Examining subjective sleep quality in adults with hoarding disorder.
Examining subjective sleep quality in adults with hoarding disorder.
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DOI：
10.1016/j.jpsychires.2020.10.044
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发表时间：
2021-05
影响因子：
4.8
通讯作者：
Rodriguez CI
中科院分区：
文献类型：
--
作者：
Mahnke AR;Linkovski O;Timpano K;van Roessel P;Sanchez C;Varias AD;Mukunda P;Filippou-Frye M;Lombardi A;Raila H;Anderson K;Sandhu T;Wright B;McCarthy EA;Garcia GE;Asgari S;Qiu T;Bernert R;Rodriguez CI
囤积症（HD）的特点是难以与财产分开，功能受损的混乱，影响2-6%的人口。HD最初被认为是强迫症（OCD）的一部分，在2013年成为精神障碍诊断和统计手册（DSM-5）中的一个独立诊断实体。虽然睡眠会影响强迫症，但对HD的睡眠知之甚少。由于HD患者在临床环境中经常报告睡眠不佳，因此了解整体主观睡眠质量和干扰可能会导致新的治疗目标。为了解决这一差距，作者使用了一个方便的样本：一个现有的数据集，旨在筛选研究研究资格，并探索强迫症和HD的精神病理学和现象学。数据集包括从HD（n=38），OCD（n=26）和健康参与者（n=22）中收集的关于失眠，睡眠质量和情绪的信息，使用访谈和结构化工具，包括失眠严重程度指数（ISI），匹兹堡睡眠质量指数（PSQI）和抑郁焦虑压力量表（DASS）。在这个数据集中，HD和OCD组与健康对照组相比，在控制抑郁症，年龄和性别的情况下，失眠症状明显更严重，睡眠质量更差。一个相当大的少数HD和强迫症的个人符合共病睡眠障碍的标准。强迫症和HD组在延迟睡眠阶段患病率方面存在差异。据我们所知，这是第一项研究，检查主观睡眠质量和失眠症的HD相比，健康的个人和那些与强迫症，同时控制相关的临床特征。鉴于失眠和其他睡眠障碍有循证治疗，我们的研究提出了针对睡眠的治疗干预可能改善HD结果的可能性。
Hoarding disorder (HD), characterized by difficulty parting with possessions and functionally impairing clutter, affects 2–6% of the population. Originally considered part of Obsessive-Compulsive Disorder (OCD), HD became a distinct diagnostic entity in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) in 2013. While sleep impacts OCD, little is known about sleep in HD. As HD patients often report poor sleep in clinical settings, understanding global subjective sleep quality and disturbances may lead to novel therapeutic targets. To address this gap, the authors used a sample of convenience: an existing data set designed to screen research study eligibility and explore the psychopathology and phenomenology of OCD and HD. The data set included information collected from individuals with HD (n=38), OCD (n=26), and healthy participants (n=22) about insomnia, sleep quality, and mood using interviews and structured instruments including the Insomnia Severity Index (ISI), Pittsburgh Sleep Quality Index (PSQI), and Depression Anxiety Stress Scales (DASS). In this data set, HD and OCD groups reported significantly greater insomnia symptoms and poorer sleep quality compared with healthy controls while controlling for depression, age, and gender. A sizable minority of HD and OCD individuals met criteria for comorbid sleep disorders. OCD and HD groups differed in delayed sleep phase prevalence. To our knowledge, this is the first study examining subjective sleep quality and insomnia in HD as compared to healthy individuals and those with OCD, while controlling for relevant clinical characteristics. Given that there are evidence-based treatments for insomnia and other sleep disorders, our study raises the possibility that treatment interventions targeting sleep may improve HD outcomes.
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