TRANSTORNO DA ACUMULAÇÃO: CARACTERÍSTICAS CLÍNICAS E EPIDEMIOLÓGICAS (Hoarding Disorder: clinical and epidemiological aspects)

Diego Rafael Schmidt, Cristina Pilla Della Méa, Marcia Fortes Wagner

Resumen


Resumo

O Transtorno da Acumulação (TA) caracteriza-se pela aquisição compulsiva de objetos desnecessários, desorganização e dificuldade em desfazer-se das posses. Nas edições anteriores do Manual Diagnóstico e Estatístico de Transtornos Mentais (DSM), não existia um diagnóstico específico para sujeitos com esses sintomas, sendo normalmente classificados com Transtorno Obsessivo-Compulsivo (TOC) e Transtorno da Personalidade Obsessivo-Compulsiva (TPOC). Este trabalho consiste em uma revisão bibliográfica consultada em bases de indexação internacionais que visa discutir as características clínicas, epidemiológicas e de tratamento no TA. Embora não exista uma consensualidade na literatura, os achados sugerem que o transtorno constitui uma patologia independente e com alta prevalência de comorbidades, sendo necessária a realização de intervenções terapêuticas focadas em aspectos cognitivos e de comportamento do sujeito. Por fim, enfatiza-se a realização de pesquisas com esse perfil de pacientes salientando a realidade brasileira.

 

Palavras-chave: Transtorno da Acumulação, Acumuladores Compulsivos, Acumuladores de Animais, Diagnóstico.


Abstract

Hoarding Disorder (HD) is characterized by the compulsive acquisition of unnecessary objects, clutter, and difficulty in discarding possessions. Previous editions of the Diagnostic and Statistical Manual of Mental Disorders (DSM) showed no specific diagnosis for subjects presenting these symptoms, which were usually classified as Obsessive Compulsive Disorder (OCD) and Obsessive Compulsive Personality Disorder (OCPD). This work consists on a literature review based on international indexing databases, and it aims to discuss the epidemiological, clinical, and treatment aspects of HD. Although there is no consensual in the literature, the findings suggest that the disorder is an independent disease, and with high prevalence of comorbidities, requiring therapeutic interventions focused on the cognitive and behavioral characteristics of these subjects. Finally, carrying out researches with this profile of patients, emphasizing the reality of Brazil is suggested.

 

Keywords:  Hoarding Disorder, Hoarding Behavior, Compulsive Hoarding, Animal Hoarding Behavior, Animal Hoarders, Diagnosis.

 

Resumen

El Trastorno por Acumulación (TA) se caracteriza por la adquisición compulsiva de objetos innecesarios, desorganización y dificultad para descartar lo que se posee. En ediciones anteriores del Manual Diagnóstico y Estadístico de los Trastornos Mentales (DSM) no había diagnóstico específico para sujetos con estos síntomas, clasificándolos con Trastorno Obsesivo Compulsivo y Trastorno de la Personalidad Obsesivo Compulsivo. Este trabajo consiste en una revisión de literatura encontrada en las bases de indexación internacionales con el objetivo de analizar las características epidemiológicas, clínicas y de tratamiento del TA. Aunque no hay consenso en la literatura, los hallazgos sugieren que el trastorno es un síndrome independiente y con alta prevalencia de comorbilidades, que requiere  de intervenciones terapéuticas centradas en aspectos cognitivos y conductuales. Por último, se hace recomienda la realización de investigaciones con estos pacientes destacando la realidad brasileña.

 

Palavras-chave: Trastorno por Acumulación, Acumuladores Compulsivos, Acumuladores Animales, Diagnóstico.

 


Palabras clave


Transtorno da cumulação; Acumuladores compulsivos; Acumuladores de animais; Diagnóstico.

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Referencias


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