Examining subjective sleep quality in adults with hoarding disorder

Mahnke, Amanda; Linkovski, Omer; Timpano, Kiara R.; Roessel, Peter van; Sanchez, Catherine; Varias, Andrea; Mukunda, Pavithra; Filippou-Frye, Maria; Lombardi, Anthony; Raila, Hannah; Anderson, Kelley P.; Sandhu, Thasveen; Wright, Brianna; McCarthy, Elizabeth; Garcia, Geronimo E.; Asgari, Sepehr; Qiu, Tori; Bernert, Rebecca A.; Rodriguez, Carolyn I.

doi:10.1016/j.jpsychires.2020.10.044

Cited by 9 publications

(4 citation statements)

References 66 publications

(94 reference statements)

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“…Consistent with a previous investigation ( 9 ), our findings suggest that individuals with HSs report sleep impairment at significantly higher rates than those without hoarding. Although all measures of sleep impairment were more frequently reported by participants with CHSs, the odds of poor sleep quality, sleep disturbances, and daytime dysfunction in particular were two- to fivefold higher for individuals with CHSs compared with those without, even after adjustment for demographic characteristics and health status.…”

Section: Discussionsupporting

confidence: 92%

“…Importantly, further investigation of 40 individuals with HD suggests that the association between hoarding symptom severity and sleep disturbance remains significant even when controlling for the ability to sleep in one’s bed, suggesting that hoarding symptoms (HSs) other than clutter play a large role in sleep impairment among individuals with hoarding behavior ( 8 ). To date, only one study has compared sleep impairment among individuals with hoarding with those with other psychiatric disorders and healthy control participants; findings indicate elevated insomnia symptoms and poorer sleep quality among individuals with HD compared with healthy control participants but not compared with those with obsessive-compulsive disorder ( 9 ). However, these findings have not been replicated and are limited in generalizability owing to the use of relatively small, treatment-seeking samples.…”

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confidence: 99%

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Poor Sleep Quality and Daytime Fatigue Are Associated With Subjective but Not Objective Cognitive Functioning in Clinically Relevant Hoarding

Nutley

Read

Eichenbaum

et al. 2022

Biological Psychiatry Global Open Science

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Section: Discussionsupporting

confidence: 92%

mentioning

confidence: 99%

Poor Sleep Quality and Daytime Fatigue Are Associated With Subjective but Not Objective Cognitive Functioning in Clinically Relevant Hoarding

Nutley

Read

Eichenbaum

et al. 2022

Biological Psychiatry Global Open Science

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“…It should also be noted that associations between sleep quality/disturbances and psychological outcomes are not solely observed in anxiety and anxiety disorders. For instance, such associations are evident in people with hoarding symptoms 45 and psychotic symptoms 46 . Future research is needed to investigate if simultaneously targeting ER strategy use and insomnia may result in more efficacious treatments and interventions.…”

Section: Discussionmentioning

confidence: 99%

Expressive suppression mediates the relationship between sleep quality and generalized anxiety symptomology

Bendall,

Elton,

Hughes

2024

Sci Rep

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Anxiety disorders are the most prevalent worldwide mental health disorder, resulting in high societal costs. Emotion regulation and sleep quality are associated with the development of psychopathologies including anxiety. However, it is unknown whether habitual emotion regulation strategy use can mediate the influence of sleep quality on anxiety symptomology. An opportunity sample in a healthy population completed the Pittsburgh Sleep Quality Index to provide a measure of sleep quality, the Emotion Regulation Questionnaire to assess habitual use of emotion regulation strategies, and the Generalized Anxiety Disorder Scale to record anxiety symptomology. Data were analysed using correlation and regression-based mediation analyses. Improved sleep quality was predictive of reduced habitual use of expressive suppression and reduced anxiety symptomology. Additionally, increased use of expressive suppression was predictive of greater anxiety symptomology. Cognitive reappraisal was not associated with sleep quality or anxiety severity. Further, novel findings using mediation analyses show that expressive suppression partially mediated the relationship between sleep quality and anxiety. Whilst longitudinal and experimental research are needed to establish causality, these findings suggest that simultaneously targeting improvements in sleep quality and the use of specific emotion regulation strategies, including expressive suppression, may improve the efficacy of interventions focussed on reducing anxiety-related symptomology.

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“…Cognitive behavioral therapy (CBT) improves symptoms of HD for many (Tolin et al, 2015), but a considerable proportion refuse treatment (44%; Steketee et al, 2010) or drop out of treatment prematurely (10%–29%; Saxena et al, 2011; Steketee et al, 2010). In addition to primary symptoms around difficulty discarding, people with HD have a host of other concomitant difficulties such as sleep disturbance and poor nutrition (Frost et al, 2012; Mahnke et al, 2021). Research is needed to develop alternative approaches for helping people with HD who are not ready to engage in CBT or who do not have access to it.…”

mentioning

confidence: 99%

Written Imaginal Exposure for Hoarding Disorder

Fracalanza,

Raila,

Avanesyan

et al. 2024

J Nerv Ment Dis

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Hoarding disorder (HD) is marked by difficulty discarding possessions. Many refuse treatment or drop out, which may be due to treatment's incorporation of in-home decluttering, which is feared and avoided. Thus, strategies to prepare patients for decluttering/discarding are needed. Imaginal exposure (IE), or imagining one's worst fears about discarding, could be one such strategy. This pilot preliminarily tested a short-duration IE intervention compared with a control intervention. Over 3 days, adults diagnosed with HD (n = 32) were randomly assigned to either write about and imagine their worst fears about discarding (IE condition) or a neutral topic (control writing [CW] condition). The IE condition showed significant improvements in HD symptoms from preintervention to 1-week follow-up, with medium to large effects; however, the CW condition did as well. Comparing change scores between conditions, the IE condition's improvements were not significantly different than the CW condition's. Overall, IE was helpful in improving HD symptoms, but this pilot did not indicate that it was more helpful than CW. This raises important questions about possible demand characteristics, placebo effects, or regression to the mean, and it has implications for the design and methodology of other studies assessing IE's utility.

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Examining subjective sleep quality in adults with hoarding disorder

Cited by 9 publications

References 66 publications

Poor Sleep Quality and Daytime Fatigue Are Associated With Subjective but Not Objective Cognitive Functioning in Clinically Relevant Hoarding

Poor Sleep Quality and Daytime Fatigue Are Associated With Subjective but Not Objective Cognitive Functioning in Clinically Relevant Hoarding

Expressive suppression mediates the relationship between sleep quality and generalized anxiety symptomology

Written Imaginal Exposure for Hoarding Disorder

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