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Biondo, Alexander Welker
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[PMID]:28380121
[Au] Autor:Cunha GR; Martins CM; Ceccon-Valente MF; Silva LL; Martins FD; Floeter D; Robertson JV; Ferreira F; Biondo AW
[Ad] Endereço:Departamento de Medicina Veterinária, Universidade Federal do Paraná, Curitiba, Brasil.
[Ti] Título:Frequency and spatial distribution of animal and object hoarder behavior in Curitiba, Paraná State, Brazil.
[So] Source:Cad Saude Publica;33(2):e00001316, 2017 Mar 30.
[Is] ISSN:1678-4464
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:This study aimed to establish the frequency and spatial distribution of animal and object hoarding in Curitiba (Paraná State), the eighth most populous city in Brazil. All hoarding complaints received by the City Secretaries of Health, Environment and Social Assistance between September 2013 and April 2015 were collected (n = 226) and suspicious cases were individually investigated. A total of 113/226 (50%) of complaints were confirmed as hoarding cases, representing an overall ratio of 6.45 cases per 100,000 inhabitants in Curitiba, of which 48/113 (42.5%) involved object hoarders, 41/113 (36.3%) animal hoarders and 24/113 (21.2%) both animal and object hoarders. A correlation of total identified cases with neighborhood population density and all population stratums analyzed (total, gender, age) was significantly positive (p < 0.01), and with neighborhood mean monthly income (r = -0.2; p = 0.03) significantly negative. A spatial cluster of cases was found in the north of the city (OR = 8.57; p < 0.01). Hoarding cases were relatively frequent in Curitiba and were associated with population distribution patterns and inversely related to neighborhood income.
[Mh] Termos MeSH primário: Transtorno de Acumulação/epidemiologia
[Mh] Termos MeSH secundário: Idoso
Animais
Brasil/epidemiologia
Gatos
Cães
Feminino
Seres Humanos
Masculino
Meia-Idade
Prevalência
Análise Espaço-Temporal
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170503
[Lr] Data última revisão:
170503
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170406
[St] Status:MEDLINE


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[PMID]:27987415
[Au] Autor:Darke S; Duflou J
[Ad] Endereço:National Drug & Alcohol Research Centre, University of New South Wales, Australia. Electronic address: s.darke@unsw.edu.au.
[Ti] Título:Characteristics, circumstances and pathology of sudden or unnatural deaths of cases with evidence of pathological hoarding.
[So] Source:J Forensic Leg Med;45:36-40, 2017 Jan.
[Is] ISSN:1878-7487
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:The study aimed to determine the characteristics and circumstances of cases sudden or unnatural death (n = 61) with evidence of pathological hoarding, their major organ pathology and toxicology. The mean age was 65·8 yrs (a mean of 16.1 years of potential life lost), 62·3% were male, and 28·2% were obese. 95·1% lived alone, and 96·7% died in their residence, with no medical intervention. In all cases severe squalor and extensive hoarding were noted. The direct cause of death was attributed to disease in 75·4%, heart disease being a significant factor in 52·5%. Accidents causing death directly related to hoarding occurred in two cases. Autopsy revealed extensive pathology: severe coronary artery narrowing (42·4%), myocardial replacement fibrosis (44·1%), emphysema (39·0%), nephrosclerosis (46·6%). Signs of hypothermia were present in 14·8%, and diabetes was diagnosed in 21·3%. The most commonly detected substance was alcohol (32·1%). Medications for heart disease (5·4%) or diabetes (7·1%) were rare. The overall clinical picture was of an isolated group, with a heavy burden of physical disease and, in all probability, a high level of psychiatric disorders, who died alone in their homes.
[Mh] Termos MeSH primário: Morte Súbita/epidemiologia
Transtorno de Acumulação/epidemiologia
[Mh] Termos MeSH secundário: Acidentes Domésticos/mortalidade
Idoso
Austrália/epidemiologia
Concentração Alcoólica no Sangue
Causas de Morte
Diabetes Mellitus/patologia
Enfisema/patologia
Feminino
Patologia Legal
Psiquiatria Legal
Cardiopatias/mortalidade
Cardiopatias/patologia
Transtorno de Acumulação/psicologia
Seres Humanos
Hipotermia/patologia
Nefropatias/patologia
Masculino
Obesidade/epidemiologia
Isolamento Social
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Blood Alcohol Content)
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170821
[Lr] Data última revisão:
170821
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161218
[St] Status:MEDLINE


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[PMID]:27816711
[Au] Autor:Mathes BM; Oglesby ME; Short NA; Portero AK; Raines AM; Schmidt NB
[Ad] Endereço:Department of Psychology, Florida State University, 1107 W. Call Street, Tallahassee, FL, USA.
[Ti] Título:An examination of the role of intolerance of distress and uncertainty in hoarding symptoms.
[So] Source:Compr Psychiatry;72:121-129, 2017 Jan.
[Is] ISSN:1532-8384
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Hoarding disorder (HD) is a common and debilitating disorder characterized by an accumulation of and failure to discard one's possessions. The identification and examination of underlying factors that may contribute to hoarding symptoms are needed to elucidate the nature of the disorder and refine existing treatments. Two transdiagnostic vulnerability factors that have been associated with hoarding symptoms are distress intolerance (DI) and intolerance of uncertainty (IU). OBJECTIVES: This study examined the relationships between DI, IU, and symptoms of hoarding in two samples consisting of outpatients and individuals recruited from Amazon's Mechanical Turk. We hypothesized that DI and IU would show unique and interactive associations with hoarding symptoms. RESULTS: Across both samples, DI and IU were significantly associated with hoarding symptoms. However, DI and IU did not interact in their prediction of symptoms, and only IU remained a significant predictor, when accounting for relevant covariates. CONCLUSIONS: Results suggest that IU is a robust predictor of hoarding symptoms and may be a promising and novel treatment target for HD.
[Mh] Termos MeSH primário: Transtornos de Ansiedade/diagnóstico
Transtornos de Ansiedade/psicologia
Transtorno de Acumulação/diagnóstico
Transtorno de Acumulação/psicologia
Incerteza
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Transtornos de Ansiedade/epidemiologia
Feminino
Colecionismo/diagnóstico
Colecionismo/epidemiologia
Colecionismo/psicologia
Transtorno de Acumulação/epidemiologia
Seres Humanos
Masculino
Meia-Idade
Fatores de Risco
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170830
[Lr] Data última revisão:
170830
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161107
[St] Status:MEDLINE


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[PMID]:26750388
[Au] Autor:Moulding R; Nedeljkovic M; Kyrios M; Osborne D; Mogan C
[Ad] Endereço:School of Psychology, Deakin University, Burwood, Australia.
[Ti] Título:Short-Term Cognitive-Behavioural Group Treatment for Hoarding Disorder: A Naturalistic Treatment Outcome Study.
[So] Source:Clin Psychol Psychother;24(1):235-244, 2017 Jan.
[Is] ISSN:1099-0879
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:The study aim was to test whether a 12-week publically rebated group programme, based upon Steketee and Frost's Cognitive Behavioural Therapy-based hoarding treatment, would be efficacious in a community-based setting. Over a 3-year period, 77 participants with clinically significant hoarding were recruited into 12 group programmes. All completed treatment; however, as this was a community-based naturalistic study, only 41 completed the post-treatment assessment. Treatment included psychoeducation about hoarding, skills training for organization and decision making, direct in-session exposure to sorting and discarding, and cognitive and behavioural techniques to support out-of-session sorting and discarding, and nonacquiring. Self-report measures used to assess treatment effect were the Savings Inventory-Revised (SI-R), Savings Cognition Inventory, and the Depression, Anxiety and Stress Scales. Pre-post analyses indicated that after 12 weeks of treatment, hoarding symptoms as measured on the SI-R had reduced significantly, with large effect sizes reported in total and across all subscales. Moderate effect sizes were also reported for hoarding-related beliefs (emotional attachment and responsibility) and depressive symptoms. Of the 41 participants who completed post-treatment questionnaires, 14 (34%) were conservatively calculated to have clinically significant change, which is considerable given the brevity of the programme judged against the typical length of the disorder. The main limitation of the study was the moderate assessment completion rate, given its naturalistic setting. This study demonstrated that a 12-week group treatment for hoarding disorders was effective in reducing hoarding and depressive symptoms in an Australian clinical cohort and provides evidence for use of this treatment approach in a community setting. Copyright © 2016 John Wiley & Sons, Ltd. KEY PRACTITIONER MESSAGE: A 12-week group programme delivered in a community setting was effective for helping with hoarding symptoms with a large effect size. Hoarding beliefs (emotional attachment and responsibility) and depression were reduced, with moderate effect sizes. A third of all participants who completed post-treatment questionnaires experienced clinically significant change. Suggests that hoarding CBT treatment can be effectively translated into real-world settings and into a brief 12-session format, albeit the study had a moderate assessment completion rate.
[Mh] Termos MeSH primário: Terapia Cognitiva/métodos
Transtorno de Acumulação/terapia
Psicoterapia Breve/métodos
Psicoterapia de Grupo/métodos
[Mh] Termos MeSH secundário: Adulto
Idoso
Transtornos de Ansiedade/diagnóstico
Transtornos de Ansiedade/psicologia
Transtornos de Ansiedade/terapia
Serviços Comunitários de Saúde Mental
Comorbidade
Transtorno Depressivo Maior/diagnóstico
Transtorno Depressivo Maior/psicologia
Transtorno Depressivo Maior/terapia
Feminino
Transtorno de Acumulação/diagnóstico
Transtorno de Acumulação/psicologia
Seres Humanos
Masculino
Meia-Idade
Transtorno Obsessivo-Compulsivo/diagnóstico
Transtorno Obsessivo-Compulsivo/psicologia
Transtorno Obsessivo-Compulsivo/terapia
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; PRAGMATIC CLINICAL TRIAL
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170512
[Lr] Data última revisão:
170512
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160112
[St] Status:MEDLINE
[do] DOI:10.1002/cpp.2001


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[PMID]:27724839
[Au] Autor:Raines AM; Oglesby ME; Allan NP; Short NA; Schmidt NB
[Ad] Endereço:a Department of Psychology , Florida State University , Tallahassee , Florida.
[Ti] Título:Understanding DSM-5 Hoarding Disorder: A Triple Vulnerability Model.
[So] Source:Psychiatry;79(2):120-129, 2016.
[Is] ISSN:1943-281X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Whereas a triple vulnerability model has been used to evaluate several anxiety- and mood-related conditions, no research has purposefully examined hoarding from this perspective. METHOD: Using a multivariate approach, the current study evaluated the unique relations between hoarding and a general biological (e.g., neuroticism), psychological (e.g., anxiety sensitivity), and hoarding-specific vulnerability (e.g., saving cognitions) within 526 individuals. RESULTS: A structural equation model (SEM) including all three vulnerabilities as well as hoarding symptoms provided good fit to the data. Consistent with the model, the vulnerabilities accounted for a substantial percentage (66%) of the variance in hoarding severity. CONCLUSIONS: These findings suggest that, similar to other emotional distress disorders, risk for hoarding can be conveyed through a constellation of general and specific vulnerabilities. Future research should continue to examine this model, particularly utilizing a prospective design and clinical sample.
[Mh] Termos MeSH primário: Transtornos de Ansiedade/fisiopatologia
Transtorno de Acumulação/fisiopatologia
Modelos Psicológicos
Transtorno de Pânico/fisiopatologia
Personalidade/fisiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Manual Diagnóstico e Estatístico de Transtornos Mentais
Feminino
Seres Humanos
Masculino
Meia-Idade
Neuroticismo
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161012
[St] Status:MEDLINE


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[PMID]:27665536
[Au] Autor:Grassi G; Micheli L; Di Cesare Mannelli L; Compagno E; Righi L; Ghelardini C; Pallanti S
[Ad] Endereço:University of Florence, Department of Neuroscience, Psychology, Drug Research and Child Health, Neurofarba, via delle Gore 2H, 50141, Florence, Italy; Institute of Neuroscience, via La Marmora 24, 50121, Florence, Italy. Electronic address: giacomograssimd@gmail.com.
[Ti] Título:Atomoxetine for hoarding disorder: A pre-clinical and clinical investigation.
[So] Source:J Psychiatr Res;83:240-248, 2016 Dec.
[Is] ISSN:1879-1379
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Despite several studies suggested that inattention and impulsivity-compulsivity could represent two core dimensions of hoarding disorder (HD), only a small case series study investigated the effectiveness of attention-deficit-hyperactivity-disorder (ADHD) medications in HD. The aim of the present study was to target attentional and inhibitory control networks in HD patients through the ADHD medication atomoxetine, moving from a preclinical investigation on an animal model of compulsive-like behavior (marble burying test) to a clinical investigation on both medicated and unmedicated patients with a primary diagnosis of HD without ADHD. Our preclinical investigation showed that acute administration of atomoxetine significantly reduced the compulsive-like behaviours of mice in the marble burying test without affecting neither locomotor activity and coordination nor exploration behaviours. When compared, atomoxetine and fluoxetine showed similar effects on the marble burying test. However, fluoxetine impaired both locomotor and exploratory activity. In our clinical investigation 12 patients were enrolled and 11 patients completed an open trial with atomoxetine at flexible dose (40-80 mg) for 12 weeks. At the endpoint the mean UCLA Hoarding Severity Scale score decreased by 41.3% for the whole group (p = 0003). Six patients were classified as full responders (mean symptom reduction of 57.2%) and three patients as partial responders (mean symptom reduction of 27.3%). Inattentive and impulsivity symptoms showed a significant mean score reduction of 18.5% from baseline to the endpoint (F (1,9) = 20.9, p = 0.0013). Hoarding symptoms improvement was correlated to reduction of patients' disability and increased in their global functioning. These preclinical and clinical data suggest that atomoxetine may be effective for HD and therefore should be considered for future controlled trials.
[Mh] Termos MeSH primário: Inibidores da Captação Adrenérgica/uso terapêutico
Cloridrato de Atomoxetina/uso terapêutico
Transtorno do Deficit de Atenção com Hiperatividade/fisiopatologia
Transtorno de Acumulação/tratamento farmacológico
Comportamento Impulsivo/efeitos dos fármacos
[Mh] Termos MeSH secundário: Adulto
Animais
Antidepressivos de Segunda Geração/uso terapêutico
Transtorno do Deficit de Atenção com Hiperatividade/tratamento farmacológico
Comportamento Animal/efeitos dos fármacos
Modelos Animais de Doenças
Feminino
Fluoxetina/uso terapêutico
Seguimentos
Seres Humanos
Locomoção/efeitos dos fármacos
Masculino
Camundongos
Meia-Idade
Atividade Motora/efeitos dos fármacos
Escalas de Graduação Psiquiátrica
Teste de Desempenho do Rota-Rod
Estatísticas não Paramétricas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Adrenergic Uptake Inhibitors); 0 (Antidepressive Agents, Second-Generation); 01K63SUP8D (Fluoxetine); 57WVB6I2W0 (Atomoxetine Hydrochloride)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170919
[Lr] Data última revisão:
170919
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160926
[St] Status:MEDLINE


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[PMID]:27537707
[Au] Autor:Frost RO; Ong C; Steketee G; Tolin DF
[Ad] Endereço:Department of Psychology, Smith College, Northampton, MA 01063, USA. Electronic address: rfrost@smith.edu.
[Ti] Título:Behavioral and emotional consequences of thought listing versus cognitive restructuring during discarding decisions in hoarding disorder.
[So] Source:Behav Res Ther;85:13-22, 2016 Oct.
[Is] ISSN:1873-622X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:An essential criterion for hoarding disorder (HD) is difficulty discarding or parting with possessions, yet few studies have examined reactions to actual discarding behaviors. The present study examined whether individuals with HD differed from non-hoarding community controls (CC) in discarding behavior and emotional reactions to discarding. A second purpose was to examine the course of experienced distress following discarding. A third purpose was to determine whether HD participants responded differently to a simple thought listing (TL) instruction or to a cognitive restructuring (CR) protocol. Participants were asked to decide whether to keep or discard (a) a personal possession and (b) a newly acquired object (magazine). HD participants anticipated more and longer distress and reported stronger attachment motives than community controls, but they did not differ significantly from community controls in actual discarding behavior. TL was somewhat more effective than CR in improving discarding behavior and reducing negative emotions and attachments to discarded objects among HD participants. Reductions in distress were observed for both HD-TL and HD-CR groups. Thought listing may have reduced avoidance of decision-making about discarding or perhaps CR, but not TL, provoked therapeutic reactance. Discarding was not related to reductions in distress or hoarding-related beliefs.
[Mh] Termos MeSH primário: Terapia Cognitiva
Tomada de Decisões
Transtorno de Acumulação/psicologia
Transtorno de Acumulação/terapia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Emoções
Feminino
Transtorno de Acumulação/complicações
Seres Humanos
Masculino
Meia-Idade
Apego ao Objeto
Estresse Psicológico/complicações
Estresse Psicológico/terapia
Pensamento
Adulto Jovem
[Pt] Tipo de publicação:CONTROLLED CLINICAL TRIAL; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171001
[Lr] Data última revisão:
171001
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160819
[St] Status:MEDLINE


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[PMID]:27370065
[Au] Autor:Biçer Kanat B; Altunöz U; Kirici S; Bastug G; Özel Kizil ET
[Ti] Título:[Hoarding Behaviour in Three Different Types of Dementia Cases].
[Ti] Título:Farkli Demansi Olan Üç Olguda Biriktirme Davranisi..
[So] Source:Turk Psikiyatri Derg;27(2):0, 2016.
[Is] ISSN:1300-2163
[Cp] País de publicação:Turkey
[La] Idioma:tur
[Ab] Resumo:INTRODUCTION: Hoarding behaviour, which is generally defined as collecting and keeping unnecessary, cheap objects or things that can not be used, is more common in elderly than young people. The prevelance of hoarding behaviour in dementia was reported as 22%. In this paper, three different types of dementia cases are presented in order to emphasize the clinical awareness for hoarding disorder, which is common in the elderly, especially those with dementia. CASES: The first case is a patient with a diagnosis of frontotemporal dementia who was collecting old things before the appearance of bahavioural changes like verbal and physical agitation. The second one is a patient who was admitted with complaints of forgetting, diagnosed as having Alzheimer's Disease and presented with paper hoarding behavior in his clinical follow-up. The last patient was presented with visual hallucinations, forgetting, collecting old things and depressive symptoms. He received a diagnosis of Lewy body dementia. DISCUSSION: It is prominent that all three different dementia cases hoarding behavior at early stages of dementia. It should be kept in mind that hoarding behavior which begins at late life might be a sign of dementia or it might appear in the dementia process.
[Mh] Termos MeSH primário: Demência
Transtorno de Acumulação/psicologia
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Diagnóstico Diferencial
Seres Humanos
Masculino
Psicometria
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170327
[Lr] Data última revisão:
170327
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160703
[St] Status:MEDLINE


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[PMID]:27224312
[Au] Autor:Trevizol AP; Shiozawa P; Machado RM; Alberto RL; Ramos CF; Cordeiro Q
[Ad] Endereço:Santa Casa de São Paulo, Faculdade de Ciências Médicas, Departamento de Psiquiatria, Laboratório de Neuromodulação Clínica, Sao Paulo SP, Brazil;
[Ti] Título:Hoarding disorder secondary to pituitary adenoma: a case study.
[So] Source:Arq Neuropsiquiatr;74(7):601-2, 2016 May 20.
[Is] ISSN:1678-4227
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Mh] Termos MeSH primário: Adenoma/complicações
Adenoma/diagnóstico por imagem
Transtorno de Acumulação/etiologia
Neoplasias Hipofisárias/complicações
Neoplasias Hipofisárias/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adenoma/patologia
Adulto
Evolução Fatal
Feminino
Seres Humanos
Imagem por Ressonância Magnética
Neuroimagem
Neoplasias Hipofisárias/patologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160526
[St] Status:MEDLINE


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[PMID]:27017316
[Au] Autor:Lavigne B; Hamdan M; Faure B; Merveille H; Pareaud M; Tallon E; Bouthier A; Clément JP; Calvet B
[Ad] Endereço:Pôle universitaire de psychiatrie de l'adulte et de la personne âgée, centre hospitalier Esquirol, 15, rue du Docteur-Marcland, 87000 Limoges, France. Electronic address: lavignebe@gmail.com.
[Ti] Título:[Diogenes syndrome and Hoarding disorder: Same or different?]
[Ti] Título:Syndrome de Diogène et Hoarding disorder : une même entité ?.
[So] Source:Encephale;42(5):421-425, 2016 Oct.
[Is] ISSN:0013-7006
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:INTRODUCTION: In 2013, the American Psychiatric Association published the DSM-5. In this new version, new diagnoses were proposed including the Hoarding disorder. In the French semeiology, the Diogenes syndrome is described, among other symptoms, by a pathological tendency to accumulate objects called syllogomania which is very close to hoarding. This paper explores the similarities and differences between the two syndromes. DESCRIPTION: The Diogenes syndrome was first described in 1966 but was officially named for the ancient Greek philosopher in 1975 by Clark. Its frequency is around five for 100,000 persons. Many aetiologies have been known to be associated with the Diogenes syndrome: schizophrenia, dementia - especially frontotemporal type, anxiety disorders, mood disorders, and substance abuse - especially alcohol abuse. The diagnostic requires one major criterion, the inability to ask for medical or social help, and one of three minor criteria: a pathological relationship to the body, which leads to somatic illness; a pathological relationship to the society, which leads to a progressive exclusion from it; and finally, a pathological link with objects. This last criterion is very interesting because it is closely related to the Hoarding syndrome: indeed, patients with syllogamania, as also named, have a tendency to hoard every object they find. At the end, their homes are full of useless objects, and some living places can be unusable because they are cluttered and congested. This last point is similar to the definition given in the DSM-5 for the Hoarding disorder which describes a persistent difficulty parting with possessions; distress associated with discarding possessions; and accumulations that congest and clutter active living areas. The Hoarding disorder was first part of the Obsessive and compulsive disorders, but it has progressively appeared that it could be individualized with its own prevalence of 2.3% to 14% lifetime. Genetical studies have shown that at least 50% of patients suffering from excessive hoarding had a relative with a dimension of hoarding. Finally, Mattaix-Cols et al. decided to create a new syndrome in the DSM-5, and the Hoarding disorder was born. DISCUSSION: The discussion begins with relationships between the Hoarding disorder and the Diogenes syndrome. A patient with hoarding, and a poor insight, could be very isolated, and could persist in a lack of calling for help, because of not being aware of his pathology. Thus, it could be diagnosed as a Hoarding syndrome with a poor insight, or as a Diogenes syndrome, with the first major criterion (lack of calling for help) and one of the three minor criteria, the syllogomania, or hoarding. Moreover, some authors have described old people living for many years with a tendency to hoard. Progressively, some of them had a congested and cluttered home, and a few were living in squalor, a description very close to the Diogenes syndrome. Finally, we discuss the comorbidity of Hoarding disorder and Diogenes syndrome. In particular, the first one is associated with Attention deficit and hyperactivity disorders; and some authors also described the links between ADHD, bipolar disorder and frontotemporal dementia which is one of the aetiologies of the Diogenes syndrome. A psychodynamic model in which ADHD, Hoarding disorder and Diogenes syndrome are linked can be imagined, and the last one could be an overlooked evolution of the two first syndromes. CONCLUSION: In conclusion, we can imagine a dimensional model, based on two dimensions: hoarding and squalor. Hoarding disorder is the major expression of the first dimension, and Diogenes syndrome the major expression of the second. Both of them could be a different expression of one central aetiology. More studies are needed to complete this vision.
[Mh] Termos MeSH primário: Transtornos de Ansiedade/psicologia
Transtorno de Acumulação/psicologia
[Mh] Termos MeSH secundário: Transtornos de Ansiedade/classificação
Diagnóstico Diferencial
Transtorno de Acumulação/classificação
Seres Humanos
Escalas de Graduação Psiquiátrica
Síndrome
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170920
[Lr] Data última revisão:
170920
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160328
[St] Status:MEDLINE



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