囤积障碍成年人的年龄与神经认知及日常功能之间的关系。
The relationship between age and neurocognitive and daily functioning in adults with hoarding disorder.
作者信息
Dozier Mary E, Wetherell Julie L, Twamley Elizabeth W, Schiehser Dawn M, Ayers Catherine R
机构信息
San Diego State University/University of California, Joint Doctoral Program in Clinical Psychology, San Diego, CA, USA.
VA San Diego Healthcare System, San Diego, CA, USA.
出版信息
Int J Geriatr Psychiatry. 2016 Dec;31(12):1329-1336. doi: 10.1002/gps.4438. Epub 2016 Feb 14.
OBJECTIVE
Given the increase in hoarding symptoms with age, there is a pressing need for understanding the clinical features as they relate to potential interventions for older adults with hoarding disorder (HD). The aim of the current investigation was to explore age-related differences in the level of functional and cognitive impairment in individuals with HD.
METHODS
The current study utilized the baseline assessments of 122 adults with HD. Age-related differences in the raw scores of psychiatric, cognitive, and daily functioning were analyzed using a series of multiple regression models controlling for the possible age-related differences in premorbid IQ.
RESULTS
Our results suggested that older adults with HD may experience increased levels of impairment in skills related to executive functioning and everyday functioning when compared with younger adults with HD.
CONCLUSIONS
Given these difficulties with neurocognitive functioning, older HD patients may require interventions that focus more on behavioral and functional skills, rather than focusing on changing thought processes. Copyright © 2016 John Wiley & Sons, Ltd.
目的
鉴于囤积症状随年龄增长而增加，迫切需要了解与囤积障碍（HD）老年患者潜在干预措施相关的临床特征。本研究的目的是探讨HD患者在功能和认知障碍水平上的年龄相关差异。
方法
本研究采用了122名HD成年患者的基线评估。使用一系列多元回归模型分析了精神病学、认知和日常功能原始分数的年龄相关差异，同时控制病前智商中可能存在的年龄相关差异。
结果
我们的结果表明，与年轻的HD患者相比，老年HD患者在执行功能和日常功能相关技能方面的受损水平可能更高。
结论
鉴于神经认知功能方面的这些困难，老年HD患者可能需要更侧重于行为和功能技能的干预措施，而不是侧重于改变思维过程。版权所有© 2016约翰·威利父子有限公司。
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