Storch Eric A, Nadeau Joshua M, Johnco Carly, Timpano Kiara, McBride Nicole, Jane Mutch P, Lewin Adam B, Murphy Tanya K
Department of Pediatrics, Rothman Center for Neuropsychiatry, University of South Florida, Box 7523, 880 6th Street South, St. Petersburg, FL, 33701, USA.
Department of Health Policy and Management, University of South Florida, Tampa, FL, USA.
J Autism Dev Disord. 2016 May;46(5):1602-12. doi: 10.1007/s10803-015-2687-z.
This study examined the nature and correlates of hoarding among youth with autism spectrum disorders (ASD). Forty children with ASD and a comorbid anxiety disorder were administered a battery of clinician-administered measures assessing presence of psychiatric disorders and anxiety severity. Parents completed questionnaires related to child hoarding behaviors, social responsiveness, internalizing and externalizing behaviors, and functional impairment. We examined the impact of hoarding behaviors on treatment response in a subsample of twenty-six youth who completed a course of personalized cognitive-behavioral therapy targeting anxiety symptoms. Hoarding symptoms were common and occurred in a clinically significant manner in approximately 25 % of cases. Overall hoarding severity was associated with increased internalizing and anxiety/depressive symptoms, externalizing behavior, and attention problems. Discarding items was associated with internalizing and anxious/depressive symptoms, but acquisition was not. Hoarding decreased following cognitive-behavioral therapy but did not differ between treatment responders and non-responders. These data are among the first to examine hoarding among youth with ASD; implications of study findings and future directions are highlighted.
本研究调查了患有自闭症谱系障碍（ASD）的青少年囤积行为的性质及相关因素。对40名患有ASD且伴有共病焦虑症的儿童进行了一系列由临床医生实施的测评，以评估精神障碍的存在情况及焦虑严重程度。家长完成了与儿童囤积行为、社交反应、内化和外化行为以及功能损害相关的问卷。在一个由26名青少年组成的子样本中，我们考察了囤积行为对治疗反应的影响，这些青少年完成了一个针对焦虑症状的个性化认知行为治疗疗程。囤积症状很常见，约25%的病例中出现了具有临床意义的囤积症状。总体囤积严重程度与内化及焦虑/抑郁症状增加、外化行为和注意力问题相关。丢弃物品与内化及焦虑/抑郁症状相关，但获取物品则不然。认知行为治疗后囤积行为减少，但治疗反应者和无反应者之间并无差异。这些数据是首批对患有ASD的青少年囤积行为进行研究的数据；研究结果的意义及未来方向也得到了强调。
