Hoarding: a new diagnosis against the traditional interpretation. Case of Artem L.

Abstract

The article presents the case of twenty-year-old Artem L., whose clinical picture of the disease was dominated by an overvalued hobby in the form of pathological hoarding. The case was analyzed from the standpoint of highlighting a new diagnosis — hording — in international psychiatric classifications. Differential diagnosis of hording with schizotypal and obsessive-compulsive disorder, as well as with autism spectrum disorders was carried out. It is concluded that the emergence of a new diagnosis of hoarding requires the formation of new algorithms of diagnostic thinking in psychiatrists and the rejection of interpretations of paradoxical, seemingly pretentious behavior as belonging to the circle of schizophrenic disorders.

Keywords

hoarding / schizotypal disorder / obsessive-compulsive disorder / autism spectrum disorders / psychiatric diagnosis / ICD-11 / DSM-5

References

[1] MKB-11. Glava 06. Psihicheskie i povedencheskie rasstrojstva i narusheniya nejropsihicheskogo razvitiya. Statisticheskaya klassifikaciya. 2-e izdanie, pererabotannoe i dopolnennoe. M.: KDU, Universitetskaya kniga; 2022. 432 р. DOI: 10.31453/kdu.ru.91304.0172.

[2] МКБ-11. Глава 06. Психические и поведенческие расстройства и нарушения нейропсихического развития. Статистическая классификация. 2-е издание, переработанное и дополненное. М.: КДУ, Университетская книга; 2022. 432 с. DOI: 10.31453/kdu.ru.91304.0172.

[3] Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA, American Psychiatric Publishing, 2013. https://doi.org/10.1176/appi.books.9780890425596 (access date: 19.02.2023).

[4] Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA, American Psychiatric Publishing; 2013. https://doi.org/10.1176/appi.books.9780890425596 (access date: 19.02.2023).

[5] Kanat BB, Altunöz U, Kırıcı S et al. Hoarding behaviour in three different types of dementia cases. Turk Psikiyatri Derg. 2016;27(2):1–5.

[6] Kanat B.B., Altunöz U., Kırıcı S. et al. Hoarding behaviour in three different types of dementia cases // Turk. Psikiyatri. Derg. 2016. Vol. 27. N. 2. P. 1–5. DOI: 10.5080/u7992.

[7] Albert U, De Cori D, Barbaro F et al. Hoarding disorder: A new obsessive-compulsive related disorder in DSM-5. Journal of Psychopathology. 2015;21:354–364.

[8] Albert U., De Cori D., Barbaro F. et al. Hoarding disorder: A new obsessive-compulsive related disorder in DSM-5 // Journal of Psychopathology. 2015. Vol. 21. P. 354–364.

[9] Mataix-Cols D, Fernández de la Cruz L. Hoarding disorder has finally arrived, but many challenges lie ahead. World Psychiatry. 2018;17(2):224–225. DOI: 10.1002/wps.20531.

[10] Mataix-Cols D., Fernández de la Cruz L. Hoarding disorder has finally arrived, but many challenges lie ahead // World Psychiatry. 2018. Vol. 17. N. 2. P. 224–225. DOI: 10.1002/wps.20531.

[11] Schou ML, Urfer-Parnas A, Parnas J. The hoarding phenome-non in schizophrenia spectrum disorders. Psychopathology. 2020;53:111–117. DOI: 10.1159/000508453.

[12] Schou M.L., Urfer-Parnas A., Parnas J. The hoarding phenome-non in schizophrenia spectrum disorders // Psychopathology. 2020. Vol. 53. P. 111–117. DOI: 10.1159/000508453.

[13] Pertusa A, Bejerot S, Eriksson J et al. Do patients with hoarding disorder have autistic traits? Depress Anxiety. 2012;29(3):210–218. DOI: 10.1002/da.20902.

[14] Pertusa A., Bejerot S., Eriksson J. et al. Do patients with hoarding disorder have autistic traits? // Depress. Anxiety. 2012. Vol. 29. N. 3. P. 210–218. DOI: 10.1002/da.20902.

[15] Pertusa A, Fullana MA, Singh S et al. Compulsive hoarding: OCD symptom, distinct clinical syndrome, or both? Am J Psychiatry. 2008;165:1289–1298.

[16] Pertusa A., Fullana M.A., Singh S. et al. Compulsive hoarding: OCD symptom, distinct clinical syndrome, or both? // Am. J. Psychiatry. 2008. Vol. 165. P. 1289–1298.

[17] Bratiotis Ch, Muroff J, Lin NXY. Hoarding disorder: Development in conceptualization, intervention, and evaluation. Focus. 2021;19:392–404. DOI: 10.1176/appi.focus.20210016.

[18] Bratiotis Ch., Muroff J., Lin N.X.Y. Hoarding disorder: Development in conceptualization, intervention, and evaluation // Focus. 2021. Vol. 19. P. 392–404. DOI: 10.1176/appi.focus.20210016.

[19] Postlethwaite A, Kellett S, Mataix-Cols D. Prevalence of hoarding disorder: A systematic review and meta-analysis. Journal of Affective Disorders. 2019;256:309–316. DOI: 10.1016/j.jad.2019.06.004.

[20] Postlethwaite A., Kellett S., Mataix-Cols D. Prevalence of hoarding disorder: A systematic review and meta-analysis // Journal of Affective Disorders. 2019. Vol. 256. P. 309–316. DOI: 10.1016/j.jad.2019.06.004.

[21] Pertusa A, Bejerot S, Eriksson J et al. Do patients with hoarding disorder have autistic traits? Depression and Anxiety. 2012;29:210–218. DOI: 10.1002/da.20902.

[22] Pertusa A., Bejerot S., Eriksson J. et al. Do patients with hoarding disorder have autistic traits? // Depression and Anxiety. 2012. Vol. 29. P. 210–218. DOI: 10.1002/da.20902.

[23] Ivanov VZ, Mataix-Cols D, Serlachius E et al. Prevalence, comorbidity and heritability of hoarding symptoms in adolescence: A population based twin study in 15-year olds. PLoS ONE. 2013;8(7):e69140. DOI: 10.1371/journal.pone.0069140.

[24] Ivanov V.Z., Mataix-Cols D., Serlachius E. et al. Prevalence, comorbidity and heritability of hoarding symptoms in adolescence: A population based twin study in 15-year olds // PLoS ONE. 2013. Vol. 8. N. 7. P. e69140. DOI: 10.1371/journal.pone.0069140.

[25] Lin N, Bacala L, Martin S et al. Hoarding disorder: The current evidence in conceptualization, intervention, and evaluation. Psychiatr Clin North Am. 2023;46(1):181–196. DOI: 10.1016/j.psc.2022.10.007.

[26] Lin N., Bacala L., Martin S. et al. Hoarding disorder: The current evidence in conceptualization, intervention, and evaluation // Psychiatr. Clin. North Am. 2023. Vol. 46. N. 1. P. 181–196. DOI: 10.1016/j.psc.2022.10.007.

[27] Pertusa A, Frost RO, Mataix-Cols D. When hoarding is a symptom of OCD: A case series and implications for DSM-V. Behav Res Ther. 2010;48:1012–1020.

[28] Pertusa A., Frost R.O., Mataix-Cols D. When hoarding is a symptom of OCD: A case series and implications for DSM-V // Behav. Res. Ther. 2010. Vol. 48. P. 1012–1020.

[29] Novara C, Bottesi G, Dorz S, Sanavio E. Hoarding symptoms are not exclusive to hoarders. Front Psychol. 2016;7:1742. DOI: 10.3389/fpsyg.2016.01742.

[30] Novara C., Bottesi G., Dorz S., Sanavio E. Hoarding symptoms are not exclusive to hoarders // Front. Psychol. 2016. Vol. 7. P. 1742. DOI: 10.3389/fpsyg.2016.01742.

[31] Frank H, Stewart E, Walther M et al. Hoarding behavior among young children with obsessive-compulsive disorder. J Obsessive Compuls Relat Disord. 2014;3(1):6–11. DOI: 10.1016/j.jocrd.2013.11.001.

[32] Frank H., Stewart E., Walther M. et al. Hoarding behavior among young children with obsessive-compulsive disorder // J. Obsessive Compuls. Relat. Disord. 2014. Vol. 3. N. 1. P. 6–11. DOI: 10.1016/j.jocrd.2013.11.001.

[33] Worden BL, Tolin DF. Co-occurring obsessive-compulsive disorder and hoarding disorder: A review of the current literature. J Cogn Psychother. 2022;36(4):271–286. DOI: 10.1891/jcp-2021-0010.

[34] Worden B.L., Tolin D.F. Co-occurring obsessive-compulsive disorder and hoarding disorder: A review of the current literature // J. Cogn. Psychother. 2022. Vol. 36. N. 4. P. 271–286. DOI: 10.1891/jcp-2021-0010.

[35] Sordo Vieira L, Guastello A, Nguyen B et al. Identifying psychiatric and neurological comorbidities associated with hoarding disorder through network analysis. J Psychiatr Res. 2022;156:16–24. DOI: 10.1016/j.jpsychires.2022.09.037.

[36] Sordo Vieira L., Guastello A., Nguyen B. et al. Identifying psychiatric and neurological comorbidities associated with hoarding disorder through network analysis // J. Psychiatr. Res. 2022. Vol. 156. P. 16–24. DOI: 10.1016/j.jpsychires.2022.09.037.

[37] Smulevich AB, Romanov DV, Muhorina AK, Atadzhykova YuA. Fenomen fershroben pri shizofrenii i rasstrojstvah shizofrenicheskogo spektra (tipologicheskaya diffe-renciaciya). Zhurnal nevrologii i psihiatrii im SS Korsakova. 2017;117(1):5–16. (In Russ.)

[38] Смулевич А.Б., Романов Д.В., Мухорина А.К., Атаджыкова Ю.А. Феномен фершробен при шизофрении и расстройствах шизофренического спектра (типологическая дифференциация) // Журнал неврологии и психиатрии им. С.С. Корсакова. 2017. Т. 117. №1. С. 5–16.

[39] Atadzhykova YuA, Enikolopov SN. Ot fenomena shizotipii k sindromu “fershroben”: istoricheskaya perspektiva i aktual’nye problemy. Klinicheskaya i medicinskaya psihologiya: issledovaniya, obuchenie, praktika. 2016;4(14). (In Russ.) http://medpsy.ru/climp (access date: 19.02.2023).

[40] Атаджыкова Ю.А., Ениколопов С.Н. От феномена шизотипии к синдрому «фершробен»: историческая перспектива и актуальные проблемы // Клиническая и медицинская психология: исследования, обучение, практика. 2016. Т. 4. №14. http://medpsy.ru/climp (дата обращения: 19.02.2023).

[41] Mendelevich VD. Terminologicheskie osnovy fenomenologicheskoj diagnostiki v psihiatrii. M.: Gorodec; 2016. 128 р. (In Russ.)

[42] Менделевич В.Д. Терминологические основы феноменологической диагностики в психиатрии. М.: Городец; 2016. 128 с.

[43] Mendelevich VD. Psihologiya deviantnogo povedeniya. M.: Gorodec; 2016. 386 р. (In Russ.)

[44] Менделевич В.Д. Психология девиантного поведения. М.: Городец; 2016. 386 с.

[45] Dejch RV. Kliniko-dinamicheskie aspekty fenomena anomal’nyh uvlecheniĭ u deteĭ i podrostkov. Social’naya i kli-nicheskaya psihiatriya. 2011;6:16–21. (In Russ.)

[46] Дейч Р.В. Клинико-динамические аспекты феномена аномальных увлечений у детей и подростков // Социальная и клиническая психиатрия. 2011. Т. 6. С. 16–21.

[47] Sergeev II, Malinochka SA. Patologicheskie interesy i uvlecheniya pri shizofrenii. Zhurnal nevrologii i psihiatrii im SS Korsakova. 2008;5:54–67. (In Russ.)

[48] Сергеев И.И., Малиночка С.А. Патологические интересы и увлечения при шизофрении // Журнал неврологии и психиатрии им. С.С. Корсакова. 2008. Т. 5 . С. 54–67.

[49] Malinochka SA. Patologicheskie uvlecheniya u bol’nyh s rasstroĭstvami shizofrenicheskogo spektra i ih vliyanie na social’noe funkcionirovanie bol’nyh. Avtoref. dis. … kand. med. nauk. M.; 2009. 26 р. (In Russ.)

[50] Малиночка С.А. Патологические увлечения у больных с расстройствами шизофренического спектра и их влияние на социальное функционирование больных. Автореф. дис. … канд. мед наук. М.; 2009. 26 с.

[51] Alfimova MV, Mel’nikova TS. Psihofiziologiya emocional’nyh reakcij pri shizofrenii. Zhurnal nevrologii i psihiatrii im SS Korsakova. 2012;112(1):106–113. (In Russ.)

[52] Алфимова М.В., Мельникова Т.С. Психофизиология эмоциональных реакций при шизофрении // Журнал неврологии и психиатрии им. С.С. Корсакова. 2012. Т. 112. №1. С. 106–113.

[53] Reber ME. Rasstrojstva autisticheskogo spektra. Nauchnye podhody k terapii. M.: Binom; 2017. 424 р. (In Russ.)

[54] Ребер М.Е. Расстройства аутистического спектра. Научные подходы к терапии. М.: Бином; 2017. 424 с.

[55] Skirrow P, Jackson P, Perry E et al. I collect therefore I am — Autonoetic consciousness and hoarding in Asperger syndrome. Clin Psychol Psychother. 2015;22(3):278–284. DOI: 10.1002/cpp.1889.

[56] Skirrow P., Jackson P., Perry E., Hare D.J. I collect therefore I am — Autonoetic consciousness and hoarding in Asperger syndrome // Clin. Psychol. Psychother. 2015. Vol. 22. N. 3. P. 278–284. DOI: 10.1002/cpp.1889.

[57] Van Roessel PJ, Grassi G, Aboujaoude EN et al. Treatment-resistant OCD: Pharmacotherapies in adults. Compr Psychiatry. 2023;120:152352. DOI: 10.1016/j.comppsych.2022.152352.

[58] Van Roessel P.J., Grassi G., Aboujaoude E.N. et al. Treatment-resistant OCD: Pharmacotherapies in adults // Compr. Psychiatry. 2023. Vol. 120. P. 152352. DOI: 10.1016/j.comppsych.2022.152352.

RIGHTS & PERMISSIONS

Eco-Vector