Diogenes Syndrome: Social Breakdown of the Elderly

社會崩解之老人－戴奧吉尼斯症候群

林佳琪(Chia-Chi Lin) ； 詹宏裕(Hung-Yu Chan) ； 張景瑞(Ching-Jui Chang) ； 陳快樂(Happy Kuy-Lok Tan) ； 孫效儒(Hsiao-Ju Sun)

《台灣精神醫學》 22卷3期 (2008/09) Pp. 236-240

https://doi.org/10.29478/TJP.200809.0009

摘要

Diogenes症候群的特徵表現為極度忽略自我照顧，社交退縮，居住環境髒亂且通常有收集廢物的行為。1975年被首度報告，常見於老年病人。各社經地位，職業和性別的人都可能出現此症候群。病前人格表現通常較冷漠、多疑、孤僻、和退縮。病人大都無病識感且拒絕他人任何協助。與某些精神疾病（如精神分裂症，情感性精神病或失智症）、智能障礙、慢性身體疾患有共病性，但並非一定一起出現。Diogenes症候群在社區中並不罕見，但卻常被忽略而未被治療。此處提出台灣一位71歲Diogenes症候群之老人。

關鍵字

老人 ； 病態收集 ； 自我忽視 ； 骯髒

並列摘要

Objective: Diogenes syndrome is characterized by extreme self-neglect, domestic squalor and hoarding of rubbish (syllogomania). This syndrome has been reported since 1975 and is prevalent in the elderly. It affects all socioeconomic status, occupations and genders. Many patients are suspicious, withdrawn and lack of insight. Psychiatric disorders (schizophrenia, affective disorder or dementia) and preexisting physical illness may be comorbid but are not universal. It is common but usually underdiagnosed. Here we present a 71-year-old female elderly patient with Diogenes syndrome and discuss related issues.

並列關鍵字

elderly ； hoarding ； self-neglect ； squalor

參考文獻

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