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In previous research, CBSD has traditionally been conceptualized as a predominantly female disorder, with most existing data derived from primarily female samples. This study examined gender differences in a treatment-seeking sample with CBSD, focusing on sociodemographic factors, mental comorbidities, buying\/shopping preferences, symptom severity, and therapy participation. We conducted a retrospective cross-sectional analysis of 141 adults (73.8% women) diagnosed with CBSD at an outpatient clinic for behavioral addictions (2017\u20132025). Data included sociodemographic variables, ICD-10 comorbidities, buying\/shopping environment, preferred consumer products, and group therapy attendance. Psychometric measures (Pathological Buying Screener, PBS; Generalized Anxiety Disorder Scale 7, GAD-7; Patient Health Questionnaire, PHQ-9) assessed symptoms of CBSD, anxiety, and depression. Group comparisons used Chi-square and Mann-Whitney U tests. Women more often compulsively purchased clothing, shoes, bags, cosmetics, and jewelry (all\n                    <jats:italic>p<\/jats:italic>\n                    \u2264 .004,\n                    <jats:italic>V<\/jats:italic>\n                    = 0.18\u20130.36); men preferred electronics (\n                    <jats:italic>p<\/jats:italic>\n                    &lt; .001,\n                    <jats:italic>V<\/jats:italic>\n                    = 0.32). Women showed slightly higher CBSD severity (PBS: Mdn\u2009=\u200956 vs. 52,\n                    <jats:italic>p<\/jats:italic>\n                    = .044,\n                    <jats:italic>r<\/jats:italic>\n                    = .17). Overall, no significant differences between women and men were found in comorbid mental disorders, neither in GAD-7\/PHQ-9 scores (all\n                    <jats:italic>p<\/jats:italic>\n                    &gt; .05) nor in clinical diagnoses (all\n                    <jats:italic>p<\/jats:italic>\n                    &gt; .004 after Bonferroni correction). No group differences emerged for age, education, relationship status, or therapy participation (all\n                    <jats:italic>p<\/jats:italic>\n                    &gt; .05). Gender differences in CBSD presentation\u2014particularly regarding product preferences\u2014emphasize the need for gender-sensitive perspectives to enhance treatment outcomes, while also highlighting that men and women differ only in specific aspects.\n                  <\/jats:p>","DOI":"10.1038\/s41598-026-43027-4","type":"journal-article","created":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T15:45:13Z","timestamp":1772639113000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Exploring differences between women and men in treatment-seeking patients with compulsive buying-shopping disorder"],"prefix":"10.1038","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4553-0585","authenticated-orcid":false,"given":"Bjarn-Ove","family":"Tetzlaff","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanja","family":"Bogel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4665-7011","authenticated-orcid":false,"given":"Tobias A.","family":"Thomas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0213-5171","authenticated-orcid":false,"given":"Nora M.","family":"Laskowski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6176-2947","authenticated-orcid":false,"given":"Astrid","family":"M\u00fcller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,3,4]]},"reference":[{"key":"43027_CR1","doi-asserted-by":"publisher","DOI":"10.1024\/0939-5911\/a000737","author":"NM Laskowski","year":"2021","unstructured":"Laskowski, N.M., Trotzke, P., de Zwaan, M., Brand, M. & M\u00fcller, A. 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