共同发生的强迫症和囤积障碍:当前文献综述。

IF 0.6 4区 心理学 Q4 PSYCHOLOGY, CLINICAL
Blaise L Worden, David F Tolin
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引用次数: 1

摘要

目前的研究表明,大约20%的囤积症患者同时患有强迫症(OCD)。本文讨论了并发HD和OCD (HD+OCD)的理论概念,强调了可能导致共病的疾病之间的相似性,例如潜在的重叠病因,共病概况和现象学方面;以及在鉴别诊断和概念化中需要考虑的重要差异,如信念模式、自我同一性/反性和轨迹。HD+OCD的组合与单独的任何一种障碍似乎与更高的非囤积性OCD症状、焦虑症状、抑郁和抽动障碍的特征相关,并且可能更难以治疗。作者讨论了一些常用的评估囤积行为的方法,这些方法可能与强迫症有关,因为囤积行为的鉴别诊断通常是困难的,而且囤积行为可能很难在强迫症患者中发现,尤其是在儿童中。文章最后讨论了用认知行为疗法治疗HD+OCD的考虑,因为囤积症状不太可能对黄金标准的暴露和反应预防做出反应,并且没有既定的治疗方案用于治疗同时发生的HD和OCD。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Co-occurring Obsessive-Compulsive Disorder and Hoarding Disorder: A Review of the Current Literature.

Current research suggests obsessive-compulsive disorder (OCD) co-occurs in around 20% of people with hoarding disorder (HD). The article discusses the theoretical conceptualization of co-occurring HD and OCD (HD+OCD), highlighting similarities between the disorders that may contribute to comorbidity, such as potentially overlapping etiological factors, comorbidity profiles, and phenomenological aspects; and differences that are important to consider in differential diagnosis and conceptualization, such as belief patterns, ego-syntonicty/dystonicity, and trajectory. The combination of HD+OCD versus either disorder alone appears to be associated with a profile characterized by higher nonhoarding OCD symptoms, anxiety symptoms, depression, and tic disorders, and which may be more treatment-refractory. The authors discuss some commonly used measures to assess hoarding that may be relevant in the context of OCD, as differential diagnosis of hoarding behaviors is often difficult, and hoarding may be difficult to detect in patients with OCD, especially in children. The article ends with a discussion on considerations for the treatment of HD+OCD with cognitive-behavioral therapy, as hoarding symptoms are less likely to respond to gold-standard exposure and response prevention, and there are no established treatment protocols that are designed to treat co-occurring HD and OCD.

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来源期刊
Journal of Cognitive Psychotherapy
Journal of Cognitive Psychotherapy PSYCHOLOGY, CLINICAL-
CiteScore
1.70
自引率
0.00%
发文量
47
期刊介绍: The Journal of Cognitive Psychotherapy is devoted to advancing the science and clinical practice of cognitive-behavior therapy. This includes a range of interventions including cognitive therapy, rational-emotive behavior therapy, dialectical behavior therapy, acceptance and commitment therapy, and mindfulness approaches. The journal publishes empirical papers, including case studies, along with review articles, papers that integrate cognitive-behavior therapy with other systems, and practical "how to" articles.
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