Interpersonal trauma and hoarding: The mediating role of aggression

Mathes, Brittany M.; Portero, Amberly K.; Gibby, Brittany A.; King, Savannah L.; Raines, Amanda M.; Schmidt, Norman B.

doi:10.1016/j.jad.2017.11.062

Cited by 23 publications

(12 citation statements)

References 44 publications

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“…Indeed, our data provide initial evidence that targeting interpersonal factors in treatment may be associated with reductions in hoarding symptoms and work impairment, though more work is needed to establish the value of interpersonally focused treatment strategies for HD. Nonetheless, these data add to a growing body of research implicating interpersonal difficulties as a potential risk or maintaining factor in HD (Grisham, Steketee, & Frost, ; Grisham et al ., ; Mathes et al ., ). Additionally, attention difficulties are a well‐established vulnerability factor in HD (Woody et al ., ) and our data suggest they are associated with greater workplace impairment in individuals who hoard.…”

Section: Discussionmentioning

confidence: 97%

Hoarding symptoms and workplace impairment

Mathes

Henry

Schmidt

et al. 2018

British J Clinic Psychol

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Objectives.A prior study found that over 50% of treatment-seeking individuals who hoard incur at least one psychiatric work impairment day (i.e., they are unable to work or are less effective at work due to poor mental health) each month. The aim of the current study was to assess work-related variables associated with workplace impairment in a non-treatment-seeking sample.Design. Cross-sectional. Self-report questionnaires were administered via Amazon's Mechanical Turk.Methods. One hundred and eighty-five employed individuals who reported elevated hoarding symptoms completed questionnaires regarding hoarding symptoms, work engagement, psychiatric work impairment, work control, attention and concentration difficulties at work, and quality of workplace relationships.Results. Greater workplace control and higher quality workplace relationships were associated with greater work engagement. Greater hoarding symptoms and attention difficulties at work were associated with more psychiatric work impairment days. Work engagement statistically mediated the association between the quality of workplace relationships and work impairment, though mediation was also significant when reversing the mediating and outcome variables.Conclusions. Among a community sample of employed individuals, greater hoarding symptoms were associated with greater psychiatric work impairment. Work-related variables, such as co-worker relationships and attention difficulties, contributed additional variance above that accounted for by hoarding symptoms. There were significant associations between co-worker relationships, work engagement, and workplace impairment, though the direction of the mediation model is unclear. Future research should examine factors associated with unemployment in hoarding disorder. Practitioner PointsClinicians should be aware that greater hoarding severity directly contributes to greater workplace impairment. Clinicians should consider prioritizing the reduction in clutter in living areas that impact one's daily activities and subsequent ability to attend work.

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Section: Discussionmentioning

confidence: 97%

Hoarding symptoms and workplace impairment

Mathes

Henry

Schmidt

et al. 2018

British J Clinic Psychol

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“…A number of studies have tested different constructs that seem to moderate the relationship between stress and hoarding symptoms, such as emotional intolerance (Timpano, Keough, Traeger, & Schmidt, 2011), aggression (Mathes et al, 2018), different saving cognitions (Chou et al, 2018), attachment insecurity (Kehoe & Egan, 2019) and emotional attachment (Kehoe & Egan, 2019). In general, these studies suggest that certain circumstances (particularly 'interpersonal' (Mathes et al, 2018) or childhood trauma) (Kehoe & Egan, 2019) can result in a range of situations known to decrease relatedness to other people (such as aggressive impulsions (Mathes et al, 2018) and attachment insecurity (Kehoe & Egan, 2019)) and in a compensatory emotional attachment to possessions and hoarding (Yap & Grisham, 2020). Nevertheless, it is unclear whether the decreased perceived social support that is associated with loss and deprivation may actually be responsible for decrease interpersonal relatedness and, as a consequence, increase emotional attachment to and hoarding of possessions.…”

Section: Introductionmentioning

confidence: 99%

Traumatic and stressful life events in hoarding: the role of loss and deprivation

Fontenelle

Muhlbauer

Albertella

et al. 2021

European Journal of Psychotraumatology

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Background: Although past research shows hoarding to be associated with stressful life events involving loss and/or deprivation, the temporal relationship between the onset of symptoms and these events is not completely clear. Objectives: In a cross-sectional online study, we examined the relationship between the number of events involving loss or deprivation before/simultaneously vs. after the onset of hoarding and various hoarding-related beliefs, such as emotional attachment to possessions, and symptom severity. Further, we examined whether perceived social support moderated the influence of these events on emotional attachment to objects. Methods: One hundred seventeen subjects with hoarding problems responded to a series of instruments to assess the history and timing of traumatic and stressful loss and/or deprivation in relation to the onset of hoarding, and self-report tools evaluating the severity of hoarding, beliefs/motivations, depression, anxiety, general distress, and perceived social support. Results: The number of events involving loss or deprivation occurring before hoarding was related to increased emotional attachment to possessions, whereas events happening after the onset of hoarding were related to increased concerns about memory as drivers of hoarding symptoms. Events happening before hoarding did not interact with perceived social support to influence emotional attachment to objects. Conclusions: The timing of traumatic and stressful life events related to loss and deprivation is associated with different hoarding phenotypes, including beliefs/motivations for hoarding. If confirmed by longitudinal studies, these findings may be relevant for therapeutic and preventive measures.

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Section: Introductionmentioning

confidence: 99%

“…For example, aggression has been found to mediate the relationship between interpersonal trauma and hoarding symptoms (Mathes et al, 2018); increased aggression towards others may lead to further traumatic experiences.…”

Section: Introductionmentioning

confidence: 99%

“…In addition, it has been suggested that attachment insecurity and attachment to objects partially mediates the impact of trauma on hoarding psychopathology (Kehoe & Egan, 2019). Alternately, there may be characteristics of the clinical picture of hoarding that could increase the risk of experiencing traumatic or stressful events (e.g., increased impulsivity or aggression; Grisham et al, 2007; Mathes et al, 2018). For example, aggression has been found to mediate the relationship between interpersonal trauma and hoarding symptoms (Mathes et al, 2018); increased aggression towards others may lead to further traumatic experiences.…”

Section: Introductionmentioning

confidence: 99%

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Exposure to stressful and traumatic life events in hoarding: Comparison to clinical controls

et al. 2021

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Background: Individuals with hoarding report stressful and traumatic life events at an elevated rate compared with those with obsessive-compulsive disorder and healthy controls, but have not been compared with other clinical groups. This study compared rates of traumatic life events between those with clinically significant hoarding, anxiety disorders, or posttraumatic stress disorder (PTSD), hypothesizing that rates would be higher in the hoarding and PTSD groups than the anxiety group.Methods: Rates of traumatic and stressful events were compared across groups.Results: All comparisons across groups on types of events were significant (partial-eta squared 0.051-0.162). The hoarding group endorsed significantly more crime-related events but similar rates of other events as compared to the PTSD and anxiety disorder groups. Conclusion:These findings suggest that many stressful and traumatic life events are not uniquely elevated in hoarding when compared with other clinical populations.

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Interpersonal trauma and hoarding: The mediating role of aggression

Cited by 23 publications

References 44 publications

Hoarding symptoms and workplace impairment

Hoarding symptoms and workplace impairment

Traumatic and stressful life events in hoarding: the role of loss and deprivation

Exposure to stressful and traumatic life events in hoarding: Comparison to clinical controls

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