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囤积症在 DSM-5 中的位置:是另一种症状,还是新列出的一种障碍?

Hoarding's place in the DSM-5: another symptom, or a newly listed disorder?

机构信息

University of Massachusetts Lowell, School of Health and Environment, Lowell, Massachusetts 01854-5127, USA.

出版信息

Issues Ment Health Nurs. 2012 Sep;33(9):591-7. doi: 10.3109/01612840.2012.704134.

DOI:10.3109/01612840.2012.704134
PMID:22957952
Abstract

Hoarding behavior, long considered a symptom of obsessive-compulsive disorder (OCD) in the Diagnostic and Statistical Manual (DSM-IV-TR; American Psychiatric Association, 2000), has recently garnered significant attention and has only begun to be more carefully studied and understood. Recent research reveals that hoarding is frequently comorbid with anxiety, depression, and other diagnoses, including OCD. The DSM-5 Working Group on Anxiety, Obsessive-Compulsive Spectrum, Posttraumatic, and Dissociative Disorders is currently working to determine appropriate placement of hoarding in the DSM-5 (APA, 2010), and has tentatively proposed the term Hoarding Disorder to be used as a new and unique diagnosis. The purpose of this paper is to provide some insight into the evidence base that has prompted this change and to familiarize clinicians with research and best practices in the emerging field of diagnosing and treating hoarding behaviors.

摘要

囤积行为长期以来被认为是《诊断与统计手册》(DSM-IV-TR;美国精神病学协会,2000 年)中强迫症(OCD)的一种症状,最近引起了广泛关注,并且才开始得到更仔细的研究和理解。最近的研究表明,囤积症经常与焦虑、抑郁和其他诊断共病,包括 OCD。《精神疾病诊断与统计手册》(DSM-5)焦虑、强迫症谱、创伤后和分离障碍工作组目前正在努力确定将囤积症放置在 DSM-5 中的适当位置(APA,2010 年),并暂定提出囤积障碍一词作为一个新的独特诊断。本文的目的是提供一些证据基础的见解,这些证据基础促使了这一变化,并使临床医生熟悉诊断和治疗囤积行为这一新兴领域的研究和最佳实践。

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引用本文的文献

1
A case of digital hoarding.一例数字囤积症病例。
BMJ Case Rep. 2015 Oct 8;2015:bcr2015210814. doi: 10.1136/bcr-2015-210814.
2
Evidence accumulation in obsessive-compulsive disorder: the role of uncertainty and monetary reward on perceptual decision-making thresholds.强迫症中的证据积累:不确定性和金钱奖励对知觉决策阈值的作用。
Neuropsychopharmacology. 2015 Mar 13;40(5):1192-202. doi: 10.1038/npp.2014.303.