Aerts L, Janssen E P C J, Janssen N J J F, Boogaard L H, Fincken J M C, Voogd L P A, van Well G Th J, Schieveld J N M
Medisch Centrum Sint-Jozefte Munsterbilzen en in de Dagkliniek voor Kinderen Jeugdigen te Hasselt.
Tijdschr Psychiatr. 2012;54(4):349-57.
There is a dearth of knowledge and understanding concerning hoarding by children and adolescents. Psychiatrists need to know more about the phenomenon of hoarding since it can be a marker of psychopathology and it sometimes is symptomatic of a psychiatric disorder.
To review hoarding from an epidemiological and psychopathological perspective and to discuss it in relation to the developmental aspect of the first object acquisition: the transitional object.
We conducted a literature search in PubMed, Medline, PsycINFO and the Cochranedatabase using primarily the search term ‘hoarding', but also in combination with the terms: primates, child, adolescent, psych*, klepto*, transitional object, obsessive-compulsive disorder, collecting and attachment.
Both animals and humans engage frequently in collecting and hoarding. Up to 60% of normally functioning children and adolescents are involved in collecting. A strong emotional attachment to possessions may be a response to an attachment problem. Hoarding combined with psychopathology is seen in persons of all ages but the prevalence rates for children and adults are unknown.
Hoarding is a worrisome type of behaviour which must be regarded as an indication of serious comorbid psychopathology. It can occur either as a symptom of an existing disorder or as a separate disorder. Finally we recommend that hoarding be included in the diagnostic criteria of the dsm and icd.
关于儿童和青少年囤积行为的知识和理解匮乏。精神科医生需要更多地了解囤积现象，因为它可能是精神病理学的一个标志，有时也是精神障碍的症状。
从流行病学和精神病理学角度回顾囤积行为，并结合第一个客体获得（过渡性客体）的发展方面进行讨论。
我们在PubMed、Medline、PsycINFO和Cochrane数据库中进行文献检索，主要使用检索词“囤积”，同时也结合以下词汇：灵长类动物、儿童、青少年、心理、盗窃癖、过渡性客体、强迫症、收藏和依恋。
动物和人类都经常进行收藏和囤积行为。高达60%的正常儿童和青少年参与收藏。对物品的强烈情感依恋可能是对依恋问题的一种反应。囤积行为与精神病理学相关的情况在各年龄段人群中均有出现，但儿童和成人的患病率尚不清楚。
囤积是一种令人担忧的行为类型，必须被视为严重共病精神病理学的一个指标。它既可以作为现有疾病的症状出现，也可以作为一种单独的疾病出现。最后，我们建议将囤积行为纳入《精神疾病诊断与统计手册》（DSM）和《国际疾病分类》（ICD）的诊断标准中。
