The role of distress tolerance, anxiety sensitivity, and intolerance of uncertainty in predicting hoarding symptoms in a clinical sample

Grisham, Jessica R.; Roberts, Lynette; Cerea, Silvia; Isemann, Simone; Svehla, Jeanettte; Norberg, Melissa M.

doi:10.1016/j.psychres.2018.05.084

Cited by 36 publications

(21 citation statements)

References 55 publications

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“…This potentially protective role of the attention facet of mindfulness skills appears consistent with an increasing amount of data which show the relation between a higher level of this mindfulness skill and a lower level of psychological distress during the pandemic in various populations [e.g., ( 24 , 25 )]. It might be speculated that an attitude based upon attention regulation can be associated with an increased distress tolerance and regulation which has been found to be a significant predictor of CHS ( 37 – 39 ). However, the other mindfulness skills were not predictive of CHS, specifically the orientation to present or immediate experience, the awareness of experience, and an attitude of acceptance or non-judgment toward experience.…”

Section: Discussionmentioning

confidence: 99%

Compulsive Hoarding Symptoms and the Role of Mindfulness Skills During Social Distancing for the COVID-19 Pandemic: An Exploratory Survey

et al. 2021

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People reporting compulsive hoarding symptoms (CHS) have lower mindfulness skills than those without such symptoms. Mindfulness skills can have the role of a protective buffer against stressful periods. The quarantine imposed to contain the COVID-19 spread had a negative impact on daily habits and healthy behaviors (including social interactions). An increased attachment to objects might be one of the under-recognized psychological consequences of these difficult times, yet no study focused on CHS. Through an online survey in men who were on quarantine during the pandemic, this exploratory survey examined the prevalence of men reporting CHS during this period and explored the role of mindfulness skills on CHS controlling for anxious-depressive/stress symptoms. Forty-three men from the general population completed the Obsessive Compulsive Inventory-Revised (OCI-R), Cognitive and Affective Mindfulness Scale-Revised (CAMS-R) and Depression Anxiety Stress Scales-21 (DASS-21). Twenty-eight percent reported CHS. No differences on the scores of the questionnaires emerged between men with and without CHS, except on CAMS-R Attention scores. In a logistic regression analysis lower CAMS-R Attention scores predicted CHS (β = −0.34, p = 0.03). This is the first, yet preliminary investigation on CHS during quarantine. The prevalence of CHS appears higher than the rates (4%) reported in the last years before the COVID-19 outbreak. Perhaps people showed more intense hoarding tendencies during quarantine/social distancing, and this pattern should be monitored. Larger samples, longitudinal designs and clinician-rated instruments are needed to support or not our findings.

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Section: Discussionmentioning

confidence: 99%

Compulsive Hoarding Symptoms and the Role of Mindfulness Skills During Social Distancing for the COVID-19 Pandemic: An Exploratory Survey

et al. 2021

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“…Diagnoses were determined using the Anxiety Disorders Interview Schedule for DSM-IV (ADIS-IV; Brown, DiNardo, & Barlow, 1994) and the Hoarding Rating Scale (HRS) Interview (Tolin et al, 2010). A second sample from this lab included 49 clients diagnosed with hoarding disorder who were participating in a Buried in Treasures treatment program (the first 49 particpants enrolled in Grisham et al, 2018). This group was diagnosed using the SIHD.…”

Section: Methodsmentioning

confidence: 99%

Saving inventory – Revised: Psychometric performance across the lifespan

Kellman-McFarlane

Stewart

Woody

et al. 2019

Journal of Affective Disorders

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Background: The Saving Inventory-Revised (SI-R) is the most widely used self-report measure of hoarding symptom severity. The goal of this study is to establish a firm empirical basis for a cutoff score on the SIR and to examine the functioning of the SIR as a screening tool and indicator of hoarding symptom severity across the lifespan. Methods: This study used archival data from 1,116 participants diagnosed with a clinical interview in 14 studies conducted by research groups who focus on hoarding. We used receiver operating characteristic (ROC) analysis and the Youden's Jstatistic to determine optimal cutoff scores for classifying participants who would be likely to receive a hoarding diagnosis. Results: Overall, the discriminant performance of the SIR Total score and each of the three subscales was high, confirming the status of the SIR is an excellent screening tool for differentiating hoarding from non-hoarding cases. The optimal SIR Total cutoff score is 39, although analyses suggested that older adults require a significantly lower cutoff and adults younger than 40 years require a significantly higher cutoff score. Limitations: The confidence interval around the optimal cutoff for the SIR Total score for oldest age group was wide in comparison to those reported for the younger groups, creating more uncertainty around the optimal cutoff score for this group. Conclusions: This paper provides investigators and clinicians with the data necessary to select evidence-based cutoff scores on the SIR that optimally suit their relative need for sensitivity and specificity in different age groups.

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“…Similarly, individuals with hoarding problems save excessive amounts of possessions to cope with uncertainty and life stressors (e.g., Landau et al., 2011 ; Timpano et al., 2011 ); thus, the uncertainty and stress of the COVID-19 pandemic may have made existing hoarding problems worse. A large amount of research has linked hoarding problems to intolerance of uncertainty and distress (e.g., Grisham et al., 2018 ; Mathes et al., 2017 ; Norberg et al., 2020 ; Norberg et al., 2015 ; Shaw and Timpano, 2016 ). Recent research has shown that, in the general public, the COVID-19 pandemic is associated with greater levels of psychological distress and a range of psychopathological problems such as depression, anxiety, and post-traumatic stress symptoms (e.g., Gao et al., 2020 ; Qiu et al., 2020 ; Wang et al., 2020 ).…”

Section: Introductionmentioning

confidence: 99%

“…Although not a core feature, the majority (at least 85%) of individuals with hoarding disorder engage in excessive acquisition ( Frost et al., 2013 ; Frost et al., 2009 ; Timpano, Exner et al., 2011 ) and those who excessively acquire have greater saving tendencies ( Norberg et al., 2018 ). Individuals with hoarding disorder acquire and save possessions as a means of gaining control and coping with distress ( Grisham et al., 2018 ; Kyrios et al., 2004 ; Phung et al., 2015 ; Steketee et al., 2003 ). Therefore, individuals with excessive saving tendencies may have engaged in panic buying to manage the stress associated with the COVID-19 pandemic.…”

Section: Introductionmentioning

confidence: 99%

Why did all the toilet paper disappear? Distinguishing between panic buying and hoarding during COVID-19

David

Visvalingam

Norberg

2021

Psychiatry Research

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The COVID-19 pandemic led to panic buying in many countries across the globe, preventing vulnerable groups from accessing important necessities. Some reports inaccurately referred to the panic buying as hoarding. Although hoarding is a separate issue characterised by extreme saving behaviour, the two problems may be influenced by similar factors. Participants from Australia and the United States (final N = 359) completed online self-report measures of panic buying, hoarding, shopping patterns, perceived scarcity, COVID-19 illness anxiety, selfishness, and intolerance of uncertainty. Our findings showed that panic buying was related to hoarding symptoms ( r ’s = .23 - .36), and yet, both were uniquely associated with different psychological factors. Whilst panic buying was most strongly related to greater perceived scarcity ( r ’s = .38 - .60), hoarding was most related to a general intolerance of uncertainty ( r ’s = .24 - .57). Based on our findings, future strategies to prevent panic buying should focus on reducing perceived scarcity cues in the community, as this seems to be the primary driver of panic buying. Another preventative strategy to reduce excessive acquiring and saving may be to implement educational programs to increase people's ability to tolerate distress and uncertainty.

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The role of distress tolerance, anxiety sensitivity, and intolerance of uncertainty in predicting hoarding symptoms in a clinical sample

Cited by 36 publications

References 55 publications

Compulsive Hoarding Symptoms and the Role of Mindfulness Skills During Social Distancing for the COVID-19 Pandemic: An Exploratory Survey

Compulsive Hoarding Symptoms and the Role of Mindfulness Skills During Social Distancing for the COVID-19 Pandemic: An Exploratory Survey

Saving inventory – Revised: Psychometric performance across the lifespan

Why did all the toilet paper disappear? Distinguishing between panic buying and hoarding during COVID-19

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