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DOI: 10.1055/s-0029-1223364
© Georg Thieme Verlag KG Stuttgart · New York
Zwanghaftes Horten – Eine Literaturübersicht
Compulsive Hoarding – A Literature ReviewPublikationsverlauf
Publikationsdatum:
22. März 2010 (online)
![](https://www.thieme-connect.de/media/psychiat-praxis/201004/lookinside/thumbnails/10.1055-s-0029-1223364-1.jpg)
Zusammenfassung
Anliegen Überblick über den aktuellen Kenntnisstand zum zwanghaften Horten. Methode Systematische Literaturübersicht. Ergebnisse Daten zu Phänomenologie, Diagnostik, Ätiologie, Neurobiologie, Prävalenz, Klassifikation und Behandlung werden referiert und diskutiert. Schlussfolgerungen Zwanghaftes Horten ist ein Problemverhalten mit Krankheitswert, dessen Klassifikation als eigenes Störungsbild erwogen wird. Es besteht weiterer Forschungsbedarf zu Pathogenese, Epidemiologie und störungsspezifischen Behandlungskonzepten.
Abstract
Objective To provide an overview of empirical findings with regard to compulsive hoarding. Methods A systematic literature search of medical and psychological journals was conducted using PubMed. Relevant publications from the reference lists and recent books were also identified and included. Results The article reviews the phenomenology, diagnosis, etiology, neurobiology, prevalence, conceptualization, and treatment of compulsive hoarding. Compulsive hoarding is characterized by excessive acquisition, difficulty discarding possessions, clutter that precludes activities for which living spaces where designed and it causes significant distress, family and socioeconomic burden. Neuropsychological studies and neuroimaging indicate dysfunction of the anterior cingulated cortex and other ventral and medial prefrontal cortical areas. Conclusions Further research is required to resolve the controversy as to whether compulsive hoarding is characteristic of a subtype of OCD or an unique syndrome and to develop disorder specific treatments.
Schlüsselwörter
zwanghaftes Horten - Zwangsstörung - Messie-Syndrom - Diogenes-Syndrom
Keywords
compulsive hoarding - obsessive-compulsive disorder - Messie-syndrome - Diogenes-syndrome
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Dr. med. Dr. phil. Astrid Mueller
Psychosomatische und Psychotherapeutische Abteilung, Universitätsklinikum Erlangen
Schwabachanlage 6
91054 Erlangen
eMail: astrid.mueller@uk-erlangen.de