Tolin David F, Levy Hannah C, Wootton Bethany M, Hallion Lauren S, Stevens Michael C
Institute of Living, Hartford, CT.
Yale University School of Medicine.
J Obsessive Compuls Relat Disord. 2018 Jan;16:98-103. doi: 10.1016/j.jocrd.2018.01.006. Epub 2018 Feb 12.
The present study aimed to examine self-reported deficits in emotion regulation (ER) among individuals with hoarding disorder (HD). Seventy-seven adult outpatients with HD and 45 age- and gender-matched healthy control (HC) participants received a diagnostic assessment and completed self-report measures of hoarding severity, depression, and anxiety. In addition, participants completed the (DERS), which measures lack of emotional clarity (), difficulty regulating behavior when distressed (), difficulty engaging in goal-directed cognition and behavior when distressed (), unwillingness to accept emotional responses (), and lack of access to strategies for feeling better when distressed (). The HD group scored higher on all DERS subscales than did the HC group; self-reported ER deficits remained evident when controlling for baseline depression, anxiety, and stress. The DERS correlated significantly with hoarding severity in the HD group: acquiring was significantly correlated with DERS , and ; saving was significantly correlated with DERS . Correlations remained significant when controlling for depression, anxiety, and stress. Results suggest that HD is characterized by self-reported deficits in ER, and that this relationship is not solely attributable to high levels of depression and anxiety.
本研究旨在探讨囤积障碍（HD）患者自我报告的情绪调节（ER）缺陷。77名成年HD门诊患者和45名年龄及性别匹配的健康对照（HC）参与者接受了诊断评估，并完成了囤积严重程度、抑郁和焦虑的自我报告测量。此外，参与者完成了情绪调节困难量表（DERS），该量表测量情绪清晰度缺失、苦恼时调节行为困难、苦恼时难以参与目标导向的认知和行为、不愿接受情绪反应以及苦恼时缺乏改善情绪的策略。HD组在所有DERS分量表上的得分均高于HC组；在控制基线抑郁、焦虑和压力后，自我报告的ER缺陷仍然明显。在HD组中，DERS与囤积严重程度显著相关：获取行为与DERS的[具体分量表]和[具体分量表]显著相关，保存行为与DERS的[具体分量表]显著相关。在控制抑郁、焦虑和压力后，相关性仍然显著。结果表明，HD的特征是自我报告的ER缺陷，且这种关系并非仅归因于高水平的抑郁和焦虑。
