Lynch Fiona A, Moulding Richard, McGillivray Jane A
School of Psychology, Deakin University, 221 Burwood Highway, Burwood, VIC 3125, Australia.
Compr Psychiatry. 2017 Jul;76:1-10. doi: 10.1016/j.comppsych.2017.03.009. Epub 2017 Mar 16.
Individuals with ADHD and comorbid hoarding disorder are vulnerable to severe consequences from hoarding symptoms. Despite this, and the early onset of hoarding disorder, the nature of hoarding symptoms in children with comorbid ADHD is unknown. We therefore explored the phenomenology of hoarding symptoms among ten 8-12year olds with ADHD and clinically significant hoarding symptoms through parental perceptions. Parents completed in-depth semi-structured interviews. The data was analyzed using Interpretative Phenomenological Analysis. Six superordinate themes were identified: emotional distress; parental avoidance and accommodating behaviors; family impacts of hoarding; excessive acquisition and saving; executive functioning; parental insight and intervention. In contrast to previous suggestions that emotional distress was not associated with hoarding in ADHD, these findings highlight that emotional distress appeared to be core to the hoarding disorder profile of the present sample of children with ADHD. This has important implications for health practitioners who may consider conceptualizing, assessing, and treating hoarding symptoms in children with comorbid ADHD using a cognitive behavioral model of hoarding disorder.
患有注意力缺陷多动障碍（ADHD）且合并囤积障碍的个体容易因囤积症状而遭受严重后果。尽管如此，且囤积障碍发病较早，但ADHD合并症儿童囤积症状的本质尚不清楚。因此，我们通过家长的认知，探讨了10名8至12岁患有ADHD且有临床显著囤积症状的儿童的囤积症状现象学。家长们完成了深入的半结构化访谈。使用解释现象学分析对数据进行了分析。确定了六个上位主题：情绪困扰；父母的回避和迁就行为；囤积对家庭的影响；过度获取和储蓄；执行功能；父母的洞察力和干预。与之前认为情绪困扰与ADHD患者的囤积无关的观点相反，这些发现突出表明，情绪困扰似乎是本样本中患有ADHD的儿童囤积障碍特征的核心。这对健康从业者具有重要意义，他们可能会考虑使用囤积障碍的认知行为模型来对合并ADHD的儿童的囤积症状进行概念化、评估和治疗。
