Main obstacles to intervention are isolation and the refusal of formal support that seems to reveal a mismatch between the needs of these individuals and the way services are provided.ĭiogenes syndrome is a neurobehavioural syndrome characterised by domestic squalor, hoarding and lack of insight. This entity seems to present a unique agerelated feature, characterized by the manifestation of a different range of precipitating factors, supporting the argument that DS should be considered as a geriatric syndrome.
Two thirds of the reports described psychiatric diagnoses that appeared to contribute to the presentation of the DS.ĭiscussion: DS is presented as a true syndrome that combines a multifactorial etiology. The determining criteria for the identification of the syndrome were social isolation and physical and domestic selfneglect. DS cases were usually referenced by neighbors to the health care system as a result of a hazard to themselves or others. Results: DS was found to be more common in older subjects (84%), single individuals (44%), who were living alone (64%) and in an apartment. 109 documents were considered for analysis and of these 67 case reports were collected and analysed by a grid built for that purpose. Methods: The literature on DS was comprehensively reviewed in English, French, Spanish and Portuguese languages, supplemented with research of associated nomenclature.
Objective: Contribute to the systematization of scientific evidence about DS and to raise national awareness among clinical and social professionals for this syndrome. Many theoretical explanations have been presented but none covers entirely the complexity associated with the syndrome.
It is characterized by a break and rejection of social patterns observed in a severe negligence in personal and environmental care, in a gradual isolation, in a reduced insight and in the accumulation behavior. Background: Diogenes Syndrome (DS) presents a growing international interest in clinical, social and public health research areas.
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