Family burden of compulsive hoarding: Results of an internet survey

Tolin, David F.; Frost, Randy O.; Steketee, Gail; Fitch, Kristin E.

doi:10.1016/j.brat.2007.12.008

Cited by 214 publications

(147 citation statements)

References 33 publications

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“…The majority (N 5 1153) of those excluded did not have hoarding; these participants were enrolled in other research which is described elsewhere. [23] MATERIALS Diagnosis and severity of compulsive hoarding was determined using the Hoarding Rating Scale-Self-Report (HRS-SR), [5] a self-report version of the Hoarding Rating Scale-Interview (HRS-I). [24] Like the interview, the HRS-SR consists of 5 Likert-type ratings from 0 (none) to 8 (extreme) for clutter, difficulty discarding, excessive acquisition, distress, and impairment.…”

Section: Methods Participantsmentioning

confidence: 99%

Course of compulsive hoarding and its relationship to life events

et al. 2010

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Section: Methods Participantsmentioning

confidence: 99%

Course of compulsive hoarding and its relationship to life events

et al. 2010

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“…However, a series of recent epidemiological studies have been conducted using reliable and valid psychometric instruments, which closely mirror the proposed diagnostic criteria, such as the Savings Inventory-Revised [28] and the Hoarding Rating Scale SelfReport. [29,84] The prevalence of clinically significant compulsive hoarding is estimated to be in the region of 2-5% of the general population. [20][21]42] The consequences of which are clinically significant distress or disability.…”

Section: Should Compulsive Hoarding Be Included As a Separate Diagnosmentioning

confidence: 99%

Hoarding disorder: a new diagnosis for DSM-V?

et al. 2010

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This article provides a focused review of the literature on compulsive hoarding and presents a number of options and preliminary recommendations to be considered for DSM-V. In DSM-IV-TR, hoarding is listed as one of the diagnostic criteria for obsessive-compulsive personality disorder (OCPD). According to DSM-IV-TR, when hoarding is extreme, clinicians should consider a diagnosis of obsessive-compulsive disorder (OCD) and may diagnose both OCPD and OCD if the criteria for both are met. However, compulsive hoarding seems to frequently be independent from other neurological and psychiatric disorders, including OCD and OCPD. In this review, we first address whether hoarding should be considered a symptom of OCD and/or a criterion of OCPD. Second, we address whether compulsive hoarding should be classified as a separate disorder in DSM-V, weighing the advantages and disadvantages of doing so. Finally, we discuss where compulsive hoarding should be classified in DSM-V if included as a separate disorder. We conclude that there is sufficient evidence to recommend the creation of a new disorder, provisionally called hoarding disorder. Given the historical link between hoarding and OCD/OCPD, and the conservative approach adopted by DSM-V, it may make sense to provisionally list it as an obsessive-compulsive spectrum disorder. An alternative to our recommendation would be to include it in an Appendix of Criteria Sets Provided for Further Study. The creation of a new diagnosis in DSM-V would likely increase public awareness, improve identification of cases, and stimulate both research and the development of specific treatments for hoarding disorder.

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“…The behavior can lead to significantly cluttered living space in the home and can cause considerable distress and impairment in functioning for individuals and their family members (Tolin et al, 2008). The clutter may interfere with the normal use of space for basic household activities and increase the risk of injuries due to fire and falling, and illnesses due to poor sanitation, as well as legal citations and evictions from home by public health authorities .…”

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Sex-specific clinical correlates of hoarding in obsessive-compulsive disorder

Samuels

Bienvenu

Pinto

et al. 2008

Behaviour Research and Therapy

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Little is known about whether the clinical correlates of hoarding behavior are different in men and women with obsessive-compulsive disorder (OCD). In the current study, we evaluated the association of hoarding with categories of obsessions and compulsions, psychiatric disorders, personality dimensions, and other clinical characteristics separately in 151 men and 358 women with OCD who were examined during the OCD Collaborative Genetics Study. We found that, among men but not women, hoarding was associated with aggressive, sexual, and religious obsessions and checking compulsions. In men, hoarding was associated with generalized anxiety disorder and tics whereas, among women, hoarding was associated with social phobia, post-traumatic stress disorder, body dysmorphic disorder, nail biting, and skin picking. In women but not men, hoarding was associated with schizotypal and dependent personality disorder dimensions, and with low conscientiousness. These findings indicate that specific clinical correlates of hoarding in OCD are different in men and women and may reflect sex-specific differences in the course, expression, and/or etiology of hoarding behavior in OCD. KeywordsObsessive-compulsive disorder; hoarding; comorbidity; personality disorders; personality; sex differences *Corresponding author: Jack Samuels, Ph.D., Department of Psychiatry and Behavioral Sciences, Johns Hopkins, University School of Medicine, 600 N. Wolfe Street, Meyer 4-181, Baltimore, MD 21287-7228. Phone: 410-614-4942; Fax: 410-614-8137, E-mail address: jacks@jhmi.edu. NIH Public Access NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author ManuscriptHoarding behavior has been called "pathological collecting" and is characterized by the acquisition of, and unwillingness or inability to discard, large quantities of seemingly useless objects (Greenberg, Witztum & Levy, 1990;Frost & Gross, 1993). The behavior can lead to significantly cluttered living space in the home and can cause considerable distress and impairment in functioning for individuals and their family members (Tolin et al., 2008). The clutter may interfere with the normal use of space for basic household activities and increase the risk of injuries due to fire and falling, and illnesses due to poor sanitation, as well as legal citations and evictions from home by public health authorities . Although hoarding behavior can occur in several psychiatric conditions, including dementia, mental retardation, schizophrenia, and eating disorders (Damecour & Charron, 1998), it appears to occur most frequently in the context of obsessive-compulsive disorder (OCD), presenting in 20-30% or more of patients with this condition (Rasmussen & Eisen, 1992; Frost, Krause, & Steketee, 1996).Over the past decade, considerable evidence has accumulated that OCD-affected individuals with hoarding behavior show clinical differences from those without hoarding behavior. These differences include greater severity of OCD, as measured by the Yale-Brown Obsessive Compulsive Scale (YBOCS) (Goo...

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Family burden of compulsive hoarding: Results of an internet survey

Cited by 214 publications

References 33 publications

Course of compulsive hoarding and its relationship to life events

Course of compulsive hoarding and its relationship to life events

Hoarding disorder: a new diagnosis for DSM-V?

Sex-specific clinical correlates of hoarding in obsessive-compulsive disorder

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