Pregledni rad
HOARDING DISORDER: HOLD YOUR HORSES! A NEURODIVERGENT AND SOCIALLY MEDIATED CONDITION REQUIRING RETHINK AND REFORM
Anne-Frederique Naviaux
; College of Psychiatrists of Ireland and Health Service Executive (HSE) Summerhill Community Mental Health Service, Summerhill, Wexford, Ireland
Sažetak
Background: Hoarding disorder (HD) is increasingly recognized as a distinct, multifactorial condition. Recent findings in neuroimaging, psychopathology, compulsive acquisition, suicidality, stigma, and social context call for a redefinition of HD beyond its traditional association with obsessive-compulsive disorder. Subjects and methods: This narrative review synthesizes recent clinical, neurobiological, and sociocultural literature, including latent class analysis and resting-state fMRI studies, exploring cognitive dysfunction, comorbidities, suicidality, stigma, and environmental context. Results: HD is characterized by impaired executive functioning, frequently comorbid with ADHD and compulsive buying-shopping disorder. Subtype profiles identified through latent class analysis reveal complex multisymptomatic presentations. High rates of suicidality, social exclusion, and stigma - especially among individuals hoarding purchased items - suggest a need for a broader clinical and public health framework. Conclusions: HD should be conceptualized within a neurodivergent and socially mediated model. Treatment and policy should address neurocognitive deficits, emotional regulation, social determinants, and stigma through interdisciplinary and person-centered interventions.
Ključne riječi
Hoarding disorder; compulsive acquisition; ADHD; stigma; suicidality; executive function
Hrčak ID:
344094
URI
Datum izdavanja:
20.9.2025.
Posjeta: 168 *