Do traumatic events influence the clinical expression of compulsive hoarding?
Do traumatic events influence the clinical expression of compulsive hoarding?
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DOI：
10.1016/j.brat.2007.06.005
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发表时间：
2007-11-01
影响因子：
4.1
通讯作者：
Murphy, Dennis L.
中科院分区：
文献类型：
--
作者：
Cromer, Kiara R.;Schmidt, Norman B.;Murphy, Dennis L.
创伤经历被认为是包括强迫性囤积在内的强迫症状突然发作的潜在催化剂。为了确定创伤性生活事件是否会影响强迫症（OCD）中强迫性囤积的表达，本研究对180名强迫症患者进行了创伤后应激障碍（ptsd）模块的访谈。与不符合囤积标准的强迫症患者相比，被归类为囤积者的参与者（占样本的24%）在他们的一生中至少报告过一次TLE的可能性要大得多。符合囤积标准并经历过TLEs的患者的囤积症状严重程度明显高于未经历过创伤的囤积者。这种联系被发现是强有力的。也就是说，TLEs与囤积症状严重程度之间的关系并不能通过年龄、强迫症发病年龄、抑郁症状、一般强迫症症状或情绪和焦虑合并症来更好地解释。更仔细的检查显示，强迫性囤积的杂乱因素（而不是难以丢弃或获取）与经历过创伤性事件的关系最为密切。(C) 2007 Elsevier Ltd.版权所有。
Traumatic experiences have been posited as one potential catalyst for the abrupt onset of obsessive-compulsive symptoms including compulsive hoarding. To determine whether traumatic life events (TLEs) might influence the expression of compulsive hoarding in obsessive-compulsive disorder (OCD), interview responses to the Posttraumatic Stress Disorder module of the Structured Clinical Interview for DSM-IV (SCID) were examined in 180 individuals with OCD. Compared to individuals with OCD who did not meet criteria for hoarding, participants classified as hoarders (24% of the sample) were significantly more likely to have reported at least one TLE in their lifetime. Patients who met criteria for hoarding and who had also experienced TLEs had significantly greater hoarding symptom severity than those hoarders not exposed to trauma. This association was found to be robust. That is, the relationship between TLEs and hoarding symptom severity was not better accounted for by age, age of OCD onset, depressive symptoms, general OCD symptomatology, or mood and anxiety comorbidity. Closer examination revealed that the clutter factor of compulsive hoarding (and not difficulty discarding or acquisitioning) was most strongly associated with having experienced a traumatic event. (C) 2007 Elsevier Ltd. All rights reserved.