ISSN 1671-3710
CN 11-4766/R
主办：中国科学院心理研究所
出版：科学出版社

心理科学进展 ›› 2013, Vol. 21 ›› Issue (12): 2184-2195.doi: 10.3724/SP.J.1042.2013.02184

• 研究前沿 • 上一篇    下一篇

囤积障碍的症状、诊断与治疗

刘勇;陈健芷;宋琳婷;滕召军;李晓辉;姜梦   

  1. (1 哈尔滨师范大学教育科学学院, 哈尔滨师范大学学校心理教育研究基地, 哈尔滨 150025 ) (2 呼伦贝尔学院教育科学学院, 呼伦贝尔 021008) (3 西南大学心理健康教育研究中心, 西南大学心理学部, 重庆 400715)
  • 收稿日期:2013-05-02 出版日期:2013-12-15 发布日期:2013-12-15
  • 通讯作者: 陈健芷
  • 基金资助:

    黑龙江省2012年研究生创新科研项目(YJSCX2012- 163HLJ)。

The Symptom, Diagnosis and Treatment for Hoarding Disorder

LIU Yong;CHEN Jianzhi;SONG Linting;TENG Zhaojun;LI Xiaohui;JIANG Meng   

  1. (1 School of Education & Research Center of School Psychological Education, Harbin Normal University, Harbin 150025, China) (2 School of Education, Hulunbuir College, Hulunbuir 021008, China) (3 Research Center of Mental Health Education & Faculty of Psychology, Southwest University, Chongqing 400715, China)
  • Received:2013-05-02 Online:2013-12-15 Published:2013-12-15
  • Contact: CHEN Jianzhi

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摘要：

囤积障碍是一种因知觉到储藏物品的需要而难以丢弃或难与物品分离并由此导致一系列心理和行为问题的精神疾病, 以信息加工不足、不合理信念、情绪调节困难和囤积行为等为典型症状。囤积障碍的发病率较高, 其病因可能与个体的早期经历、部分脑区功能异常和遗传基因有关。目前, 主要是依据DSM-5诊断标准、囤积量表修订版, 并结合过往病史和伴随症状等对囤积障碍进行诊断和评估。囤积障碍的治疗方法主要有认知行为疗法、药物疗法和综合疗法。未来应该完善诊断标准和评估工具, 进一步考察不同治疗方法的疗效, 并从认知神经科学的视角, 尤其是将眼动技术与ERP、fMRI相结合, 探索囤积障碍的症状表征及神经生物机制。

关键词: 囤积, 囤积行为, 囤积障碍

Abstract:

Hoarding disorder is a condition in which a person has persistent difficulty in discarding or parting with possessions, which is caused by strong urges to save items and characterized by information processing deficits, irrational beliefs, emotional dysregulation and hoarding behaviors. Hoarding disorder is highly prevalent and is likely associated with childhood experiences, neural dysfunctions and genetics. The diagnosis of hoarding disorder is generally based on Diagnostic and Statistical Manual of Mental Disorders (DSM-5), Saving Inventory-Revised, and medical history and concomitant symptoms. The treatment of hoarding disorder mainly includes cognitive behavior therapy, pharmacotherapies and multi-modal treatments. Future studies should pay attention to improve diagnostic standard and assessment tools, efficacy of various therapies, explore hoarding disorder characteristics and underline neurobiological mechanisms from a cognitive neuroscience perspective, especially combining eye-tracking with ERP and fMRI.

Key words: hoarding, hoarding behavior, hoarding disorder