Prevalence of hoarding disorder among primary care patients

Abstract

Objectives: Despite the inclusion of hoarding disorder (HD) in the DSM-5, there is little epidemiological data on hoarding from low and middle-income countries. This study, the first from India, examines the prevalence and correlates of HD among primary care patients in the state of Kerala, India. Methods: To assess correlates, the Hoarding Rating Scale-Interview (HRS-I) and other structured instruments were administered to 7,555 subjects selected by stratified random sampling from 71 primary health centers. Results: The prevalence of HD was 1.02% (95%CI 0.8-1.3). Those with HD were more likely to be older and live alone. In the binary logistic regression analysis, after controlling for significant sociodemographic variables, subjects with HD had a higher odds of reporting chronic illness, depression, anxiety disorder, alcohol abuse, and tobacco dependence. Subjects with HD had significantly higher disability scores than unaffected individuals. Conclusion: Although HD is not uncommon in India, this disorder is rarely reported in specialty settings in India, which suggests that awareness and detection should be improved, considering the co-occurring negative correlates and disability among affected individuals.

Characteristics of Older People from a Poor Residential Environment in Okinawa, Japan: An Emergency Department-Based Cross-Sectional Study

“…The prevalence of hoarding disorder is approximately 5% in the general population [29], whereas the prevalence of self-neglect ranges from 18.4 to 29.1% among older people in communities [30]. The prevalence of hoarding disorder is approximately 1% in primary health center settings [24]. These figures should be considered in interpreting the prevalence of those from a PRE in the ED from our study.…”

“…Moreover, living alone, low income, dementia, and depression predicted future self-neglect among older people in a community-based cohort study by Abrams et al [21] in the USA, whereas low income and depression are associated with self-neglect among older people living alone in community-based cross-sectional studies conducted in China [22] and South Korea [23]. Similarly, a few cross-sectional studies reported that mental disorders were associated with hoarding in communities in the USA [3] and in primary health centers of India [24], while living alone was also associated with hoarding at primary health center settings [24]. The results of these previous studies support the results of our ED-based study regarding a PRE.…”