Institute of Living and Yale University School of Medicine, Hartford, CT 06106, USA.
J Clin Psychol. 2011 May;67(5):517-26. doi: 10.1002/jclp.20795. Epub 2011 Feb 28.
This article offers a practice-friendly review of conceptualizing and treating hoarding based on biological and psychological research. Although hoarding has commonly been conceptualized as a variant of obsessive-compulsive disorder, research suggests a more complex pattern of overlap with attention deficit-hyperactivity disorder, organic brain disease, depression, anxiety, personality disorders, and impulsivity. The phenomenon of hoarding is discussed in terms of familial and environmental vulnerabilities, maladaptive cognitive process, maladaptive cognitive content, and maladaptive behavioral patterns. The article concludes with a summary of treatment efficacy and 10 promising clinical practices.
本文提供了一种基于生物和心理研究的概念化和治疗囤积症的实用方法。尽管囤积症通常被认为是强迫症的一种变体，但研究表明，它与注意力缺陷多动障碍、器质性脑疾病、抑郁、焦虑、人格障碍和冲动性之间存在更为复杂的重叠模式。本文还讨论了囤积现象在家庭和环境脆弱性、适应不良的认知过程、适应不良的认知内容和适应不良的行为模式方面的问题。文章最后总结了治疗效果和 10 种有前途的临床实践。
