Rodriguez Carolyn I, Herman Dan, Alcon Jehanny, Chen Shaofu, Tannen Audrey, Essock Susan, Simpson Helen Blair
New York State Psychiatric Institute, 1051 Riverside Drive, New York, NY 10032, USA.
J Nerv Ment Dis. 2012 Jan;200(1):91-4. doi: 10.1097/NMD.0b013e31823f678b.
This study estimated the prevalence of hoarding disorder (HD) in individuals seeking help from Eviction Intervention Services Housing Research Center (EIS), a not-for-profit community organization in New York City (NYC) that aids clients with housing problems including eviction. One hundred fifteen EIS clients were screened for HD. The prevalence of HD among those seeking help from EIS was 22% (clinician-rated) and 23% (self-rated), which is nearly 5 to 10 times greater than the rate of hoarding (2% to 5%) in the general population. Of individuals seeking help from EIS who met the criteria for HD (n = 25), 32% were currently in legal eviction proceedings (i.e., threatened with imminent eviction), 44% had a history of previous legal eviction proceedings, and 20% had been evicted from their home one or more times, yet only 48% were currently seeking mental health treatment. Almost a quarter of individuals seeking help for housing problems from a community eviction prevention organization met the criteria for HD; only about half of these individuals were receiving mental health treatment. Future studies are needed to determine whether HD treatment can reduce the risk of eviction and homelessness in NYC.
本研究估计了向驱逐干预服务住房研究中心(EIS)寻求帮助的个体中囤积障碍(HD)的患病率。EIS是纽约市(NYC)的一个非营利性社区组织,为包括面临驱逐在内的有住房问题的客户提供帮助。对115名EIS客户进行了HD筛查。在向EIS寻求帮助的人群中,HD的患病率经临床医生评定为22%,自我评定为23%,这几乎是普通人群中囤积发生率(2%至5%)的5至10倍。在向EIS寻求帮助且符合HD标准的个体(n = 25)中,32%目前正处于合法驱逐程序中(即面临即将被驱逐的威胁),44%有过之前合法驱逐程序的历史,20%曾被逐出家门一次或多次,但目前只有48%正在寻求心理健康治疗。几乎四分之一从社区驱逐预防组织寻求住房问题帮助的个体符合HD标准;这些个体中只有约一半正在接受心理健康治疗。未来需要开展研究以确定HD治疗是否能降低纽约市的驱逐和无家可归风险。