Department of Psychiatry, University of California at San Diego, 140 Arbor Drive, San Diego, CA 92103, United States.
J Psychiatr Res. 2011 Apr;45(4):475-80. doi: 10.1016/j.jpsychires.2010.08.007. Epub 2010 Sep 6.
Compulsive hoarding patients have been found in previous studies to have substantial disability and functional impairment. However, no prior study has examined subjective and objective quality of life (QOL) in patients with compulsive hoarding. This present study compared compulsive hoarders and non-hoarding OCD patients across a variety of QOL domains. Subjects were 171 consecutive adult patients (34 compulsive hoarders, 137 non-hoarding patients with DSM-IV OCD) treated openly between 1998 and 2004 in the UCLA OCD Partial Hospitalization Program (OCD PHP), a specialized, intensive, multi-modal treatment program for treatment-refractory patients. Scores on the Quality of Life Scale and other symptom severity measures on admission were compared between compulsive hoarders and non-hoarding OCD patients. Compulsive hoarders were older and had lower global functioning than non-hoarding OCD patients. Both groups had low overall QOL scores across multiple domains. Compulsive hoarders had significantly lower levels of satisfaction with their safety than non-hoarding OCD patients, were more often the victims of both violent and non-violent crime, felt less safe in their neighborhoods, and felt less protected against attack. Compulsive hoarders were also much less satisfied with their living arrangements than non-hoarding OCD patients. No differences were found on financial variables, but the vast majority of patients in both groups were unemployed. Compulsive hoarders have lower QOL than non-hoarding OCD patients in the domains of safety and living situation. Psychosocial rehabilitation that focuses on problems with victimization, safety, employment, and financial areas may be a beneficial augmentation to treatment for compulsive hoarding.
先前的研究发现，强迫囤积症患者存在大量的残疾和功能障碍。然而，此前尚无研究检查过强迫囤积症患者的主观和客观生活质量（QOL）。本研究比较了强迫囤积症患者和非囤积强迫症患者在多个 QOL 领域的表现。受试者为 1998 年至 2004 年期间在 UCLA OCD 部分住院治疗计划（OCD PHP）中接受开放式治疗的 171 名连续成年患者（34 名强迫囤积症患者，137 名非囤积强迫症患者），这是一个专门的、密集的、多模式的治疗计划，适用于治疗难治性患者。比较了强迫囤积症患者和非囤积强迫症患者在入院时的生活质量量表和其他症状严重程度测量结果。强迫囤积症患者的年龄较大，整体功能较低。两组患者在多个领域的整体 QOL 评分均较低。强迫囤积症患者的安全满意度明显低于非囤积强迫症患者，他们更容易成为暴力和非暴力犯罪的受害者，他们对邻里的安全感较低，对攻击的保护感较低。强迫囤积症患者对居住安排的满意度也远低于非囤积强迫症患者。在财务变量方面没有发现差异，但两组患者绝大多数都失业了。在安全和居住环境领域，强迫囤积症患者的 QOL 低于非囤积强迫症患者。针对受害、安全、就业和财务问题的心理社会康复可能是强迫囤积症治疗的有益补充。
