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高功能自闭症中囤积行为的流行率、相关性及其临床意义。

The prevalence, correlates, and clinical implications of hoarding behaviors in high-functioning autism.

机构信息

Psychiatry Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.

Psychiatry Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

出版信息

Sci Rep. 2024 Nov 18;14(1):28471. doi: 10.1038/s41598-024-75371-8.

Abstract

This study aimed to investigate the relationships between hoarding behaviors, autism characteristics, and demographic factors in adults diagnosed with high-functioning ASD (Autism Spectrum Disorder). A total of 112 adults, aged 18-35, with high-functioning ASD completed self-reported assessments on hoarding (Savings Inventory-Revised; SI-R) and autism traits (Autism-Spectrum Quotient; AQ). Additionally, demographic data was gathered. Correlation and regression analyses were performed. The findings revealed positive correlations between hoarding and overall autism traits. Autism quotient scores accounted for 24% of the variance in hoarding inventory scores. Higher AQ scores were associated with increased SI-R scores. Specific AQ subscales were linked to particular SI-R subscales. Gender, age, education level, and employment status were connected to assessment scores. A multiple regression analysis revealed that demographic variables accounted for 19% of the variance in hoarding severity. Gender was found to moderate the impact of age on hoarding behaviors. Significant associations were identified between hoarding tendencies and autism traits in adults with ASD. Demographic variables also played a role in symptom presentation. These findings shed light on the relationship between autism characteristics and hoarding behaviors, as well as how external factors influence them. Further research is necessary to enhance understanding and guide interventions for hoarding in ASD populations.

摘要

本研究旨在探讨高功能自闭症谱系障碍(ASD)成人的囤积行为、自闭症特征与人口统计学因素之间的关系。共有 112 名年龄在 18-35 岁之间的高功能 ASD 成人完成了囤积行为(储蓄量表修订版;SI-R)和自闭症特征(自闭症谱系商数;AQ)的自我报告评估。此外,还收集了人口统计学数据。进行了相关性和回归分析。研究结果表明,囤积行为与自闭症特征之间存在正相关。自闭症商数分数占囤积量表分数变异的 24%。较高的 AQ 分数与 SI-R 分数增加有关。特定的 AQ 分量表与特定的 SI-R 分量表相关。性别、年龄、教育水平和就业状况与评估分数有关。多元回归分析显示,人口统计学变量占囤积严重程度变异的 19%。性别调节了年龄对囤积行为的影响。在 ASD 成人中,囤积倾向与自闭症特征之间存在显著关联。人口统计学变量也在症状表现中起作用。这些发现揭示了自闭症特征与囤积行为之间的关系,以及外部因素如何影响它们。需要进一步的研究来增强对 ASD 人群中囤积行为的理解并指导干预措施。

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本文引用的文献

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Hoarding Disorder: Development in Conceptualization, Intervention, and Evaluation.囤积障碍:概念化、干预及评估的发展
Focus (Am Psychiatr Publ). 2021 Oct;19(4):392-404. doi: 10.1176/appi.focus.20210016. Epub 2021 Nov 5.
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The Etiology of Hoarding Disorder: A Review.囤积障碍的病因学:综述
Psychopathology. 2017;50(5):291-296. doi: 10.1159/000479235. Epub 2017 Aug 16.
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An Overview of Autism Spectrum Disorder, Heterogeneity and Treatment Options.自闭症谱系障碍、异质性及治疗选择概述
Neurosci Bull. 2017 Apr;33(2):183-193. doi: 10.1007/s12264-017-0100-y. Epub 2017 Feb 17.

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