A 12-Week Randomized, Double-Blind, Placebo-Controlled Clinical Trial of Topiramate for the Treatment of Compulsive Buying Disorder

dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorMATTOS, Cristiana de
dc.contributor.authorKIM, Hyoun S.
dc.contributor.authorMARASALDI, Renata F.
dc.contributor.authorREQUIAO, Marinalva G.
dc.contributor.authorOLIVEIRA, Elen Cristina de
dc.contributor.authorFILOMENSKY, Tatiana
dc.contributor.authorTAVARES, Hermano
dc.date.accessioned2020-06-01T14:57:30Z
dc.date.available2020-06-01T14:57:30Z
dc.date.issued2020
dc.description.abstractBackground Topiramate is an anticonvulsant that has shown promise as a pharmacological agent for the treatment of addictive disorders, including compulsive buying disorder (CBD). The aim of the present study was to examine the efficacy of topiramate in the treatment of CBD and its associated characteristics using a 12-week randomized, double-blind, placebo-controlled design. Methods Fifty patients seeking treatment of CBD who met the inclusion criteria were randomly assigned to either the experimental group (n = 25) or the control group (n = 25). Both groups received 4 sessions of psychoeducation. Results Forty-four participants completed the follow-up with no differences in the rate of dropout between groups. There were no differences between participants who received topiramate or placebo in reducing CBD symptoms assessed by the primary outcome scale (Yale-Brown Obsessive-Compulsive Scale - Shopping Version). However, participants who received topiramate were significantly more likely to show clinical improvement when assessed by a secondary outcome measure, the Compulsive Buying Follow-Up Scale. In addition, there was a trend among participants who received topiramate to report improvements in aspects of hoarding and impulsivity compared with the control group. There were significant improvements in comorbid depression and social adjustments over time, but no group x time interaction was found. Conclusions The results do not provide support for the use of topiramate in the treatment of CBD. Future investigation with larger and representative samples and longer follow-up period are needed.eng
dc.description.indexMEDLINEeng
dc.description.sponsorshipBrazilian National Council for Scientific and Technological Development (CNPq)National Council for Scientific and Technological Development (CNPq) [445465/2014-0]
dc.identifier.citationJOURNAL OF CLINICAL PSYCHOPHARMACOLOGY, v.40, n.2, p.186-190, 2020
dc.identifier.doi10.1097/JCP.0000000000001183
dc.identifier.eissn1533-712X
dc.identifier.issn0271-0749
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/36054
dc.language.isoeng
dc.publisherLIPPINCOTT WILLIAMS & WILKINSeng
dc.relation.ispartofJournal of Clinical Psychopharmacology
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright LIPPINCOTT WILLIAMS & WILKINSeng
dc.subjectcompulsive buying disordereng
dc.subjectclinical trialeng
dc.subjectdouble blindeng
dc.subjectplacebo controlledeng
dc.subjecttopiramateeng
dc.subject.othercognitive-behavioral therapyeng
dc.subject.otherportuguese versioneng
dc.subject.otherscaleeng
dc.subject.otherreliabilityeng
dc.subject.othervalidationeng
dc.subject.otherinventoryeng
dc.subject.othervalidityeng
dc.subject.wosPharmacology & Pharmacyeng
dc.subject.wosPsychiatryeng
dc.titleA 12-Week Randomized, Double-Blind, Placebo-Controlled Clinical Trial of Topiramate for the Treatment of Compulsive Buying Disordereng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countryCanadá
hcfmusp.affiliation.countryisoca
hcfmusp.author.externalKIM, Hyoun S.:Univ Calgary, Addict Behav Lab, Dept Psychol, Calgary, AB, Canada
hcfmusp.citation.scopus6
hcfmusp.contributor.author-fmusphcCRISTIANA NICOLI DE MATTOS
hcfmusp.contributor.author-fmusphcRENATA FERNANDES MARANSALDI DE LIMA
hcfmusp.contributor.author-fmusphcMARINALVA GONCALVES REQUIAO
hcfmusp.contributor.author-fmusphcELEN CRISTINA BATISTA DE OLIVEIRA
hcfmusp.contributor.author-fmusphcTATIANA ZAMBRANO FILOMENSKY
hcfmusp.contributor.author-fmusphcHERMANO TAVARES
hcfmusp.description.beginpage186
hcfmusp.description.endpage190
hcfmusp.description.issue2
hcfmusp.description.volume40
hcfmusp.origemWOS
hcfmusp.origem.pubmed32134854
hcfmusp.origem.scopus2-s2.0-85081530604
hcfmusp.origem.wosWOS:000526401500012
hcfmusp.publisher.cityPHILADELPHIAeng
hcfmusp.publisher.countryUSAeng
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