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Assessment and Treatment of Hoarding Disorder in Rural-Dwelling Older Adults

机译：农村老年人囤积症的评估和治疗

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摘要

Current literature on hoarding disorder has been limited to urban areas. This article represents the first depiction of the clinical presentation of hoarding disorder in rural-dwelling older adults. A summary of the quantitative data and qualitative notes from comprehensive assessments with eight older adults living in rural Mississippi is presented and integrated into the existing literature on late-life hoarding assessment and treatment. Participants reported hoarding symptoms of similar severity to previous studies of urban samples, with the main difference being slightly lower clutter levels. Most participants were divorced or had never married. All participants reported having at least one current medical condition, with the most commonly reported diagnosis being high blood pressure. Half of the participants reported that they had experienced at least one intervention from their family; however, only one participant reported ever experiencing an intervention from another source. Several participants declined participation in a sorting/discarding task, suggesting a disconnect between interest in hoarding intervention and willingness to engage in treatment. Future research is needed to determine the efficacy of hoarding interventions in a rural setting and the utility of possible modifications, including greater focus on internal motivating factors or the use of teletherapy as a treatment modality. Public Significance Statement This study suggests that rural-dwelling older adults with hoarding disorder have many similarities to their urban-dwelling counterparts. However, several characteristics unique to a rural setting should be considered when treating rural hoarding, including decreased external motivating factors.
机译：当前文学对囤积症限制在城市地区。第一个描述的临床表现rural-dwelling囤积症的老成年人。定性的综合评估有八个老年人生活在农村提出了密西西比和融入现有文献对老年囤积评估和治疗。之前囤积的症状相似的严重性对城市的研究样本,与主区别有点杂乱水平较低。大多数参与者或从未离婚结婚了。目前至少有一个医疗条件,高血压最常见的诊断报告压力。他们经历过至少一个干预从他们的家庭;曾经历的干预另一个来源。参与排序/丢弃的任务,显示兴趣之间的脱节囤积干预和参与的意愿在治疗。确定囤积干预措施的有效性在农村环境的效用修改,包括更大的关注内部激励因素或使用远距治疗作为一种治疗方式。这项研究表明,意义声明rural-dwelling老年人囤积他们的障碍有很多相似之处城市住宅。特征独特的农村环境被认为是治疗农村囤积,包括减少外部激励因素。

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