COURSE OF COMPULSIVE HOARDING AND ITS RELATIONSHIP TO LIFE EVENTS
COURSE OF COMPULSIVE HOARDING AND ITS RELATIONSHIP TO LIFE EVENTS
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DOI：
10.1002/da.20684
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发表时间：
2010-09-01
影响因子：
7.4
通讯作者：
Steketee, Gail
中科院分区：
文献类型：
--
作者：
Tolin, David F.;Meunier, Suzanne A.;Steketee, Gail
背景资料：强迫性囤积症是一种常见的、使人衰弱的、但人们对它知之甚少的疾病，其特征是过度获得和未能丢弃大量物品，导致生活环境混乱，而且往往是危险的。本研究旨在探讨强迫性囤积症的发生、病程，以及压力性或创伤性生活事件与病程的关系。研究方法：751名自我报告有囤积症状的成年人完成了一项在线调查，调查内容涉及囤积行为在一生中的严重程度以及压力或创伤性生活事件的发生率。结果：发病的中位年龄在11至15岁之间，大多数受访者报告在20岁之前出现症状。迟发性（例如，40岁以后，囤积症很少见。大多数答复者描述了慢性病程，少数人描述了加重或复发/缓解的病程。压力和创伤性事件是常见的，在这sanzple的关系和人际暴力的变化不成比例的时间与症状发作或恶化的时期。结论：这些结果强调了强迫性囤积的慢性性质，其相关的公共卫生负担，以及生活压力对症状发展的潜在影响。进一步研究的方向进行了讨论。抑郁和焦虑27：829-838，2010. (C)2010 Wiley-Liss，Inc.
Background: Compulsive hoarding is a common and debilitating, yet poorly understood, condition characterized by excessive acquisition of and failure to discard a large number of objects, resulting in cluttered and often hazardous living conditions. The aim of this study was to examine the onset and course of compulsive hoarding, and the relationships between stressful or traumatic life events and course of illness. Methods: Seven hundred fifty-one adults with self-reported hoarding symptoms completed an online survey regarding the severity of hoarding behavior over the lifespan and the incidence of stressful or traumatic life events. Results: Median age of onset was between 11 and 15 years, with most respondents reporting symptom onset before age 20. Late-onset (e.g., after age 40) hoarding was rare. Most respondents described a chronic course of illness, with a significant minority describing an increasing or relapsing/remitting course. Stressful and traumatic events were common in this sanzple; changes in relationships and interpersonal violence were disproportionately associated temporally with periods of symptom onset or exacerbation. Conclusions: These results highlight the chronic nature of compulsive hoarding, its associated public health burden, and the potential impact of life stressors on symptom development. Directions for further research are discussed. Depression and Anxiety 27:829-838, 2010. (C) 2010 Wiley-Liss, Inc.