Hoarding and its relation to obsessive–compulsive disorder

Wu, Kevin D.; Watson, David

doi:10.1016/j.brat.2004.06.013

Cited by 133 publications

(95 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Factor and cluster analyses indicate that hoarding consistently emerges as a distinct symptom type, although in two studies hoarding combined with symmetry/ordering to form a separate subgroup (see Calamari et al, 2004, for a review). Although various OCD symptoms appear closely related to one another, hoarding does not appear particularly closely associated with OCD and is just as closely associated with depression as it is with OCD (Wu & Watson, 2005). In addition, studies of treatment outcome by symptom subtype have consistently shown hoarding symptoms to predict poor outcome for standard OCD treatments using medication and cognitive behavior therapy (Abramowitz, Franklin, Schwartz, & Furr, 2003;, suggesting that compulsive hoarding and OCD may involve different biological, cognitive, or behavioral mechanisms.…”

mentioning

confidence: 89%

An open trial of cognitive-behavioral therapy for compulsive hoarding

Tolin

Frost

Steketee

2007

Behaviour Research and Therapy

209

151

View full text Add to dashboard Cite

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.

show abstract

mentioning

confidence: 89%

An open trial of cognitive-behavioral therapy for compulsive hoarding

Tolin

Frost

Steketee

2007

Behaviour Research and Therapy

209

151

View full text Add to dashboard Cite

show abstract

“…aggressive, sexual, religious, contamination, or symmetry), 32,33 and to be poorly correlated with other non-hoarding OCD symptoms. 34 Hoarding has also been associated with a pattern of neurobiological correlates that seem to differ from those observed in OCD, including genetic, cognitive, and neuroimaging findings (Table 1). 26 Finally, some, but not all, 53 studies suggest that hoarding patients exhibit poor adherence 49,50 and poor response to conventional anti-OCD treatment that is not mediated by adherence.…”

Section: Is Hoarding Different From Ocd and Ocpd?mentioning

confidence: 99%

“…34 Correlations between hoarding and other OCD symptoms were sometimes reported to be high in clinical samples of patients with OCD. 24 OCD patients may display hoarding secondary to OCD, thus artificially increasing correlations between both conditions.…”

Section: Correlationsmentioning

confidence: 99%

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

Fontenelle

Grant

2014

Rev. Bras. Psiquiatr.

View full text Add to dashboard Cite

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.

show abstract

“…The nosological status of hoarding remains unresolved and the term is not explicitly covered in either DSM-IV (American Psychiatric Association 1994) or ICD-10 (World Health Organization 1992); DSM-IV currently lists hoarding as a symptom of obsessive-compulsive personality disorder (OCPD) (Wu 2005). However, available evidence argues strongly against this classification.…”

Section: Articlementioning

confidence: 99%

“…A number of studies that specifically recruited compulsive hoarders found that many of them did not have other OCD symptoms, and therefore would not fulfil the criteria for this disorder. People with a diagnosis of OCD, on the other hand, did not report any more hoarding symptoms than healthy comparisons or people with other psychiatric disorders (Wu 2005). Thus, studies that recruited participants with OCD on the basis of structured diagnostic interviews that did not include hoarding symptoms in their diagnostic criteria for the disorder will have missed hoarders who had no other OCD symptoms.…”

Section: Compulsive Hoarding Syndrome: the Debatementioning

confidence: 99%

Hoarding behaviour: building up the ‘R factor’

Gaston¹,

Kiran-Imran²,

Hassiem³

et al. 2009

Adv. psychiatr. treat

View full text Add to dashboard Cite

SummaryHoarding seems to be a non-specific symptom, as it has been associated with a wide range of psychiatric disorders. Validating hoarding as pathological is controversial and its nosological status remains unresolved. ‘Diogenes syndrome’ has been paradigmatic in this area, but its clinical use seems limited. Hoarding is not explicitly covered in either DSM–IV or ICD–10 and literature suggests that diagnosis of mental illness may consequently be missed in this population. In the context of these theoretical uncertainties, clinicians still need to accurately assess and treat patients who show hoarding behaviour. To this end, we summarise the available evidence, and present assessment and management algorithms together with a multicomponent psychological intervention that aims to teach patients to successfully apply the three Rs (reduce, recycle, reuse).

show abstract

Hoarding and its relation to obsessive–compulsive disorder

Cited by 133 publications

References 39 publications

An open trial of cognitive-behavioral therapy for compulsive hoarding

An open trial of cognitive-behavioral therapy for compulsive hoarding

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

Hoarding behaviour: building up the ‘R factor’

Contact Info

Product

Resources

About