Excessive acquisition in hoarding

Frost, Randy O.; Tolin, David F.; Steketee, Gail; Fitch, Kristin E.; Selbo-Bruns, Alexandra

doi:10.1016/j.janxdis.2009.01.013

Cited by 176 publications

(140 citation statements)

References 47 publications

(73 reference statements)

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“…[3] Many hoarders feel compelled to collect or acquire free items, as well as to buy excessively. [103] Approximately 61% of hoarders engage in excessive buying, [21,103] whereas just over half excessively acquire free things. [28,103] However, not everyone with hoarding problems reports excessive acquisition.…”

Section: If a Separate Disorder Is Included What Should It Be Called?mentioning

confidence: 99%

Hoarding disorder: a new diagnosis for DSM-V?

et al. 2010

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This article provides a focused review of the literature on compulsive hoarding and presents a number of options and preliminary recommendations to be considered for DSM-V. In DSM-IV-TR, hoarding is listed as one of the diagnostic criteria for obsessive-compulsive personality disorder (OCPD). According to DSM-IV-TR, when hoarding is extreme, clinicians should consider a diagnosis of obsessive-compulsive disorder (OCD) and may diagnose both OCPD and OCD if the criteria for both are met. However, compulsive hoarding seems to frequently be independent from other neurological and psychiatric disorders, including OCD and OCPD. In this review, we first address whether hoarding should be considered a symptom of OCD and/or a criterion of OCPD. Second, we address whether compulsive hoarding should be classified as a separate disorder in DSM-V, weighing the advantages and disadvantages of doing so. Finally, we discuss where compulsive hoarding should be classified in DSM-V if included as a separate disorder. We conclude that there is sufficient evidence to recommend the creation of a new disorder, provisionally called hoarding disorder. Given the historical link between hoarding and OCD/OCPD, and the conservative approach adopted by DSM-V, it may make sense to provisionally list it as an obsessive-compulsive spectrum disorder. An alternative to our recommendation would be to include it in an Appendix of Criteria Sets Provided for Further Study. The creation of a new diagnosis in DSM-V would likely increase public awareness, improve identification of cases, and stimulate both research and the development of specific treatments for hoarding disorder.

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Section: If a Separate Disorder Is Included What Should It Be Called?mentioning

confidence: 99%

Hoarding disorder: a new diagnosis for DSM-V?

et al. 2010

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“…Biriktirme bozuklu¤unda yapılan çalımalara göre olguların %80'inde semptomlar aırı miktarda satın alım veya bedava nesneleri aırı edinim iste¤i olarak göze çarpmaktadır. [14] Bununla birlikte olgunun yaının küçük olması biriktirilen nesnelerin maddi de¤eri olmayan vücut salgıları olmasında etkili olabilir.…”

Section: Tartimaunclassified

Obsessive compulsive disorder case displaying hoarding behavior in school age

Usta¹

2018

FNG & Bilim Tıp Dergisi

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“…85 In addition, there has also been some dispute on whether lack of excessive acquisition could reflect poor insight and individuals' inability to appraise their acquisition behaviors. 86 Both difficult discarding and excessive acquisition as core symptoms This alternative would require the presence of the two classical hoarding-related behavioral elements, as in early studies on hoarding behavior. 20 Although they would raise the diagnostic threshold for hoarding disorder, these diagnostic guidelines would also prompt greater search for excessive acquisition symptoms by clinicians (including urges, behaviors, and related avoidance) and better differentiation from other forms of pathological accumulation.…”

Section: Difficult Discarding As a Core Symptommentioning

confidence: 99%

“…87 As reported above, this alternative would reinforce the need to involve family members, friends, or other related individuals in the diagnostic assessment, given that patients with hoarding may have poor insight into their acquisition behaviors. 52,63,86 …”

Section: Difficult Discarding As a Core Symptommentioning

confidence: 99%

“…86 In addition, all studies describing a subset of patients without excessive acquisition relied on self-report assessments and did not include face-to-face interviews with clinicians focusing on excessive acquisition behaviors. 63,85,86 In the DSM-5 hoarding disorder field trial, up to 100% of subjects with hoarding disorder assessed by a trained interviewer exhibited excessive acquisition. 52 Taken together, these findings suggest that excessive acquisition is likely to be an integral part of hoarding disorder.…”

Section: Excessive Acquisitionmentioning

confidence: 99%

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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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Excessive acquisition in hoarding

Cited by 176 publications

References 47 publications

Hoarding disorder: a new diagnosis for DSM-V?

Hoarding disorder: a new diagnosis for DSM-V?

Obsessive compulsive disorder case displaying hoarding behavior in school age

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

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