Inattention, but not OCD, predicts the core features of hoarding disorder.
Inattention, but not OCD, predicts the core features of hoarding disorder.
复制标题
注意力不集中，而不是强迫症，预示着囤积症的核心特征。
DOI：
10.1016/j.brat.2010.12.002
复制
发表时间：
2011
影响因子：
4.1
通讯作者：
Villavicencio,Anna
中科院分区：
文献类型：
--
作者：
Tolin,DavidF;Villavicencio,Anna
囤积障碍(HD)是一种常见的、令人衰弱的疾病，其定义是获得并未能丢弃大量财产，导致杂乱无章，无法正常使用生活空间。尽管囤积症在历史上被认为是强迫症(OCD)的一种变体，但越来越多的证据表明，囤积症可能与注意力缺陷多动障碍(ADHD)的症状更密切相关。本研究的目的是阐明囤积的核心特征(杂乱、难以丢弃、获得)、强迫症症状和ADHD症状之间的关系。HD组(N组)、非囤积型强迫症组(N组)和健康对照组(N组)分别接受了仔细的诊断性访谈，并完成了关于ADHD的核心特征(杂乱、难以丢弃、获得)、强迫症症状、消极情绪以及注意力不集中和多动/冲动症状的标准化自我报告测量。多元线性回归表明，在控制了整体负面情绪后，强迫症症状并不能显著预测HD的任何核心特征。相反，ADHD的注意力不集中(但不是过度活跃/冲动)症状显著地预示着杂乱的严重程度、难以丢弃和获得。这些结果挑战了目前将囤积作为强迫症的一个亚型的概念，并表明与神经认知障碍有关。
Hoarding Disorder (HD), defined as the acquisition of and failure to discard large volumes of possessions, resulting in clutter that precludes normal use of living spaces, is a common and debilitating condition. Although hoarding has historically been conceptualized as a variant of obsessive-compulsive disorder (OCD), increasing evidence suggests that hoarding might be more closely associated with the symptoms of attention deficit-hyperactivity disorder (ADHD). The aim of the present study was to clarify the relationship between the core features of hoarding (clutter, difficulty discarding, acquiring), OCD symptoms, and ADHD symptoms. HD (N = 39), non-hoarding OCD (N = 26), and healthy control (N = 36) participants underwent careful diagnostic interviewing and completed standardized self-report measures of the core features of hoarding (clutter, difficulty discarding, acquiring), OCD symptoms, negative affect, and the inattentive and hyperactive/impulsive symptoms of ADHD. Multiple linear regressions demonstrated that after controlling for global negative affect, OCD symptoms did not significantly predict any of the core features of HD. Conversely, the inattentive (but not hyperactive/impulsive) symptoms of ADHD significantly predicted severity of clutter, difficulty discarding, and acquiring. These results challenge current conceptualizations of hoarding as a subtype of OCD, and suggest an association with neurocognitive impairment.