Division of Psychological Medicine, King's College London, Institute of Psychiatry, London, UK.
Clin Psychol Rev. 2010 Jun;30(4):371-86. doi: 10.1016/j.cpr.2010.01.007. Epub 2010 Feb 4.
Like most human behaviors, saving and collecting possessions can range from totally normal and adaptive to excessive or pathological. Hoarding, or compulsive hoarding, are some of the more commonly used terms to refer to this excessive form of collectionism. Hoarding is highly prevalent and, when severe, it is associated with substantial functional disability and represents a great burden for the sufferers, their families, and society in general. It is generally considered difficult to treat. Hoarding can occur in the context of a variety of neurological and psychiatric conditions. Although it has frequently been considered a symptom (or symptom dimension) of obsessive-compulsive disorder, and is listed as one of the diagnostic criteria for obsessive-compulsive personality disorder, its diagnostic boundaries are still a matter of debate. Recent data suggest that compulsive hoarding can also be a standalone problem. Growing evidence from epidemiological, phenomenological, neurobiological, and treatment studies suggests that compulsive hoarding may be best classified as a discrete disorder with its own diagnostic criteria.
与大多数人类行为一样，储蓄和收藏物品的行为范围可以从完全正常和适应的到过度或病态的。囤积或强迫性囤积是一些更常用的术语，用于指代这种过度的收藏行为。囤积现象非常普遍，当情况严重时，它会导致严重的功能障碍，并给患者、他们的家人和整个社会带来巨大的负担。一般认为这种疾病很难治疗。囤积可能发生在各种神经和精神疾病的背景下。尽管它经常被认为是强迫症（或强迫症的一个维度）的症状之一，并且被列为强迫症人格障碍的诊断标准之一，但它的诊断界限仍然存在争议。最近的数据表明，强迫性囤积也可能是一个独立的问题。来自流行病学、现象学、神经生物学和治疗研究的越来越多的证据表明，强迫性囤积可能最好被归类为一种具有自身诊断标准的独立障碍。
