Department of Pediatrics, University of South Florida, FL, United States.
J Anxiety Disord. 2011 Dec;25(8):1116-22. doi: 10.1016/j.janxdis.2011.08.002. Epub 2011 Aug 10.
This study examines correlates of hoarding behaviors among nonclinical elderly adults, focusing upon hoarding cognitions, obsessive-compulsive symptoms, and measures of general psychopathology. Two hundred and sixty-nine adults aged 56-93 years (M=72.49 years) completed the Saving Inventory-Revised, Savings Cognitions Inventory-Revised, Obsessive Compulsive Inventory-Revised, Social Interaction Anxiety Scale, Penn State Worry Questionnaire, and Beck Depression Inventory. Our geriatric sample evidenced significantly greater severity of hoarding behaviors than did a younger community sample (24-72 years; M=44.4 years; Frost, Steketee, & Grishman, 2004). Within our sample, moderate correlations were found between hoarding behaviors and hoarding cognitions; however, controlling for obsessive-compulsive and depressive symptoms resulted in reduced-magnitude associations. As well, relationships between obsessive-compulsive symptoms and both hoarding behaviors and hoarding cognitions were generally strong, with most relationships diminishing after controlling for depressive symptoms. Associations between hoarding symptoms and symptoms of social anxiety, general worry, and depression were generally moderate. A significant regression model showed depressive symptoms explaining the most unique variance in hoarding behaviors. Findings confirm a relatively greater severity of hoarding behaviors in older adults (as compared to younger adults) and suggest that related psychopathology plays a critical role in hoarding expression among older adults. As well, the current study contributes to the ongoing investigation of the diagnostic categorization of compulsive hoarding.
本研究考察了非临床老年人囤积行为的相关因素,重点关注囤积认知、强迫症状和一般精神病理学的测量。269 名年龄在 56-93 岁的成年人(M=72.49 岁)完成了《保存清单修订版》、《保存认知清单修订版》、《强迫症清单修订版》、《社交互动焦虑量表》、《宾夕法尼亚州担忧问卷》和《贝克抑郁量表》。我们的老年样本在囤积行为的严重程度上明显高于年轻的社区样本(24-72 岁;M=44.4 岁;Frost、Steketee 和 Grishman,2004)。在我们的样本中,囤积行为与囤积认知之间存在中等程度的相关性;然而,控制强迫症和抑郁症状会导致相关性减弱。同样,强迫症症状与囤积行为和囤积认知之间的关系通常很强,大多数关系在控制抑郁症状后减弱。囤积症状与社交焦虑、一般担忧和抑郁症状之间的关系通常是中度的。一个显著的回归模型表明,抑郁症状可以解释囤积行为中最多的独特变异。研究结果证实了老年人(与年轻人相比)囤积行为的相对严重程度,并表明相关的精神病理学在老年人囤积行为的表达中起着关键作用。此外,本研究为强迫症囤积的诊断分类的持续研究做出了贡献。