![]() Genetical studies have shown that at least 50% of patients suffering from excessive hoarding had a relative with a dimension of hoarding. The Hoarding disorder was first part of the Obsessive and compulsive disorders, but it has progressively appeared that it could be individualized with its own prevalence of 2.3% to 14% lifetime. ![]() This last point is similar to the definition given in the DSM-5 for the Hoarding disorder which describes a persistent difficulty parting with possessions distress associated with discarding possessions and accumulations that congest and clutter active living areas. At the end, their homes are full of useless objects, and some living places can be unusable because they are cluttered and congested. This last criterion is very interesting because it is closely related to the Hoarding syndrome: indeed, patients with syllogamania, as also named, have a tendency to hoard every object they find. The diagnostic requires one major criterion, the inability to ask for medical or social help, and one of three minor criteria: a pathological relationship to the body, which leads to somatic illness a pathological relationship to the society, which leads to a progressive exclusion from it and finally, a pathological link with objects. Many aetiologies have been known to be associated with the Diogenes syndrome: schizophrenia, dementia – especially frontotemporal type, anxiety disorders, mood disorders, and substance abuse – especially alcohol abuse. Its frequency is around five for 100,000 persons. The Diogenes syndrome was first described in 1966 but was officially named for the ancient Greek philosopher in 1975 by Clark. Des études cliniques sont indispensables pour avancer dans la compréhension de ces troubles et les soins à apporter aux patients. Au total, le syndrome de Diogène et le Hoarding disorder pourraient être deux dimensions d’une même entité, l’un représentant la dimension de saleté ( squalor) et l’autre la dimension d’entassement ( hoarding). L’insight dans ce trouble est variable et certains patients peuvent ainsi présenter les critères diagnostiques du syndrome de Diogène, à savoir l’absence d’appel à l’aide, et un trouble du rapport aux objets, la syllogomanie. Il se manifeste entre autres par une difficulté majeure à se séparer de possessions, qui s’accumulent ainsi, parfois jusqu’à rendre invivable, voire insalubre, le domicile. Issu des troubles anxieux, et en particulier des troubles obsessionnels compulsifs, le HD s’en est progressivement détaché, pour devenir un trouble anxieux individualisé. ![]() Cet article pose les questions de leurs différences et de leurs points communs. ![]() La séméiologie française décrit depuis plusieurs années un syndrome dans lequel l’entassement est un point important, il s’agit du syndrome de Diogène. En 2013, le DSM-5 a proposé la création d’une nouvelle maladie mentale, le Hoarding disorder (HD), qu’on pourrait traduire par le syndrome d’entassement. ![]()
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