Hoarding disorder: Questions and controversies

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-04-01 DOI:10.1016/j.jocrd.2023.100808

Peter van Roessel , Paula Andrea Muñoz Rodríguez , Randy O. Frost , Carolyn I. Rodríguez

{"title":"Hoarding disorder: Questions and controversies","authors":"Peter van Roessel , Paula Andrea Muñoz Rodríguez , Randy O. Frost , Carolyn I. Rodríguez","doi":"10.1016/j.jocrd.2023.100808","DOIUrl":null,"url":null,"abstract":"<div><p>Hoarding disorder<span> (HD) is characterized by distress and difficulty letting go of possessions, leading to clutter that congests living spaces and interferes with daily activities. HD is common, with an estimated overall pooled prevalence of 2.5% of the general population. Because it is a relatively newly defined disorder, there are questions and controversies regarding its diagnosis and treatment that warrant exploration. In this manuscript, we clarify diagnostic boundaries between HD and related neuropsychiatric conditions, and consider how both shared and unique features of HD may inform strategies for treatment. We additionally discuss specific manifestations of hoarding behavior (e.g., animal hoarding); review motivations, beliefs, and characteristics that may contribute to hoarding behaviors; examine available evidence regarding the efficacy of different treatment modalities; highlight the challenges of engaging individuals who do not want care; and suggest a potential explanatory model for insight impairment in HD.</span></p></div>","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":null,"pages":null},"PeriodicalIF":16.4000,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Accounts of Chemical Research","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2211364923000295","RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CHEMISTRY, MULTIDISCIPLINARY","Score":null,"Total":0}

引用次数: 0

Abstract

Hoarding disorder (HD) is characterized by distress and difficulty letting go of possessions, leading to clutter that congests living spaces and interferes with daily activities. HD is common, with an estimated overall pooled prevalence of 2.5% of the general population. Because it is a relatively newly defined disorder, there are questions and controversies regarding its diagnosis and treatment that warrant exploration. In this manuscript, we clarify diagnostic boundaries between HD and related neuropsychiatric conditions, and consider how both shared and unique features of HD may inform strategies for treatment. We additionally discuss specific manifestations of hoarding behavior (e.g., animal hoarding); review motivations, beliefs, and characteristics that may contribute to hoarding behaviors; examine available evidence regarding the efficacy of different treatment modalities; highlight the challenges of engaging individuals who do not want care; and suggest a potential explanatory model for insight impairment in HD.

查看原文本刊更多论文

囤积障碍:问题和争议

囤积障碍（HD）的特点是痛苦和难以放下财产，导致生活空间拥挤，干扰日常活动。HD很常见，估计总合并患病率为普通人群的2.5%。由于它是一种相对较新定义的疾病，关于它的诊断和治疗存在问题和争议，值得探索。在这篇手稿中，我们澄清了HD和相关神经精神疾病之间的诊断界限，并考虑HD的共同和独特特征如何为治疗策略提供信息。我们还讨论了囤积行为的具体表现形式（例如，动物囤积）；回顾可能导致囤积行为的动机、信念和特征；审查关于不同治疗方式疗效的现有证据；强调让不需要护理的人参与进来的挑战；并提出了一个潜在的HD洞察力障碍的解释模型。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.