Age of onset of compulsive hoarding
Age of onset of compulsive hoarding
复制标题
DOI：
10.1016/j.janxdis.2005.07.004
复制
发表时间：
2006-01-01
影响因子：
10.3
通讯作者：
Hood, Sarah
中科院分区：
文献类型：
--
作者：
Grisham, Jessica R.;Frost, Randy O.;Hood, Sarah
尽管强迫性囤积症似乎是一种慢性、进行性的疾病，但人们对其发病和病程知之甚少。目前的研究对 51 名患有强迫性囤积困难的个体进行了回顾性评估，以确定各种囤积症状（杂乱、获取、丢弃困难）的发作，以及个体在其一生中不同时期对该问题的认识程度。参与者被要求描述每个十年在囤积症状出现时发生的生活事件。杂乱和难以丢弃的症状似乎在大约同一年龄开始，而获得问题则稍晚一些开始。对问题的认识远远晚于任何症状本身。部分参与者报告说，他们的囤积症症状在生命中的某个时刻有所减轻，但很少有人报告说囤积症在任何时候都得到了完全缓解。对囤积症状发病年龄的生存分析表明，在储蓄行为开始时报告有压力事件的个体的发病年龄明显晚于在发病年龄时没有报告事件的个体。也许对于某些人来说，强迫性囤积是一种终生的性格现象，而对于其他人来说，囤积行为是后来作为对压力或损失的反应而发展起来的。 (c) 2005 年，爱思唯尔公司出版。
Although compulsive hoarding appears to be a chronic, progressive disorder, little is known about its onset and course. The current study employed retrospective assessment of 51 individuals with compulsive hoarding difficulties to determine onset of various hoarding symptoms (clutter, acquisition, difficulty discarding), as well as the individual's degree of recognition of the problem at various times throughout his or her life. Participants were asked to describe life events from each decade that occurred at the time hoarding symptoms were developing. Symptoms of clutter and difficulty discarding appeared to begin at approximately the same age, whereas acquiring problems began slightly later. Recognition of the problem developed significantly later than any of the symptoms themselves. A portion of participants reported that their hoarding symptoms were reduced at some point in their lives, but few reported full remission of hoarding at any point. Survival analysis of age of onset of hoarding symptoms indicated that individuals who reported a stressful event when saving behavior started had a significantly later age of onset than those who reported no events at the age of onset. Perhaps for some individuals compulsive hoarding is a lifelong characterological phenomenon, whereas for others hoarding behavior develops later as a reaction to stress or loss. (c) 2005 Published by Elsevier Inc.