Background:The cognitions and emotions of people prone to hoarding are key components of the dominant cognitive behavioural model of hoarding disorder.Aims:This study sought to use Q-methodology to explore the thoughts and feelings of people that are prone to hoarding, to identify whether distinct clusters of participants could be found.Method:A 49-statement Q-set was generated following thematic analysis of initial interviews (n = 2) and a review of relevant measures and literature. Forty-one participants with problematic hoarding met various study inclusion criteria and completed the Q-sort (either online or offline). A by-person factor analysis was conducted and subsequent participant clusters compared on psychometric measures of mood, anxiety, hoarding and time taken on the online task as proxy for impulsivity.Results:Four distinct participant clusters were found constituting 34/41 (82.92%) of the participants, as the Q-sorts of n = 7 participants failed to cluster. The four clusters found were ‘overwhelmed’ (n = 11 participants); ‘aware of consequences’ (n = 13 participants); ‘object complexity’ (n = 6 participants) and ‘object–affect fusion’ (n = 4 participants). The clusters did not markedly differ with regard to hoarding severity, anxiety, depression or impulsivity.Conclusions:Whilst the participant clusters reflect extant research evidence, they also reveal significant heterogeneity and so prompt the need for further research investigating emotional and cognitive differences between people prone to hoarding.

中文翻译：

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探索囤积中的情绪和认知：Q-methodology分析

背景：囤积倾向人群的认知和情绪是囤积障碍主导认知行为模型的关键组成部分。是否可以找到不同的参与者集群。方法：在对初始访谈进行主题分析后生成 49 个语句的 Q 集（n= 2) 并回顾相关措施和文献。有问题囤积的 41 名参与者符合各种研究纳入标准并完成了 Q-sort（在线或离线）。进行了逐人因素分析，随后的参与者集群比较了情绪、焦虑、囤积和在线任务所花费的时间作为冲动性的心理测量指标。结果：发现四个不同的参与者集群构成 34/41 (82.92%)的参与者，作为 Q 类n= 7 名参与者未能集群。发现的四个集群是'不知所措' (n= 11 名参与者）；'意识到后果' (n= 13 名参与者）；'对象复杂度' (n= 6 名参与者）和 '对象-情感融合' (n= 4 名参与者）。这些集群在囤积严重程度、焦虑、抑郁或冲动方面没有显着差异。结论：虽然参与者集群反映了现有的研究证据，但它们也揭示了显着的异质性，因此需要进一步研究调查人群之间的情绪和认知差异。囤积。