Hoarding disorder (HD) is characterised by compulsive acquisition and extreme difficulty discarding possessions, resulting in clutter that substantially impacts upon functioning. Heightened object attachment is a central feature of HD according to prominent theoretical models. We review current research on the nature and function of object attachment in HD. In particular, we describe growing evidence that object attachment in HD is a compensatory response to unmet relatedness needs, and recent research underscoring the insecure nature of object attachment in hoarding. Critical gaps include the lack of longitudinal studies and research examining the effects of interpersonal interventions on object attachment in HD. Further elucidation of the compensatory process in HD will have important implications for the treatment of this disabling disorder.

中文翻译：

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囤积障碍中的对象依恋及其在补偿过程中的作用

囤积障碍 (HD) 的特点是强迫性获取和丢弃物品极其困难，导致杂乱无章，严重影响功能。根据突出的理论模型，高度的物体附着是 HD 的一个核心特征。我们回顾了当前关于 HD 中对象依恋的性质和功能的研究。特别是，我们描述了越来越多的证据表明 HD 中的物体依恋是对未满足的相关性需求的补偿性反应，最近的研究强调了囤积中物体依恋的不安全性质。关键差距包括缺乏纵向研究和研究，检查人际干预对 HD 对象依恋的影响。进一步阐明 HD 的代偿过程将对这种致残性疾病的治疗具有重要意义。