A comparison between community and treatment-seeking samples of hoarding disorder.

IF 3.4 3区医学 Q2 CLINICAL NEUROLOGY

CNS Spectrums Pub Date : 2024-11-22 DOI:10.1017/S1092852924000361

Bárbara Perdigão Stumpf, Fábio Lopes Rocha, Leonardo F Fontenelle, Izabela Guimarães Barbosa

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引用次数: 0

Abstract

Objective: Hoarding disorder studies are primarily based on persons who seek treatment and demonstrate good insight. The aim of the present study is to evaluate whether there are differences between community and treatment-seeking samples of individuals with hoarding disorder (HD).

Methods: Fourteen people with HD from the community and twenty treatment-seeking people with HD were assessed by a battery of instruments to evaluate HD features and other associated characteristics.

Results: Compared to the treatment-seeking sample, the HD community sample was older, had poorer insight, and had a lower prevalence of comorbid obsessive-compulsive disorder (OCD). There were no differences in gender, education, presence of psychiatric comorbidities, quality of life, and hoarding behavior characteristics between the samples. The final logistic regression model with the Dimensional Obsessive-Compulsive Scale (DOCS) as the single predictor of treatment-seeking status was statistically significant, indicating that it was able to distinguish between the two samples. The model explained between 20.7% and 27.9% of the variance of subjects, and correctly classified 67.6% of cases.

Conclusions: Our results indicate that there appear to be few differences between the treatment-seeking and community samples of individuals with HD. The presence of comorbid OCD in treatment-seeking groups seems to be more frequent than in HD community samples.

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囤积症社区样本与寻求治疗样本的比较。

目的：对囤积症的研究主要基于寻求治疗并表现出良好洞察力的患者。本研究旨在评估囤积症（HD）患者的社区样本和寻求治疗样本之间是否存在差异：14名社区囤积症患者和20名寻求治疗的囤积症患者接受了一系列工具的评估，以评价囤积症的特征和其他相关特征：结果：与寻求治疗的样本相比，HD 社区样本年龄较大，洞察力较差，合并强迫症（OCD）的患病率较低。两组样本在性别、教育程度、是否合并精神疾病、生活质量和囤积行为特征方面没有差异。以 "强迫症维度量表"（DOCS）作为单一预测因素的最终逻辑回归模型在统计学上具有显著意义，表明该模型能够区分两个样本。该模型解释了 20.7% 至 27.9% 的受试者变异，并对 67.6% 的病例进行了正确分类：我们的研究结果表明，寻求治疗的 HD 患者样本和社区样本之间的差异似乎不大。在寻求治疗的群体中，合并强迫症的情况似乎比在 HD 社区样本中更为常见。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

CNS Spectrums 医学-精神病学

CiteScore

6.20

自引率

6.10%

发文量

239

审稿时长

>12 weeks

期刊介绍： CNS Spectrums covers all aspects of the clinical neurosciences, neurotherapeutics, and neuropsychopharmacology, particularly those pertinent to the clinician and clinical investigator. The journal features focused, in-depth reviews, perspectives, and original research articles. New therapeutics of all types in psychiatry, mental health, and neurology are emphasized, especially first in man studies, proof of concept studies, and translational basic neuroscience studies. Subject coverage spans the full spectrum of neuropsychiatry, focusing on those crossing traditional boundaries between neurology and psychiatry.