Dozier Mary E, Taylor Charles T, Castriotta Natalie, Mayes Tina L, Ayers Catherine R
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.
Cognit Ther Res. 2017 Mar 22;41:799-805.
A defining feature of hoarding disorder (HD) is excessive attachment to possessions. Several existing self-report measures assess emotional attachment to items but do not explicitly assess the level of interconnectedness between the individual and their items. The current study investigated a new self-report measure of object attachment based on a measure of interconnectedness among individuals. The visual nature of this measure may be especially useful in HD patients since hoarding is often characterized by low insight. Participants completed the Relationship between Self and Items (RSI) measure and measures of hoarding severity, clutter, anxiety, and depression. HD participants reported significantly higher scores on the RSI than did community controls. The RSI was positively associated with hoarding symptoms, but was not significantly correlated with symptoms of anxiety or depression. Results also suggested that the RSI is sensitive to change from pre to post-treatment. This brief, one-item measure may be useful as a screen for HD and to provide further clinical data on level of interconnectedness to possessions.
囤积障碍（HD）的一个决定性特征是对物品过度依恋。现有的几种自我报告测量方法评估了对物品的情感依恋，但没有明确评估个体与物品之间的相互联系程度。本研究基于个体间相互联系的一种测量方法，对一种新的物品依恋自我报告测量方法进行了调查。由于囤积行为通常具有自知力低下的特点，这种测量方法的视觉性质可能对HD患者特别有用。参与者完成了自我与物品关系（RSI）测量以及囤积严重程度、杂乱程度、焦虑和抑郁的测量。HD参与者在RSI上的得分显著高于社区对照组。RSI与囤积症状呈正相关，但与焦虑或抑郁症状无显著相关性。结果还表明，RSI对治疗前后的变化敏感。这种简短的单项测量方法可能有助于作为HD的筛查工具，并提供有关与物品相互联系程度的进一步临床数据。
