a Research Service, VA San Diego Healthcare System , San Diego , USA.
Aging Ment Health. 2014 Mar;18(2):148-51. doi: 10.1080/13607863.2013.814105. Epub 2013 Jul 17.
Hoarding disorder (HD) in late life is associated with increased risk for fire, falling, poor sanitary conditions, disability, and health risks. However, research on the health status of individuals with HD is limited. Hoarding symptoms and the resulting clutter may exacerbate health conditions and lead to improper management of medical illnesses.
The purpose of this study is to characterize the health status of older adults with hoarding. The rates of medical conditions will be compared to a non-psychiatric peer group.
72 older adults with HD and 25 age matched normal controls, completed a medical conditions checklist, symptom severity measures (i.e., UCLA Hoarding Severity Scale, UHSS; Saving Inventory-Revised, SI-R) and a measure capturing activities of daily living (activities of daily living-hoarding, ADL-H).
Older adults with HD (n = 72) reported significantly more health conditions compared to their non-psychiatric peers (n = 25). Hoarding severity significantly predicted the total number of medical conditions. Further, the vast majority of HD patients reported at least one medical condition.
This is alarming given that hoarding patients utilized health services less than typical for older adults. Given the health status of older adults with HD, interventions should target the prevention and management of medical conditions.
老年人囤积症(HD)与火灾、跌倒、卫生条件差、残疾和健康风险增加有关。然而,关于 HD 患者健康状况的研究有限。囤积症状和由此产生的杂物可能会使健康状况恶化,并导致医疗疾病管理不当。
本研究旨在描述有囤积症的老年人的健康状况。将比较医疗条件的发生率与非精神科同龄人群。
72 名患有 HD 的老年人和 25 名年龄匹配的正常对照组完成了一份医疗状况检查表、症状严重程度测量(即加州大学洛杉矶分校囤积严重程度量表、UCLA;储存清单修订版、SI-R)和一项日常生活活动(日常生活活动囤积,ADL-H)测量。
与非精神科同龄人(n = 25)相比,患有 HD 的老年人(n = 72)报告的健康状况明显更多。囤积严重程度显著预测了医疗条件的总数。此外,绝大多数 HD 患者报告至少有一种医疗状况。
鉴于囤积症患者使用医疗服务的频率低于典型的老年人,这令人震惊。鉴于 HD 老年患者的健康状况,干预措施应针对预防和管理医疗状况。