Course of compulsive hoarding and its relationship to life events

Tolin, David F.; Meunier, Suzanne A.; Frost, Randy O.; Steketee, Gail

doi:10.1002/da.20684

Cited by 175 publications

(141 citation statements)

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“…Clinical impressions have suggested that hoarding is more severe in older adults, and a progressive course of hoarding was also reported by geriatric patients 3 . However, nearly three-quarters (73%) of a cross-sectional mixed-age sample of individuals with hoarding reported a chronic, stable course of symptoms 10 . The percentage of respondents reporting moderate or more severe hoarding increased until mid-age, with little change until after age 70 when severity became more variable 10 .…”

Section: Discussionmentioning

confidence: 99%

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Characteristics of Hoarding in Older Adults

Diefenbach

DiMauro

Frost

et al. 2013

The American Journal of Geriatric Psychiatry

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Objective This study determined the clinical characteristics of late-life hoarding disorder (HD). Methods Older adults (age ≥ 60) with HD (n = 55) and without psychiatric diagnoses (n = 39) were compared on psychiatric, functional, cognitive, and health-related measures. Associations between age and clinical characteristics in a large sample of mixed age (n = 210, age range 20–78) participants with HD were also determined. Results Individuals with late-life HD were characterized by substantial impairments in psychiatric, functional, cognitive, and medical status. Health risks (e.g., risks of falls, fire) were also common. However, older age was generally not associated with increased severity of hoarding or other clinical correlates (with the exception of one global clinician-rated measure of severity). Conclusions Late-life HD is characterized by considerable morbidity and health risks, and these characteristics may be consistent across the lifespan in cross-sectional mixed-age samples of individuals with HD.

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Section: Discussionmentioning

confidence: 99%

“…However, nearly three-quarters (73%) of a cross-sectional mixed-age sample of individuals with hoarding reported a chronic, stable course of symptoms 10 . The percentage of respondents reporting moderate or more severe hoarding increased until mid-age, with little change until after age 70 when severity became more variable 10 .…”

Section: Discussionmentioning

confidence: 99%

Characteristics of Hoarding in Older Adults

Diefenbach

DiMauro

Frost

et al. 2013

The American Journal of Geriatric Psychiatry

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“…However, four other epidemiological studies have failed to find associations between hoarding severity and age (Bulli et al, 2013;Fullana et al, 2010;Mueller, Mitchell, Crosby, Glaesmer, & de Zwaan, 2009;Timpano et al, 2011a). It appears that the onset is typically in childhood and adolescence (Grisham, Frost, Steketee, Kim, & Hood, 2006) with persistent symptoms over subsequent decades with a stabilization at some point in adulthood Tolin, Meunier, Frost, & Steketee, 2010). Given the chronicity of this disorder as well as the evidence suggesting health problems in midlife samples (Tolin, Frost, Steketee, Gray, & Fitch, 2008), understanding the medical status of HD patients has important public health implications.…”

Section: Introductionmentioning

confidence: 99%

Medical conditions in geriatric hoarding disorder patients

Ayers

Iqbal

Strickland

2013

Aging & Mental Health

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Hoarding disorder (HD) in late life is associated with increased risk for fire, falling, poor sanitary conditions, disability, and health risks. However, research on the health status of individuals with HD is limited. Hoarding symptoms and the resulting clutter may exacerbate health conditions and lead to improper management of medical illnesses.Objective-The purpose of this study is to characterize the health status of older adults with hoarding. The rates of medical conditions will be compared to a non-psychiatric peer group.Method-72 older adults with HD and 25 age matched normal controls, completed a medical conditions checklist, symptom severity measures (i.e., UCLA Hoarding Severity Scale, UHSS; Saving Inventory-Revised, SI-R) and a measure capturing activities of daily living (activities of daily living-hoarding, ADL-H).Results-Older adults with HD (n = 72) reported significantly more health conditions compared to their non-psychiatric peers (n = 25). Hoarding severity significantly predicted the total number of medical conditions. Further, the vast majority of HD patients reported at least one medical condition.Conclusion-This is alarming given that hoarding patients utilized health services less than typical for older adults. Given the health status of older adults with HD, interventions should target the prevention and management of medical conditions.

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“…However, there has been no large-scale investigation of the prevalence of HD in older adults. The course of HD appears chronic for 73.0% of adult with compulsive hoarding symptoms and increasing for another 21.2% (Tolin, Meunier, Frost, & Steketee, 2010). When left untreated older adults with HD can experience moderate to severe symptomatology (Ayers, Saxena, Golshan, & Wetherell, 2010).…”

Section: Va Author Manuscriptmentioning

confidence: 99%

Treatment Recruitment and Retention of Geriatric Participants With Hoarding Disorder

Ayers

Dozier

Mayes

et al. 2015

Clinical Gerontologist

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This study describes the initial contact of 255 potential participants, recruitment of 63 participants, and retention of 57 participants from three geriatric Hoarding Disorder (HD) studies. Patients with HD were easily recruited from the community, primarily through the use of clinician referrals and posted flyers, as evidenced by steady patient flow despite lack of compensation for participation. Contrary to treatment outcomes of late life mood and anxiety disorders, geriatric HD patients are largely retained in clinical research treatment studies. Results demonstrate that older adults with HD can be engaged in treatment. Participants often needed the study staff to provide substantial support, including informal motivational interviewing and problem solving, in scheduling and attending the initial visit.Keywords hoarding disorder; older adults; recruitment and retention Address correspondence to Catherine R. Ayers, PhD, ABPP, Anxiety Disorders Clinic, VA San Diego Healthcare System, 3350 La Jolla Village Drive 116B, San Diego, CA 92161, USA. cayers@ucsd.edu. U.S. Department of Veterans AffairsPublic Access Author manuscript Clin Gerontol. Author manuscript; available in PMC 2018 January 29. VA Author ManuscriptVA Author Manuscript VA Author ManuscriptHoarding Disorder (HD) is characterized by an inability to discard possessions regardless of the objects' value due to a desire to keep the items as well as to avoid the distress accompanying the act of discarding. This prevents the use of active living spaces due to excessive clutter and causes clinically significant distress or functional impairment (American Psychiatric Association, 2013). Hoarding has been associated with an increased risk for fire or falling in the home as well as increased medical problems in older adults (Ayers, Iqbal, & Strickland, 2014;Dong, Simon, Mosqueda, & Evans, 2011;Kim, Steketee, & Frost, 2001). Further, geriatric HD patients exhibit lower global functioning and increased impairment in activities of daily living than non-HD peers (Ayers, Schiehser, Liu, & Wetherell, 2012). Epidemiological research has suggested that the prevalence of DSM-5 hoarding disorder is approximately 1.5% of the general population (Nordsletten et al., 2013), and there is some evidence to suggest that clinically significant compulsive hoarding may increase with age (Samuels et al., 2008). However, there has been no large-scale investigation of the prevalence of HD in older adults. The course of HD appears chronic for 73.0% of adult with compulsive hoarding symptoms and increasing for another 21.2% (Tolin, Meunier, Frost, & Steketee, 2010). When left untreated older adults with HD can experience moderate to severe symptomatology (Ayers, Saxena, Golshan, & Wetherell, 2010).Individuals with HD often resist treatment or seek intervention only as a result of family or community pressure (Frost, Steketee, & Williams, 2000). In a clinical case series examining mid-life and older adults with clinically significant hoarding symptoms, Christensen & Greist (200...

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Course of compulsive hoarding and its relationship to life events

Abstract: These results highlight the chronic nature of compulsive hoarding, its associated public health burden, and the potential impact of life stressors on symptom development. Directions for further research are discussed.

Cited by 175 publications

References 49 publications

Characteristics of Hoarding in Older Adults

Characteristics of Hoarding in Older Adults

Medical conditions in geriatric hoarding disorder patients

Treatment Recruitment and Retention of Geriatric Participants With Hoarding Disorder

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