학술논문
Parental bonding and hoarding in obsessive–compulsive disorder
Document Type
article
Author
Chen, David; Bienvenu, O Joseph; Krasnow, Janice; Wang, Ying; Grados, Marco A; Cullen, Bernadette; Goes, Fernando S; Maher, Brion; Greenberg, Benjamin D; McLaughlin, Nicole C; Rasmussen, Steven A; Fyer, Abby J; Knowles, James A; McCracken, James T; Piacentini, John; Geller, Dan; Pauls, David L; Stewart, S Evelyn; Murphy, Dennis L; Shugart, Yin-Yao; Riddle, Mark A; Nestadt, Gerald; Samuels, Jack
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Subject
Language
Abstract
BackgroundHoarding behavior may indicate a clinically and possibly etiologically distinct subtype of obsessive-compulsive disorder (OCD). Empirical evidence supports a relationship between hoarding and emotional over-attachment to objects. However, little is known about the relationship between hoarding and parental attachment in OCD.MethodThe study sample included 894 adults diagnosed with DSM-IV OCD who had participated in family and genetic studies of OCD. Participants were assessed for Axis I disorders, personality disorders, and general personality dimensions. The Parental Bonding Instrument (PBI) was used to assess dimensions of perceived parental rearing (care, overprotection, and control). We compared parental PBI scores in the 334 hoarding and 560 non-hoarding participants, separately in men and women. We used logistic regression to evaluate the relationship between parenting scores and hoarding in women, adjusting for other clinical features associated with hoarding.ResultsIn men, there were no significant differences between hoarding and non-hoarding groups in maternal or paternal parenting scores. In women, the hoarding group had a lower mean score on maternal care (23.4 vs. 25.7, p