Age of onset and progression of hoarding symptoms in older adults with hoarding disorder

Dozier, Mary E.; Porter, Ben; Ayers, Catherine R.

doi:10.1080/13607863.2015.1033684

Cited by 70 publications

(58 citation statements)

References 23 publications

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“…The onset of hoarding symptoms, whether in the context of hoarding symptoms or HD, is most likely to occur prior to age 20 years [36,38,40] , which is consistent with the typical age of onset of OCD [41] . However, in contrast to the typical cyclical course of OCD symptoms across the lifespan [42] , hoarding symptoms are likely to be chronic [36] and progressive over the lifespan [36,40,43] . One recent study indicated that the prevalence of provisional HD diagnoses increased steadily by 20% with every 5 years of age [43] .…”

Section: Agementioning

confidence: 65%

Section: Agementioning

confidence: 99%

“…Instead, extant research into the age of onset of HD is reliant on retrospective data [36,38,40] and only one study [40] used a sample of participants meeting DSM-5 criteria for HD. The onset of hoarding symptoms, whether in the context of hoarding symptoms or HD, is most likely to occur prior to age 20 years [36,38,40] , which is consistent with the typical age of onset of OCD [41] . However, in contrast to the typical cyclical course of OCD symptoms across the lifespan [42] , hoarding symptoms are likely to be chronic [36] and progressive over the lifespan [36,40,43] .…”

Section: Agementioning

confidence: 99%

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The Etiology of Hoarding Disorder: A Review

Dozier

Ayers²

2017

Psychopathology

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This article will review the evidence of various proposed factors that contribute to the onset and maintenance of hoarding disorder (HD). Data suggests that hoarding is a chronic condition that starts early in life and does not remit if left untreated. There is emerging evidence that a number of factors contribute to the expression of HD symptoms, including genetics, neurocognitive functioning, attachments to possessions, beliefs, avoidance, personality factors, and life events. The extent to which each etiological factor uniquely contributes to hoarding is still unknown. Other demographic factors, such as socioeconomic status, age, and gender, may impact hoarding severity. Research on the causes and characteristics of hoarding has recently started making progress into understanding this newly recognized disorder, yet we still have a ways to go in understanding the biological and environmental causes. This paper will synthesize available literature on the etiology of HD.

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Section: Agementioning

confidence: 65%

Section: Agementioning

confidence: 99%

Section: Agementioning

confidence: 99%

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The Etiology of Hoarding Disorder: A Review

Dozier

Ayers²

2017

Psychopathology

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“…Additionally, for some, pathological hoarding behaviours have a later onset and are associated with stress or loss (Grisham et al, 2006). Approximately a quarter report onset of hoarding disorder after the age of 40 (Dozier, Porter & Ayers, 2016). Loss, for example loss of career, through retirement, or loss of a spouse may be more likely to occur as people get older.…”

Section: Discussionmentioning

confidence: 99%

Personality, mental health and demographic correlates of hoarding behaviours in a midlife sample

Spittlehouse

Vierck

Pearson

et al. 2016

PeerJ

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We describe the Temperament and Character Inventory personality traits, demographic features, physical and mental health variables associated with hoarding behaviour in a random community sample of midlife participants in New Zealand. A sample of 404 midlife participants was recruited to a study of ageing. To assess hoarding behaviours participants completed the Savings Inventory-Revised (SI-R), personality was assessed by the Temperament and Character Inventory and self-reported health was measured by the Short Form-36v2 (SF-36v2). Other measures were used to assess socio-demographic variables and current mental disorders. Participants were split into four groups by SI-R total score (scores: 0–4, 5–30, 31–41 and >41). Those who scored >41 on the SI-R were classified as having pathological hoarding. Trend tests were calculated across the four hoarding groups for socio-demographic, personality, mental and physical health variables. SI-R scores ranged from 0 to 58. The prevalence of pathological hoarding was 2.5% and a further 4% reported sub-clinical symptoms of hoarding. Higher hoarding behaviour scores were related to higher Temperament and Character Inventory scores for Harm Avoidance and lower scores for Self-directedness. Persistence and Cooperativeness scores were lower too but to a lesser extent. Trend analysis revealed that those with higher hoarding behaviour scores were more likely to be single, female, unemployed, receive income support, have a lower socio-economic status, lower household income and have poorer self-reported mental health scores. Current depression rates were considerably higher in the pathological hoarding group. Increasing SI-R hoarding behaviour scores were associated with higher scores of negative affect (Harm Avoidance) and lower scores of autonomy (Self-directedness). Those with pathological hoarding or sub-clinical symptoms of hoarding also reported widespread mental and socio-economic problems. In this study it is clear to see the physical, mental and socio-economic problems experienced by those achieving the highest hoarding scores. The prevalence of pathological hoarding was 2.5%, similar to the prevalence reported by other studies. The personality traits associated with hoarding behaviours are discussed.

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“…9,24,37,38 Quando o TA é subdividido em seus sintomas principais de entulhamento, aquisição e difi culdade em descartar, a aquisição (seja através de compra, coleta ou mesmo furto) parece iniciar-se mais tardiamente do que os outros sintomas. Uma possível explicação é a maior independência física e fi nanceira dos indivíduos ao alcançarem a idade adulta.…”

Section: Características Clínicasunclassified

Transtorno de acumulação: uma revisão

Stumpf¹,

Hara²,

Rocha³

2018

Geriatr., Gerontol. Aging

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a resuMo O transtorno de acumulação (TA) pode ser definido como uma dificuldade persistente de desfazer-se de itens devido ao sofrimento associado com o descarte ou uma necessidade percebida de guardar posses a despeito de seu valor real. Tal comportamento pode resultar no acúmulo de objetos, o que compromete significativamente o uso da moradia, causando sofrimento e/ou prejuízo funcional. Os itens acumulados mais frequentemente são objetos e animais. A prevalência do transtorno é de 1,5 a 2,1% na população em geral, podendo ser maior que 6% em idosos. O TA causa riscos à saúde e à segurança dos indivíduos, especialmente dos idosos, gerando um custo relevante para a sociedade. O diagnóstico de TA é clínico e só deve ser feito após a exclusão de condições médicas gerais e outros transtornos mentais que podem levar ao acúmulo de objetos. O TA parece ser um transtorno de curso crônico e progressivo, comumente associado a comorbidades psiquiátricas. Estudos indicam a participação de fatores genéticos, familiares, cognitivos e de experiências traumáticas na etiologia do TA. A abordagem terapêutica mais estudada até o momento foram as psicoterapias, mas os resultados mostram efeito pequeno. Os estudos farmacológicos existentes são muito incipientes, não permitindo conclusões de eficácia. PALAVRAS-CHAVE: transtorno de acumulação; colecionismo; psicopatologia. aBstractHoarding disorder can be defined as a persistent difficulty in discarding items, due to distress associated with such disposal or a perceived need to save items regardless of their actual value. Such behavior must result in the accumulation of clutter, which significantly compromises living conditions, causing distress and/or functional impairment. The most frequently hoarded items are objects and animals. The point prevalence of clinically significant hoarding was estimated to be 1.5 to 2.1% in the general population, and may exceed 6% in the elderly. HD poses a range of health and safety hazards to individuals, especially older adults, generating significant costs to society. The diagnosis of HD is clinical, and should only be established after general medical conditions and other mental disorders that can lead to accumulating behavior have been ruled out. HD appears to follow a chronic, progressive course, and is commonly associated with psychiatric comorbidities. Studies indicate that genetic, familial, cognitive, and traumatic factors are implicated in the etiology of HD. To date, psychotherapies have been the most widely studied therapeutic approaches, but the results of these studies show small effects. Research into pharmacological approaches to HD is still incipient, precluding any conclusions of efficacy.

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Age of onset and progression of hoarding symptoms in older adults with hoarding disorder

Cited by 70 publications

References 23 publications

The Etiology of Hoarding Disorder: A Review

The Etiology of Hoarding Disorder: A Review

Personality, mental health and demographic correlates of hoarding behaviours in a midlife sample

Transtorno de acumulação: uma revisão

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