Hoarding Behavior in Other Disorders

Pertusa, Alberto; Fonseca, Andres

doi:10.1093/oxfordhb/9780199937783.013.010

Cited by 8 publications

(7 citation statements)

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“… 30 , 31 In addition to key distinctions between hoarding and OCD, it is important to note evidence that hoarding behavior occurs secondary to other medical and mental disorders, including schizophrenia, dementia and Alzheimer’s disease, and pervasive developmental disorders. 32 …”

Section: Diagnosis and Classificationmentioning

confidence: 99%

Neuropsychological and neurophysiological insights into hoarding disorder

Grisham¹,

Baldwin²

2015

NDT

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Hoarding disorder (HD) is associated with significant personal impairment in function and constitutes a severe public health burden. Individuals who hoard experience intense distress in discarding a large number of objects, which results in extreme clutter. Research and theory suggest that hoarding may be associated with specific deficits in information processing, particularly in the areas of attention, memory, and executive functioning. There is also growing interest in the neural underpinnings of hoarding behavior. Thus, the primary aim of this review is to summarize the current state of evidence regarding neuropsychological deficits associated with hoarding and review research on its neurophysiological underpinnings. We also outline the prominent theoretical model of hoarding and provide an up-to-date description of empirically based psychological and medical treatment approaches for HD. Finally, we discuss important future avenues for elaborating our model of HD and improving treatment access and outcomes for this disabling disorder.

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Section: Diagnosis and Classificationmentioning

confidence: 99%

Neuropsychological and neurophysiological insights into hoarding disorder

Grisham¹,

Baldwin²

2015

NDT

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“…Furthermore, the higher prevalence of females than males in all the groups, despite apparently not affecting our results, might limit the generalizability of present findings. Another obstacle to generalizability might regard the medication regimen of participants; for example, some evidence suggests that hoarding behavior in Schizophrenia might depend on antipsychotic treatment (Pertusa and Fonseca, 2014). …”

Section: Discussionmentioning

confidence: 99%

Hoarding Symptoms Are Not Exclusive to Hoarders

et al. 2016

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Hoarding disorder (HD) was originally conceptualized as a subcategory of obsessive compulsive disorder (OCD), and numerous studies have in fact focused exclusively on investigating the comorbidity between OCD and HD. Hoarding behavior can nevertheless also be found in other clinical populations and in particular in patients with eating disorders (ED), anxiety disorders (AD), major depression (MD), and psychotic disorders (PD). The current study was carried out with the aim of investigating, using a validated instrument such as the Saving Inventory-Revised (SI-R), the presence of HD symptoms in patients diagnosed with ED, AD, MD, and PD. Hoarding symptomatology was also assessed in groups of self-identified hoarders and healthy controls. The results revealed that 22.5% of the ED patients exceeded the cut-off for the diagnosis of HD, followed by 7.7% of the patients with MD, 7.4% of the patients with AD, and 5.9% of the patients with PD. The patients with ED had significantly higher SI-R scores than the other groups in the Acquisition and Difficulty Discarding scales while the AD, MD, and PD patients were characterized exclusively by Difficulty Discarding. These data suggest to clinicians that hoarding symptoms should be assessed in other types of patients and especially in those affected by Bulimia and Binge eating.

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“…Clinical experience suggests that manifestations of incompleteness can range from procrastination and perfectionism with excessive attention to marked difficulty with planning and lost productivity leading to the inability to sustain goal directed behavior (Pallanti, Barnes, Pittenger, & Eisen, 2017; Rasmussen, Eisen, & Greenberg, 2013). Thus, it is not surprising that incompleteness is broadly associated with OC spectrum disorders including OCD (Sibrava, Boisseau, Eisen, Mancebo, & Rasmussen, 2016), body dysmorphic disorder (Summers, Matheny, & Cougle, 2017), and compulsive hoarding (Pertusa & Fonseca, 2014) and with characteristics such as perfectionism (Ecker, Kupfer, & Gönner, 2014), and sensory phenomena and tic-like experiences (Miguel et al, 2000). The clinical significance of incompleteness is also underscored by its associations with poor treatment outcome, increased comorbidity, and higher degrees of functional impairment (Sibrava et al, 2016).…”

Section: Introductionmentioning

confidence: 99%