146 ","pages":"Article 152667"},"PeriodicalIF":4.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146164625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Loneliness in borderline personality disorder: The role of misalignments between self-view and social expectations in social value orientation and justice sensitivity","authors":"R. Vonderlin ,&nbsp;C. Claus ,&nbsp;S. Hanraths ,&nbsp;A.S. Lerchl ,&nbsp;B. Senyüz ,&nbsp;N. Kleindienst ,&nbsp;T. Boritz ,&nbsp;S. McMain ,&nbsp;T. Teismann ,&nbsp;P. Kirsch ,&nbsp;M. Bohus ,&nbsp;S. Lis","doi":"10.1016/j.comppsych.2026.152663","DOIUrl":"10.1016/j.comppsych.2026.152663","url":null,"abstract":"<div><h3>Background</h3><div>Loneliness is a pervasive and distressing feeling that characterizes social relationships in individuals with Borderline Personality Disorder (BPD). Previous research suggests that a misalignment between an individual's heightened prosocial self-view and their negative social expectations might contribute to loneliness. In the current quasi-experimental study, we investigated this discrepancy for social value orientation (SVO) and justice sensitivity (JS) and their relationship with loneliness.</div></div><div><h3>Methods</h3><div>A total of 120 participants (60 treatment-seeking individuals diagnosed with BPD, 60 non-clinical controls) assessed their SVO with the SVO-Slider-Task and their JS with the Justice-Sensitivity Inventory for experiencing injustice as a victim, observer, beneficiary and perpetrator. Additionally, participants rated their expectations about the SVO and JS of other people. We measured the individuals' level of loneliness with the UCLA Loneliness scale.</div></div><div><h3>Results</h3><div>Participants with BPD reported a stronger difference between self-view and social expectations compared to non-clinical controls for SVO (<em>r</em> = 0.18, <em>p</em> = .043) and other-oriented perspectives of JS (observer [<em>r</em> = 0.34], beneficiary [<em>r</em> = 0.48] and perpetrator [<em>r</em> = 0.27], all <em>p ≤</em> .003). A greater difference in observer and beneficiary JS was associated with higher levels of loneliness in the BPD group (observer: <em>r</em> = 0.31, <em>p</em> = .017, beneficiary: <em>r</em> = 0.44, <em>p</em> &lt; .001).</div></div><div><h3>Conclusion</h3><div>Alterations in self-views and social expectations in individuals with BPD might foster a vicious cycle of misunderstanding and disappointment in social relationships resulting in heightened feelings of loneliness. To improve interpersonal functioning and reduce loneliness, psychosocial interventions should target both the individual's heightened prosocial self-views and their negative expectations towards others.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"146 ","pages":"Article 152663"},"PeriodicalIF":4.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146003117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychiatric comorbidities of posttraumatic stress disorder among adolescent refugees in Uganda: A latent class analysis of patterns and covariates","authors":"Herbert E. Ainamani ,&nbsp;Anne Wanjiru Mbwayo ,&nbsp;Muthoni Mathai ,&nbsp;Jonathan Hall ,&nbsp;Godfrey Z. Rukundo ,&nbsp;Florian Scharpf","doi":"10.1016/j.comppsych.2026.152672","DOIUrl":"10.1016/j.comppsych.2026.152672","url":null,"abstract":"<div><h3>Background</h3><div>Although psychiatric comorbidities are common among trauma-exposed individuals with PTSD, their patterns and covariates among refugee adolescents in low-resource settings remain understudied. This study aimed to identify distinct patterns of psychiatric comorbidities and their associated factors among adolescent refugees with PTSD in Nakivale refugee settlement, Uganda.</div></div><div><h3>Methods</h3><div>In this cross-sectional study, 325 refugee youth were assessed on various PTSD psychiatric comorbidities and covariates of (age, gender, war trauma, post-migration stressors) using MINI International Neuropsychiatric Interview 7.02 and standardized measures of war trauma and post-migration stressors. Latent class analysis (LCA) was used to identify patterns and covariates of comorbidity.</div></div><div><h3>Results</h3><div>Of 269 adolescents with PTSD, 97% had at least one comorbid disorder: panic disorder (88.9%), generalized anxiety disorder (84%), agoraphobia (75.1%), depressive disorder (62.8%), obsessive compulsive disorder (60.6%), attention deficit disorder (43.9%), oppositional defiant disorder (40.9%), conduct disorder (33.8%), and alcohol use disorder (10.8%). LCA revealed three classes: low-moderate comorbidity (<em>n</em> = 66, 24.5%), high internalizing comorbidity (<em>n</em> = 101, 37.5%) with high probabilities of depression and anxiety disorders, and high overall comorbidity (<em>n</em> = 102, 37.9%) with relatively high probabilities of all disorders. The high overall comorbidity class had more girls than the other two classes. Both high comorbidity classes had higher war trauma and post-migration stressors than the low-moderate comorbidity class.</div></div><div><h3>Conclusions</h3><div>Adolescent refugees with PTSD exhibit high psychiatric comorbidity that clusters in distinct patterns. These findings highlight the need for interventions that address the identified comorbidity patterns, consider gender disparities, and account for cumulative trauma and post-migration stressors to effectively support traumatized youth.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"146 ","pages":"Article 152672"},"PeriodicalIF":4.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146225749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Substance use behaviours among sexual and gender minorities with a history of adverse childhood experiences: a systematic review and narrative-synthesis","authors":"Eleanor J. Ong ,&nbsp;Kuhanesan N.C. Naidu ,&nbsp;Mervin Tee ,&nbsp;Rayner Kay Jin Tan ,&nbsp;Natasha Howard","doi":"10.1016/j.comppsych.2026.152669","DOIUrl":"10.1016/j.comppsych.2026.152669","url":null,"abstract":"<div><h3>Background and aims</h3><div>Adverse childhood experiences (ACEs) are linked to poor behavioural and mental health outcomes, including substance use, and disproportionately affect sexual and gender minorities (SGM). However, the relationship between ACEs and substance use in this population remains underexplored. This review investigates associations between ACEs and substance use outcomes in SGM adults.</div></div><div><h3>Design</h3><div>Registered with PROSPERO (CRD42024493936), we systematically searched six databases from inception to 13 April 2025. Following PRISMA guidelines, two authors independently screened studies and extracted data comparing substance use outcomes in SGM adults with and without ACEs histories. Due to heterogeneity, we conducted a narrative synthesis. Risk of bias was assessed using the 2019 Mixed Methods Appraisal Tool (MMAT).</div></div><div><h3>Participants and measurements</h3><div>Included studies involved SGM adults (≥18 years) who experienced at least one ACEs before age 18. SGM status encompassed lesbian, gay, bisexual, transgender, queer, intersex, non-binary, and other identities. Outcomes included any substance use (drug, alcohol, tobacco), with ACEs exposure as the primary variable.</div></div><div><h3>Findings</h3><div>Thirty-two studies (<em>N</em> = 43,197) were included. Twenty-nine epidemiological studies showed consistent associations between ACEs and negative substance use outcomes across SGM sub-groups and substances. Three qualitative studies highlighted links between substance use and child sexual abuse, heterosexism, and intersecting oppressions such as racism and institutionalization.</div></div><div><h3>Conclusions</h3><div>ACEs are associated with adverse substance use outcomes in SGM adults. Further research is needed on how intersecting marginalizations shape these associations.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"146 ","pages":"Article 152669"},"PeriodicalIF":4.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146141365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trauma-related pathways in obsessive-compulsive disorder: A systematic review of aetiology, symptom dimensions and severity","authors":"Margherita Zenoni ,&nbsp;Marina Rodriguez Lopez ,&nbsp;Stephanie Archer ,&nbsp;Amy L. Milton","doi":"10.1016/j.comppsych.2026.152664","DOIUrl":"10.1016/j.comppsych.2026.152664","url":null,"abstract":"<div><h3>Background</h3><div>Accumulating evidence suggests traumatic life experiences could influence the onset, symptomatology, and severity of Obsessive Compulsive Disorder (OCD). However, comprehensive insights into the relationship between trauma and OCD remain fragmented.</div></div><div><h3>Objectives</h3><div>To systematically examine the relationship between trauma and OCD across three critical domains: (1) the role of trauma in the aetiology of OCD; (2) the associations between specific trauma types and distinct OCD symptom dimensions; and (3) the impact of trauma on OCD severity and comorbid psychopathologies.</div></div><div><h3>Methods</h3><div>We conducted a systematic review following the PRISMA guidelines. Electronic searches were conducted in September 2025 using MEDLINE®, PsycINFO, and EMBASE, as it was forward citation tracking via Scopus.</div></div><div><h3>Results</h3><div>Twenty-eight studies met inclusion criteria from an initial pool of 157 identified papers. Evidence consistently indicated significant associations between traumatic life experiences – particularly emotional neglect, physical abuse, and sexual trauma - and the onset and exacerbation of OCD symptoms. Specific types of trauma predicted OCD symptom profiles. Interpersonal traumas were predominantly associated with obsessions of unacceptable thoughts and responsibility for harm, while non-interpersonal traumas were more strongly linked to contamination themes. Trauma exposure also increased OCD severity and psychiatric comorbidity risk.</div></div><div><h3>Conclusions</h3><div>Trauma seems to significantly amplify OCD symptom severity and influence symptom presentation. Trauma-informed clinical assessment and tailored interventions should be integral to OCD treatment.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"146 ","pages":"Article 152664"},"PeriodicalIF":4.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Habit as a therapeutic component in psychological treatment for obsessive-compulsive disorder: A randomised controlled feasibility study1","authors":"Ana Maria Frota Lisboa Pereira de Souza ,&nbsp;Davis Mpavaenda ,&nbsp;Paula Banca ,&nbsp;David Wellsted ,&nbsp;Janine Hopkins ,&nbsp;Aleya A. Marzuki ,&nbsp;Monika Lee ,&nbsp;Evmorfia Karafylli ,&nbsp;Olga Bardsley ,&nbsp;Sabina Mazoruk ,&nbsp;Stefanie Skalecki ,&nbsp;Shanti Boodhun ,&nbsp;Hannah Mendoza-Wolfson ,&nbsp;Claire Crispin ,&nbsp;Rebecca Aloneftis ,&nbsp;Deela Monji-Patel ,&nbsp;Eduardo Cinosi ,&nbsp;Luca Pellegrini ,&nbsp;Arun Enara ,&nbsp;Seema Panjwani ,&nbsp;Naomi A. Fineberg","doi":"10.1016/j.comppsych.2026.152666","DOIUrl":"10.1016/j.comppsych.2026.152666","url":null,"abstract":"<div><h3>Introduction</h3><div>Cognitive-behavioural therapy (CBT) with exposure and response prevention (ERP) represents a first-line intervention for obsessive-compulsive disorder (OCD), but many patients either do not tolerate or respond to it. Habit-reversal therapy (HRT) is used to treat a variety of disorders characterised by repetitive behaviours. HRT involves learning a non-pathological motor habit to help extinguish repetitive behaviour. Augmenting ERP with components of HRT represents a novel candidate treatment approach for OCD.</div></div><div><h3>Aims</h3><div>A randomised controlled trial (RCT) investigating the feasibility, acceptability, tolerability, and effectiveness of CBT + ERP augmented with a non-pathological habit in patients with OCD.</div></div><div><h3>Methods</h3><div>Forty-five treatment-seeking individuals with OCD were randomly allocated to 12 weeks CBT + ERP augmented with a smartphone-induced habit, comprising a learnt finger sequence, applied during exposure (<em>N</em> = 22) or 12 weeks CBT + ERP (<em>N</em> = 23) as the control. Participants randomised to the experimental arm underwent 6–8 weeks habit-training first. Participants were assessed using blinded-raters for OCD severity (Yale-Brown Obsessive-Compulsive Scale; Y-BOCS) (primary outcome), depression (Montgomery-Åsberg Depression Rating Scale; MADRS), anxiety (State-Trait Anxiety Inventory-State; STAI-S), intolerance of uncertainty (Intolerance of Uncertainty Scale; IUS), and functional disability (Sheehan Disability Scale; SDS). We applied a conservative, intent-to-treat (ITT) analysis using the last observation carried forward (LOCF).</div></div><div><h3>Results</h3><div>Twenty-eight (62%) participants (CBT + ERP + Habit = 11; CBT + ERP = 17) completed the trial. There was a significant reduction in Y-BOCS during habit-training (<em>p</em> &lt; .05), prior to initiation of any psychological treatment. There were no significant between-arm differences on the Y-BOCS or any other clinical rating, nor in premature discontinuation rates at the endpoint. However, a larger number of participants dropped out during the habit training phase (7/22). Reported adverse events (measured during the treatment phase) were significantly fewer in the experimental arm (<em>p</em> &lt; .001). Equivalent within-group improvement was seen in both arms on the Y-BOCS and IUS (all <em>p</em> &lt; .05). Only those within the control arm experienced improvement in the MADRS (<em>p</em> &lt; .01) and SDS (p &lt; .05). Anxiety did not change in either arm.</div></div><div><h3>Conclusion</h3><div>This small feasibility study limited by methodological confounds suggests habit-augmented CBT could be efficacious and well-tolerated in OCD. The improvements resulting from habit-training alone were unexpected and suggest novel treatment-approaches activating motor systems for OCD merit further investigation.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"146 ","pages":"Article 152666"},"PeriodicalIF":4.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146212423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Empirical support for recognizing pathological buying/shopping as a mental disorder","authors":"Astrid Müller ,&nbsp;Matthias Brand ,&nbsp;Tobias A. Thomas ,&nbsp;Annica Kessling ,&nbsp;Anna M. Schmid ,&nbsp;Susana Jiménez-Murcia ,&nbsp;Elisa Wegmann ,&nbsp;Silke M. Müller ,&nbsp;Sabine Steins-Loeber","doi":"10.1016/j.comppsych.2026.152673","DOIUrl":"10.1016/j.comppsych.2026.152673","url":null,"abstract":"<div><h3>Objective</h3><div>To address the question of whether pathological buying/shopping differs from both risky and non-problematic buying/shopping.</div></div><div><h3>Method</h3><div>Post-hoc analysis of data collected within the Addiction Research Unit FOR2974. Three predefined groups, as determined by face-to-face diagnostic interviews, were compared: with pathological (pBSh, <em>n</em> = 62), risky (rBSh, n = 62), and non-problematic (control group, CG, <em>n</em> = 117) buying/shopping. Questionnaires were used to assess symptom severity (according to ICD-11 criteria for disorders due to addictive behaviors), functional impairment, craving, experience of gratification/compensation (all modified for buying/shopping), self-esteem, materialism, anxiety, depression, impulsiveness, and self-directedness. The laboratory testing included a cue reactivity paradigm and Go/No-Go affective shifting task with shopping-related cues, and standard tests for general cognitive functions (Stroop test, modified card sorting test, game of dice task, delay discounting task).</div></div><div><h3>Results</h3><div>The pBSh group exhibited more pathological scores in the questionnaires assessing ICD-11 criteria/features for disorders due to addictive behaviors (including distress, harm, gratification/compensation), self-esteem, anxiety, depression and steeper delay discounting than the other groups. Moreover, the pBSh group scored higher on materialism and impulsiveness, showed higher craving, and poorer performance in the Go/No-Go task than the CG. Applying Bonferroni corrected <em>p</em>-values, the groups did not differ in the Stroop test, modified card sorting test and game of dice task.</div></div><div><h3>Conclusion</h3><div>Pathological buying/shopping represents a distinct clinical syndrome that reflects underlying affective and cognitive dysfunctions and results in clinically significant distress and impairments. The findings provide further evidence of its classification as a disorder due to addictive behaviors.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"146 ","pages":"Article 152673"},"PeriodicalIF":4.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146257682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}