Research Service, VA San Diego Healthcare System, 3350 La Jolla Village Drive 116B, San Diego, CA, 92161, USA.
San Diego State University/University of California, San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA, USA.
Curr Psychiatry Rep. 2019 Aug 13;21(9):91. doi: 10.1007/s11920-019-1078-0.
The purpose of the following paper is to review recent literature trends and findings in hoarding disorder (HD). Our goal is to highlight recent research on etiology, associated features, and empirically based treatments.
Recent literature has added support for cognitive differences as a risk factor for HD; however, there is evidence that individuals with HD may overestimate their level of cognitive impairment. Several associated features have been highlighted in recent studies, including emotion regulation, intolerance of uncertainty and distress intolerance, and attachment. Finally, several psychotherapeutic treatments for hoarding have been recently validated, including group-based therapy and treatments using the cognitive-behavioral model. Although recent research demonstrates that hoarding can be effectively treated with available psychotherapeutic modalities, the effectiveness of current treatments is not as robust as that for other psychiatric disorders and more work is needed in treatment precision.
本文旨在综述囤积障碍（HD）的最新文献趋势和研究结果。我们的目标是强调最近关于病因、相关特征和基于实证的治疗方法的研究。
最近的文献增加了认知差异作为 HD 的风险因素的支持；然而，有证据表明，HD 患者可能高估了自己的认知障碍程度。最近的研究强调了几个相关特征，包括情绪调节、不确定性和痛苦不耐受，以及依恋。最后，最近验证了几种囤积症的心理治疗方法，包括基于小组的治疗和使用认知行为模型的治疗。尽管最近的研究表明，现有的心理治疗方法可以有效地治疗囤积症，但目前治疗方法的有效性不如其他精神障碍那样显著，因此需要在治疗精度方面做更多的工作。
