Dergi Ara >>
Yıl:2009; Cilt: 2; Sayı: 1>> Özet
TAM METİN
Türkiye Klinikleri Psikiyatri Özel Dergisi; 2009;2(1):66-74
Kompulsif Satın Alma
L Tamam
Çukurova Ü. Tıp Fak. Psikiyatri AD, Adana
Kompulsif satın alma süreğen, stereotipik, dayanılmaz, dürtüsel uygunsuz, aşırı ve kişilere rahatsızlık veren satın alma ya da alışveriş davranışı olarak tanımlanan bir bozukluktur. Kişilerarası ilişkilerde ve mali konularda önemli sorunlara neden olabilen, sanıldığından daha sık görülen, diğer psikiyatrik bozukluklarla birlikte bulunan, tedavi edilebilen, kompulsif satın alma kendi başına ayrı bir psikiyatrik bozukluk olarak değerlendirilmelidir. Toplumda erişkinlerde %2 ile %16 arası bir sıklıkta görüldüğü, ve hastalarının çoğunun kadın olduğu bildirilmektedir. Genelde ergenliğin son dönemleri ile yirmili yaşların başında başlar. Kompulsif satın almanın obsesif-kompulsif bozukluk, duygudurum bozuklukları, bağımlılık ve dürtü-denetim bozuklukları ile ilişkili olabileceği düşünülmektedir. Bu bozukluğun etyolojik temelini aydınlatabilmek için geniş ölçekli çalışmalara gereksinim vardır. Bu yazıda kompulsif satın alma bozukluğu sıklığı ve yaygınlığı, klinik özellikleri, tanı ölçütleri, etyolojisi, eşlik eden bozukluklar ve tedavisi kısaca gözden geçirilmiştir.
Compulsive Buying
Compulsive buying is characterized by spending or shopping that is chronic, stereotyped, irresistible, impulsive, inappropriate, excessive and clearly disruptive to the individuals involved. Compulsive buying may cause significant psychological, interpersonal and financial difficulties. It is a treatable disorder which is more common than realized. Thus it should be further studied as a mental disorder in its own right. This disorder has been estimated to affect from 2 to 16% of the general population in the developed countries. The disorder had an onset at the late teens or early twenties. In compulsive buying, psychiatric comorbidity is frequent especially with obsessive-compulsive disorder, mood disorders, addiction and impulse-control disorders. Larger scaled studies are required to enlighten the etiologic basis of the disorder. In this article, compulsive buying is briefly reviewed with regards to epidemiology, clinical features, diagnostic criteria, etiology, comorbidity and treatment.

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