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老年囤积症。

Hoarding disorder in older adulthood.

机构信息

Research Service, VA San Diego Healthcare System, San Diego, CA; Psychology Service, VA San Diego Healthcare System, San Diego, CA; Department of Psychiatry, University of California, San Diego School of Medicine, San Diego, CA.

Research Service, VA San Diego Healthcare System, San Diego, CA; Department of Psychology, San Diego State University, San Diego, CA.

出版信息

Am J Geriatr Psychiatry. 2015 Apr;23(4):416-422. doi: 10.1016/j.jagp.2014.05.009. Epub 2014 May 29.

Abstract

OBJECTIVE

Hoarding disorder (HD) is a chronic condition associated with moderate to severe impairment in health and functioning. HD has been primarily studied in midlife adults, and there is limited research on HD in late life.

METHODS

In this review, we summarize research on the presentation and characteristics of HD and hoarding symptoms in older adults, including evidence for associated impairment in daily functioning, physical health, and cognitive function. Finally, we review the evidence available for intervention outcomes for treating HD in older adults.

RESULTS

Geriatric HD is characterized by severe functional impairment, medical and psychiatric comorbidities, and cognitive dysfunction.

CONCLUSION

There is a lack of randomized controlled trials investigating evidence-based treatments for geriatric HD.

摘要

目的

囤积症(HD)是一种与健康和功能中度至重度受损相关的慢性疾病。HD 主要在中年成年人中进行研究,而关于老年人 HD 的研究有限。

方法

在这篇综述中,我们总结了有关老年人 HD 和囤积症状的表现和特征的研究,包括与日常生活功能、身体健康和认知功能相关的损害证据。最后,我们回顾了针对老年人 HD 治疗的干预结果的现有证据。

结果

老年 HD 的特征是严重的功能障碍、医学和精神共病以及认知功能障碍。

结论

缺乏针对老年 HD 的基于证据的治疗方法的随机对照试验。

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本文引用的文献

1
Venlafaxine extended-release treatment of hoarding disorder.文拉法辛缓释剂治疗囤积障碍
Int Clin Psychopharmacol. 2014 Sep;29(5):266-73. doi: 10.1097/YIC.0000000000000036.
2
Medical conditions in geriatric hoarding disorder patients.老年囤积症患者的医疗状况。
Aging Ment Health. 2014 Mar;18(2):148-51. doi: 10.1080/13607863.2013.814105. Epub 2013 Jul 17.
4
Characteristics of hoarding in older adults.老年人囤积症的特征。
Am J Geriatr Psychiatry. 2013 Oct;21(10):1043-7. doi: 10.1016/j.jagp.2013.01.028. Epub 2013 Feb 6.
5
Executive functioning in older adults with hoarding disorder.老年囤积障碍患者的执行功能。
Int J Geriatr Psychiatry. 2013 Nov;28(11):1175-81. doi: 10.1002/gps.3940. Epub 2013 Feb 26.
7
Correlates of agitation and depression in nursing home residents with dementia.养老院痴呆患者激越与抑郁的相关因素。
Int Psychogeriatr. 2012 Nov;24(11):1779-89. doi: 10.1017/S104161021200066X. Epub 2012 May 17.

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