Gleason Andrew, Lewis Matthew, Lee Sook Meng, Macfarlane Stephen
Aged Psychiatry Service,Caulfield Hospital,Alfred Health,Victoria,Australia.
Int Psychogeriatr. 2015 Nov;27(11):1913-8. doi: 10.1017/S1041610215000897. Epub 2015 Jun 16.
Domestic squalor has been associated with alcohol misuse but little work has explored this. Executive dysfunction is commonly observed in squalor and is also associated with alcohol misuse. Hoarding can accompany squalor, but it is unclear whether hoarding is also linked with alcohol misuse. This study compared neuropsychology and hoarding status of individuals living in squalor with and without a history of alcohol misuse.
A subgroup analysis was conducted on a series of 69 neuropsychological reports of people living in squalor. Data on cognitive profiles, basic demographics, alcohol use, and hoarding were extracted and analyzed.
Alcohol misuse was reported in 25 of the 69 participants (36%). Alcohol misusers were significantly younger (mean age 66.2 years, SD = 10.7) than non-misusers (mean age 75.6 years, SD = 10.3) (p < 0.00) and significantly more likely to be male (p = 0.01). No significant differences between the two subgroups were found for estimated premorbid intellectual functioning, Mini Mental State Examination (MMSE) scores, or individual neuropsychological domains. Alcohol misusers were more likely to be living in squalor without hoarding than squalor with hoarding (p = 0.01).
Alcohol misusers living in squalor were less likely to hoard than non-misusers. This finding suggests that alcohol misuse may be a risk factor for squalor via failure to maintain one's environment rather than through intentional accumulation of objects. The similar cognitive profile among those with and without a history of alcohol misuse could represent a common pattern of executive dysfunction that predisposes individuals to squalor regardless of underlying alcohol misuse diagnosis.
家庭环境脏乱与酒精滥用有关，但对此的研究较少。在脏乱环境中常观察到执行功能障碍，其也与酒精滥用有关。囤积行为可能伴随脏乱环境，但尚不清楚囤积行为是否也与酒精滥用有关。本研究比较了有和没有酒精滥用史的生活在脏乱环境中的个体的神经心理学和囤积状况。
对一系列69份生活在脏乱环境中的人的神经心理学报告进行了亚组分析。提取并分析了认知概况、基本人口统计学、酒精使用和囤积方面的数据。
69名参与者中有25名（36%）报告有酒精滥用情况。酒精滥用者明显比非滥用者年轻（平均年龄66.2岁，标准差 = 10.7）（平均年龄75.6岁，标准差 = 10.3）（p < 0.00），且男性比例明显更高（p = 0.01）。在预估病前智力功能、简易精神状态检查表（MMSE）分数或各个神经心理学领域方面，两个亚组之间未发现显著差异。与有囤积行为的脏乱环境相比，酒精滥用者更有可能生活在没有囤积行为的脏乱环境中（p = 0.01）。
生活在脏乱环境中的酒精滥用者比非滥用者囤积物品的可能性更小。这一发现表明，酒精滥用可能是导致生活环境脏乱的一个危险因素，其途径是无法维持个人环境，而非通过故意囤积物品。有和没有酒精滥用史的人在认知概况上相似，这可能代表了一种常见的执行功能障碍模式，使个体易患生活环境脏乱，而不论潜在的酒精滥用诊断情况如何。
