Validation of the clutter image rating (CIR) scale among psychiatric outpatients in Singapore

Abstract

BackgroundThe Clutter Image Rating (CIR) Scale though extensively used to assess hoarding behavior, has mainly been validated in Western populations.MethodsThe current study sought to validate the CIR in a sample of psychiatric outpatients (n = 500) in Singapore. Convergent and divergent validity as well as inter-observer reliabilities between participant CIR and interviewer-rated CIR were calculated.ResultsThe CIR performed fairly in identifying participants with and without hoarding problems according to the Savings Inventory Revised (SI-R). The CIR composite demonstrated good convergent validity with the SI-R clutter subscale, the SI-R total and the Activities of Daily Living Scale for Hoarding (ADL-H) scale and discriminant validity with the Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), and Quality of Life Enjoyment and Satisfaction Questionnaire – Short Form (Q-LES-Q-SF) scale.ConclusionsFindings add valuable knowledge to the utility of the CIR in an Asian population.

An exploratory study on the lived experiences of hoarding in Singapore

“…Participants were recruited through clinicians at the Institute of Mental Health (IMH)—a tertiary psychiatric hospital in Singapore and through stakeholder referrals (Agency for Integrated Care (AIC) and Housing and Development Board (HDB)) from January 2017 to June 2018. Participants were either diagnosed with hoarding disorder by their clinician or identified by community workers using the clutter‐image rating scale (Frost, Steketee, Tolin, & Renaud, ; Sagayadevan et al, ), associated with reports of hoarding related distress or functional impairment. The participants included in the study were older than 21 years of age, were able to converse in English or one of the local languages (Chinese, Malay or Tamil) and assessed to be clinically stable and capable of doing the interview by the clinical team.…”

Protecting vulnerable adults in Singapore: the creation of the Vulnerable Adults Act 2018

“…However, a study in a different hospital emergency department (Phua et al , 2008) detected a possible 42 cases over a 12-month period. A further interest relates to patients with mental health concerns (the term used in Singapore), not all of whom are older people, concerns hoarding (Ong et al , 2016; Sagayadevan et al , 2016) which may be indicative of self-neglect under the Act.…”