Department of Psychology, Mississippi State University, P.O. Box 6161, Mississippi State, MS 39762, United States; Research Service, VA San Diego Healthcare System, United States.
Research Service, VA San Diego Healthcare System, United States; San Diego State University/University of California, San Diego Joint Doctoral Program in Clinical Psychology, United States.
J Affect Disord. 2020 Nov 1;276:191-196. doi: 10.1016/j.jad.2020.07.033. Epub 2020 Jul 16.
Prior research has demonstrated a link between compulsive hoarding symptoms and personality traits; however, no studies have investigated the link between hoarding and personality traits utilizing a sample of individuals diagnosed with hoarding disorder (HD) using formal diagnostic criteria. The aim of the current study was to evaluate the frequency and type of personality traits in adults diagnosed with HD and to explore the associations among hoarding severity and personality disorder traits within this sample.
Seventy-two veterans enrolled in an ongoing treatment trial for HD completed a battery of self-report measures during their initial assessment. Linear regression analyses were used to determine the unique variance accounted for by hoarding severity in predicting scores on the personality disorder scales from the Millon Clinical Multiaxial Inventory-III (MCMI-III).
The majority of participants had an elevated score on at least one of the MCMI-III Personality scales. The most frequently elevated scores were for the Avoidant, Dependent, Depressive, and Schizoid scales. Hoarding severity was a significant predictor of personality traits in 10 out of 14 MCMI-III scales.
Given the exploratory nature of the investigation, we did not control for multiple comparisons or the presence of mood or anxiety disorders.
The elevated prevalence of co-occurring personality pathology in adults with HD indicates the importance of considering underlying personality structure when developing individualized treatment plans.
先前的研究表明囤积症状与人格特质之间存在关联；然而，尚无研究利用采用正式诊断标准诊断为囤积障碍（HD）的个体样本来调查囤积与人格特质之间的关系。本研究旨在评估被诊断患有 HD 的成年人中人格特质的出现频率和类型，并探索该样本中囤积严重程度与人格障碍特征之间的关联。
72 名参加正在进行的 HD 治疗试验的退伍军人在其初始评估期间完成了一系列自我报告量表。线性回归分析用于确定囤积严重程度对 Millon 临床多轴人格量表第三版（MCMI-III）人格障碍量表评分的独特预测方差。
大多数参与者的 MCMI-III 人格量表中的至少一个分数升高。最常见的升高分数是回避型、依赖型、抑郁型和分裂样型。在 14 个 MCMI-III 量表中，有 10 个量表的囤积严重程度是人格特质的显著预测因子。
鉴于调查的探索性质，我们没有控制多重比较或情绪或焦虑障碍的存在。
在患有 HD 的成年人中，同时存在人格病理学的发生率较高，这表明在制定个体化治疗计划时，考虑潜在的人格结构很重要。
