Novara Caterina, Bottesi Gioia, Dorz Stella, Sanavio Ezio
Department of General Psychology, University of Padova Padova, Italy.
Casa di Cura Parco dei Tigli Padova, Italy.
Front Psychol. 2016 Nov 10;7:1742. doi: 10.3389/fpsyg.2016.01742. eCollection 2016.
Hoarding disorder (HD) was originally conceptualized as a subcategory of obsessive compulsive disorder (OCD), and numerous studies have in fact focused exclusively on investigating the comorbidity between OCD and HD. Hoarding behavior can nevertheless also be found in other clinical populations and in particular in patients with eating disorders (ED), anxiety disorders (AD), major depression (MD), and psychotic disorders (PD). The current study was carried out with the aim of investigating, using a validated instrument such as the (SI-R), the presence of HD symptoms in patients diagnosed with ED, AD, MD, and PD. Hoarding symptomatology was also assessed in groups of self-identified hoarders and healthy controls. The results revealed that 22.5% of the ED patients exceeded the cut-off for the diagnosis of HD, followed by 7.7% of the patients with MD, 7.4% of the patients with AD, and 5.9% of the patients with PD. The patients with ED had significantly higher SI-R scores than the other groups in the Acquisition and Difficulty Discarding scales while the AD, MD, and PD patients were characterized exclusively by Difficulty Discarding. These data suggest to clinicians that hoarding symptoms should be assessed in other types of patients and especially in those affected by Bulimia and Binge eating.
囤积障碍（HD）最初被概念化为强迫症（OCD）的一个子类别，事实上许多研究仅专注于调查强迫症与囤积障碍之间的共病情况。然而，囤积行为也可见于其他临床人群，尤其是进食障碍（ED）、焦虑症（AD）、重度抑郁症（MD）和精神障碍（PD）患者。本研究旨在使用一种经过验证的工具，如[具体工具名称未给出]（SI-R），调查被诊断患有进食障碍、焦虑症、重度抑郁症和精神障碍的患者中囤积障碍症状的存在情况。还对自我认定的囤积者组和健康对照组的囤积症状进行了评估。结果显示，22.5%的进食障碍患者超过了囤积障碍诊断的临界值，其次是7.7%的重度抑郁症患者、7.4%的焦虑症患者和5.9%的精神障碍患者。进食障碍患者在获取和丢弃困难量表上的SI-R得分显著高于其他组，而焦虑症、重度抑郁症和精神障碍患者仅表现为丢弃困难。这些数据向临床医生表明，应在其他类型的患者中评估囤积症状，尤其是那些受贪食症和暴饮暴食影响的患者。
