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Diogenes' syndrome — a load of old rubbish?

Published online by Cambridge University Press:  13 June 2014

Lynne M Drummond ,
Joanne Turner  and
Steven Reid
Lynne M Drummond
Affiliation:
Department of Mental Health Sciences, St. George's Hospital Medical School, Cranmer Terrace, Tooting, London SW17 ORE, England
Joanne Turner
Affiliation:
Springfield Hospital, London SW17 7DJ, England
Steven Reid
Affiliation:
Springfield Hospital, London SW17 7DJ, England
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Abstract

Objective: It has been suggested that presentation with self-neglect, domestic squalor and hoarding, represents a distinct syndrome, widely known as Diogenes' syndrome. The validity of this syndrome is controversial and we suggest that in previous series of such patients other psychiatric diagnoses, particularly obsessive compulsive disorder (OCD), may have been missed.

Method: A series of 50 patients admitted for treatment of OCD were examined, looking for presentation with self-neglect, domestic squalor and hoarding. Response to treatment was also measured by comparing pre and post-treatment scores on the Beck Depression Inventory and Activity Checklist.

Results: Of the sample 8% presented with all three features. This sub-group of patient had a poorer outcome than other patients with OCD.

Conclusion: Presentation with self-neglect, domestic squalor and hoarding is not uncommon in patients with severe OCD and this supports the suggestion that patients previously described as having Diogenes' syndrome may have had undiagnosed OCD.

Keywords

Obsessive compulsive disorderSelf-careDiagnosis
Type
Brief Reports
Information
Irish Journal of Psychological Medicine , Volume 14 , Issue 3 , September 1997 , pp. 99 - 102
Copyright
Copyright © Cambridge University Press 1997

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References

1.MacMillan, D, Shaw, P. Senile breakdown in standards of personal and environmental cleanliness. BMJ 1966; ii: 1032–7.CrossRefGoogle Scholar
2.Clark, ANG, Mankikar, GD, Gary, I. Diogenes' syndrome: a clinical study of gross self-neglect in old age. Lancet 1975; i: 366–8.CrossRefGoogle Scholar
3.Wrigley, M, Cooney, C. Diogenes' syndrome - an Irish series. IrJ Psych Med 1992; 9: 37–41.CrossRefGoogle Scholar
4.Vostanis, P, Dean, C. Self-neglect in adult life. Br J Psychiatry 1992; 161: 265–7.CrossRefGoogle ScholarPubMed
5.Marks, IM. Fears, phobias and rituals. New York: Oxford University Press, 1987.Google Scholar
6.Drummond, LM. The treatment of severe, chronic resistant obsessive-compulsive disorder. Br J Psychiatry 1993; 163: 223–9.CrossRefGoogle ScholarPubMed
7.Rachman, S. Obsessive compulsive checking. Behav Res Ther 1976; 14: 269–77.CrossRefGoogle Scholar
8.Marks, IM, Lelliot, P, Basoglu, Met al.Clomipramine, self-exposure and therapist-aided exposure for obsessive compulsive rituals. Br J Psychiatry 1988; 152: 522–34.CrossRefGoogle ScholarPubMed
9.Beck, AT, Rial, WY, Rickells, K. Short form of the depression inventory cross validation. Psychol Rep 1974; 34: 1184–6.CrossRefGoogle ScholarPubMed