Traumatic and stressful life events in hoarding: the role of loss and deprivation - PubMed (original) (raw)
Traumatic and stressful life events in hoarding: the role of loss and deprivation
Leonardo F Fontenelle et al. Eur J Psychotraumatol. 2021.
Abstract
Background: Although past research shows hoarding to be associated with stressful life events involving loss and/or deprivation, the temporal relationship between the onset of symptoms and these events is not completely clear.
Objectives: In a cross-sectional online study, we examined the relationship between the number of events involving loss or deprivation before/simultaneously vs. after the onset of hoarding and various hoarding-related beliefs, such as emotional attachment to possessions, and symptom severity. Further, we examined whether perceived social support moderated the influence of these events on emotional attachment to objects.
Methods: One hundred seventeen subjects with hoarding problems responded to a series of instruments to assess the history and timing of traumatic and stressful loss and/or deprivation in relation to the onset of hoarding, and self-report tools evaluating the severity of hoarding, beliefs/motivations, depression, anxiety, general distress, and perceived social support.
Results: The number of events involving loss or deprivation occurring before hoarding was related to increased emotional attachment to possessions, whereas events happening after the onset of hoarding were related to increased concerns about memory as drivers of hoarding symptoms. Events happening before hoarding did not interact with perceived social support to influence emotional attachment to objects.
Conclusions: The timing of traumatic and stressful life events related to loss and deprivation is associated with different hoarding phenotypes, including beliefs/motivations for hoarding. If confirmed by longitudinal studies, these findings may be relevant for therapeutic and preventive measures.
Antecedentes: Aunque investigaciones pasadas han mostrado que la acumulación se asocia con eventos vitales estresantes que incluyen pérdidas y/o deprivación, la relación temporal entre el inicio de los síntomas y estos eventos no están completamente claras.Objetivo: En un estudio transversal realizado online, examinamos la relación entre el número de eventos que incluían perdida o deprivación en forma previa/simultánea versus posterior al inicio de la acumulación y variadas creencias relacionadas con la acumulación, tales como el apego emocional a las posesiones y la severidad sintomática. Además, examinamos si es que el apoyo social percibido moderaba la influencia de estos eventos en el apego emocional a los objetos.Métodos: Ciento diecisiete sujetos con problemas de acumulación respondieron a una serie de instrumentos para evaluar la historia y temporalidad de eventos traumáticos y estresantes de pérdida y/o deprivación en relación al inicio de la acumulación, y herramientas de auto-reporte que evaluaban la severidad de la acumulación, motivaciones/creencias, depresión, ansiedad, malestar general, y apoyo social percibido.Resultados: El número de eventos que incluían pérdida o deprivación que ocurrieron antes de la acumulación fueron relacionados con un aumento del apego emocional a las posesiones, mientras que los eventos que ocurrieron posteriores al inicio de la acumulación se relacionaron con una mayor preocupación sobre la memoria como potenciador de los síntomas de acumulación. Los eventos que ocurrieron antes de la acumulación no interactuaron con el apoyo social percibido para influir en el apego emocional a los objetos.Conclusiones: La temporalidad de los eventos vitales traumáticos y estresantes relacionados con la pérdida y la deprivación está asociada con diferentes fenotipos de acumulación, incluyendo las motivaciones/creencias por las cuales se acumula. Si estos hallazgos son confirmados por estudios longitudinales, pueden ser relevantes para medidas terapéuticas y de prevención.
背景: 虽然以往研究表明囤积与包括损失和/或剥夺的压力性生活事件有关, 症状开始与这些事件之间的时间关系尚不完全清楚。目的: 在一项横断面在线研究中, 我们考查了囤积开始之前/之时与之后涉及损失或剥夺的事件数量与各种囤积相关信念 (例如对物品情感依恋和症状严重程度) 之间的关系。此外, 我们考查了领悟社会支持是否会调节这些事件对物品情感依恋的影响。方法: 117 名有囤积问题的被试回答一系列评估与囤积开始相关的创伤性和压力性损失和/或剥夺的历史和时间的工具, 以及评估囤积严重程度, 信念/动机, 抑郁, 焦虑, 一般精神痛苦和领悟社会支持的自我报告工具。结果: 在囤积之前发生的涉及损失或剥夺的事件数量与对物品情感依恋增加相关, 而在囤积开始后发生的事件与作为囤积症状驱动因素的对记忆的担忧增加有关。在囤积之前发生的事件不会与领悟社会支持交互影响对物品情感依恋。结论: 与损失和剥夺相关的创伤性和压力性生活事件发生的时间与不同的囤积表型有关, 包括囤积的信念/动机。如果经纵向研究证实, 这些发现可能与治疗和预防措施有关。.
Keywords: Estrés; Hoarding; Stress; acumulación; eventos vitales estresantes; fenomenología; phenomenology; stressful life events; trauma; 创伤; 压力性生活事件; 囤积; 应激; 现象学.
© 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
Conflict of interest statement
No potential conflict of interest was reported by the author(s).
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