CAJ | 학술논문

囤积障碍是一种因知觉到储藏物品的需要而难以丢弃或难与物品分离并由此导致一系列心理和行为问题的精神疾病，以信息加工不足、不合理信念、情绪调节困难和囤积行为等为典型症状。囤积障碍的发病率较高，其病因可能与个体的早期经历、部分脑区功能异常和遗传基因有关。目前，主要是依据DSM-5诊断标准、囤积量表修订版，并结合过往病史和伴随症状等对囤积障碍进行诊断和评估。囤积障碍的治疗方法主要有认知行为疗法、药物疗法和综合疗法。未来应该完善诊断标准和评估工具，进一步考察不同治疗方法的疗效，并从认知神经科学的视角，尤其是将眼动技术与ERP、fMRI相结合，探索囤积障碍的症状表征及神经生物机制。
돈적장애시일충인지각도저장물품적수요이난이주기혹난여물품분리병유차도치일계렬심리화행위문제적정신질병，이신식가공불족、불합리신념、정서조절곤난화돈적행위등위전형증상。돈적장애적발병솔교고，기병인가능여개체적조기경력、부분뇌구공능이상화유전기인유관。목전，주요시의거DSM-5진단표준、돈적량표수정판，병결합과왕병사화반수증상등대돈적장애진행진단화평고。돈적장애적치료방법주요유인지행위요법、약물요법화종합요법。미래응해완선진단표준화평고공구，진일보고찰불동치료방법적료효，병종인지신경과학적시각，우기시장안동기술여ERP、fMRI상결합，탐색돈적장애적증상표정급신경생물궤제。
Hoarding disorder is a condition in which a person has persistent difficulty in discarding or parting with possessions, which is caused by strong urges to save items and characterized by information processing deficits, irrational beliefs, emotional dysregulation and hoarding behaviors. Hoarding disorder is highly prevalent and is likely associated with childhood experiences, neural dysfunctions and genetics. The diagnosis of hoarding disorder is generally based on Diagnostic and Statistical Manual of Mental Disorders （DSM-5）, Saving Inventory-Revised, and medical history and concomitant symptoms. The treatment of hoarding disorder mainly includes cognitive behavior therapy, pharmacotherapies and multi-modal treatments. Future studies should pay attention to improve diagnostic standard and assessment tools, efficacy of various therapies, explore hoarding disorder characteristics and underline neurobiological mechanisms from a cognitive neuroscience perspective, especially combining eye-tracking with ERP and fMRI.