Relationships among compulsive hoarding, trauma, and attention-deficit/hyperactivity disorder

Hartl, Tamara L.; Duffany, Shannon R.; Allen, George J.; Steketee, Gail; Frost, Randy O.

doi:10.1016/j.brat.2004.02.002

Cited by 195 publications

(164 citation statements)

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“…Interestingly, patients with hoarding sometimes identify break-ins (not necessarily in childhood) as instigating their hoarding behavior (Steketee & Frost, 2007). Hartl et al (2005) found that excessive physical discipline was strongly correlated with hoarding. We also found that parental psychiatric symptoms (mania, depression, and heavy alcohol use) were associated with hoarding.…”

Section: Discussionmentioning

confidence: 99%

“…More recently, two studies found that traumatic life events are associated with hoarding behavior. Hartl et al (2005) found that, compared to controls, participants with hoarding reported having experienced greater frequency and greater number of different types of traumatic events, especially having had something taken by force, being physically handled roughly in childhood or adulthood, and being forced to engage in sexual activity in childhood or adulthood. Cromer et al (2007) reported that, in patients admitted to an adult OCD clinic, those with hoarding reported significantly more traumatic life events, and that the number of traumatic events experienced was significantly related to hoarding severity, even when controlling for current age, age at onset of OCD, and symptoms of depression and anxiety.…”

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confidence: 99%

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Prevalence and correlates of hoarding behavior in a community-based sample

Samuels

Bienvenu

Grados

et al. 2008

Behaviour Research and Therapy

366

361

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Little is known about the prevalence and correlates of hoarding behavior in the community. We estimated the prevalence and evaluated correlates of hoarding in 742 participants in the Hopkins Epidemiology of Personality Disorder Study. The prevalence of hoarding was nearly 4% (5.3%, weighted) and was greater in older than younger age groups, greater in men than women, and inversely related to household income. Hoarding was associated with alcohol dependence; paranoid, schizotypal, avoidant, and obsessive-compulsive personality disorder traits; insecurity from home break-ins and excessive physical discipline before 16 years of age; and parental psychopathology. These findings suggest that hoarding may be relatively prevalent and that alcohol dependence, personality disorder traits, and specific childhood adversities are associated with hoarding in the community. KeywordsHoarding; prevalence; risk factors; personality disorders; comorbidity Hoarding 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, Frost, Steketee, & Fitch, 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 Steketee, Frost, & Kim, 2001). *Corresponding author: Jack Samuels, Ph.D., Department of Psychiatry and Behavioral Sciences, Johns Hopkins, University School of Medicine, 600 N. Wolfe Street, Meyer 109, Baltimore, MD 21287-7228. Phone: 410-614-4942. Fax: 410-614-8137, E-mail address: jacks@jhmi.edu. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. To date, hoarding behavior has been studied primarily in samples of individuals who were not selected from the community, such as respondents to advertisements for hoarding research studies, participants in hoarding self-help groups, individuals referred to clinics specializing in the treatment of obsessive-compulsive disorder, and individuals participating in family studies of obsessive-compulsive disorder. Results from these studies suggest that individuals with hoarding behavior have more symptoms of anxiety and depression, a greater prevalence of anxiety disorders, especially generalized anxiety disorder and social phobia, and poorer functioning...

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Prevalence and correlates of hoarding behavior in a community-based sample

Samuels

Bienvenu

Grados

et al. 2008

Behaviour Research and Therapy

366

361

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“…Information processing deficits. Individuals with compulsive hoarding exhibit substantial problems focusing and sustaining attention (Hartl, Duffany, Allen, Steketee, & Frost, 2005), difficulty categorizing their possessions (Wincze, Steketee, & Frost, 2006), and markedly greater response latencies for decision-making about one's own possessions (Maltby et al, 2006).…”

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confidence: 99%

An open trial of cognitive-behavioral therapy for compulsive hoarding

Tolin

Frost

Steketee

2007

Behaviour Research and Therapy

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206

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The aim of the present study was to provide preliminary data on the efficacy of a new cognitivebehavioral treatment (CBT) for compulsive hoarding. Fourteen adults with compulsive hoarding (10 treatment completers) were seen in two specialty CBT clinics. Participants were included if they met research criteria for compulsive hoarding according to a semistructured interview, were age 18 or above, considered hoarding their main psychiatric problem, and were not receiving mental health treatment. Patients received 26 individual sessions of CBT, including frequent home visits, over a 7-12 month period between December 2003-February 2005. Primary outcome measures were the Saving Inventory-Revised (SI-R), Clutter Image Rating (CIR), and Clinician's Global Impression (CGI). Significant decreases from pre-to post-treatment were noted on the SI-R and CIR, but not the CGI-severity rating. CGI-Improvement ratings indicated that at mid-treatment, 40% (n = 4) of treatment completers were rated "much improved" or "very much improved;" at post-treatment, 50% (n = 5) received this rating. Adherence to homework assignments was strongly related to symptom improvement. CBT with specialized components to address problems with motivation, organizing, acquiring and removing clutter appears to be a promising intervention for compulsive hoarding, a condition traditionally thought to be resistant to treatment.

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“…For instance, in the London field trial, more than half of individuals with selfidentified hoarding disorder were described as having good insight. 52 Inattention and other information-processing deficits A number of recent studies suggest that hoarding disorder patients exhibit a range of cognitive deficits, including inattention, [72][73][74][75] executive dysfunction, 76,77 and memory problems. 73,78,79 Some models have posited that information-processing deficits play a significant role in the development of hoarding behaviors.…”

Section: Cognitive Components Of Hoarding Disordermentioning

confidence: 99%

Hoarding disorder: a new diagnostic category in ICD-11?

Fontenelle

Grant

2014

Rev. Bras. Psiquiatr.

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Despite the long-held view that hoarding is a symptom of both obsessive-compulsive disorder and obsessive-compulsive personality disorder, increased evidence has emerged during the last 20 years suggesting that hoarding represents a distinct form of psychopathology. This study reflects the discussions on the nosological status of hoarding carried out by the WHO ICD-11 Working Group on the Classification of Obsessive-Compulsive and Related Disorders. The distinctiveness of hoarding is based on its having core symptoms that differ from those of other disorders, as well as distinctive neurobiological correlates and treatment responses. Furthermore, data showing the clinical utility, global applicability, and appropriateness of the concept of hoarding disorder outside specialty mental health settings suggest that this condition should be included in ICD-11. Finally, given the focus of ICD-11 on primary care and public health, the Working Group suggests that poor insight and severe domestic squalor may be considered as specifiers for hoarding disorder in ICD-11.

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Relationships among compulsive hoarding, trauma, and attention-deficit/hyperactivity disorder

Cited by 195 publications

References 10 publications

Prevalence and correlates of hoarding behavior in a community-based sample

Prevalence and correlates of hoarding behavior in a community-based sample

An open trial of cognitive-behavioral therapy for compulsive hoarding

Hoarding disorder: a new diagnostic category in ICD-11?

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