Self-reported executive function and hoarding in adults with obsessive-compulsive disorder

Samuels, Jack; Bienvenu, O. Joseph; Krasnow, Janice; Wang, Ying; Grados, Marco A.; Cullen, Bernadette; Goes, Fernando S.; Maher, Brion S.; Greenberg, Benjamin D.; McLaughlin, Nicole; Rasmussen, Steven A.; Fyer, Abby J.; Knowles, James A.; McCracken, James T.; Piacentini, John; Geller, Daniel P.; Pauls, David L.; Stewart, S. Evelyn; Murphy, Dennis L.; Shugart, Yin Yao; Riddle, Mark A.; Nestadt, Gerald

doi:10.1016/j.comppsych.2017.11.009

Cited by 11 publications

(5 citation statements)

References 50 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…7,8 The highest hoarding rates have been found among individuals with OCD in tertiary treatment settings, ranging from 10-33% (Table 1). [16][17][18][19] The HD prevalence we found among primary care patients (1.02%) is lower than that reported in non-clinical samples (2-6%) from other countries. Studies on hoarding prevalence have varied regarding definitions, assessment methods, sampling strategies, and populations, which makes meaningful comparisons difficult.…”

Section: Discussioncontrasting

confidence: 78%

“…33,34 A previous study from our center examined the prevalence of clinically significant hoarding in people with OCD and found a relatively lower rate (10%) 18 than that of similar studies (14-33%). 16,17,19 Another recent study on HD with a small sample reported significant variance in sociodemographics and comorbidity across cultures. 20 It is possible that including more participants of lower socioeconomic status and from a rural background, i.e., people who typically have less living space, coupled with the fact that most of our participants lived with their families (the cultural norm) may have contributed to the lower rate of clinically significant hoarding behavior detectable by the screening instrument.…”

Section: Discussionmentioning

confidence: 98%

See 1 more Smart Citation

Prevalence of hoarding disorder among primary care patients

Jaisoorya

Thamby

Manoj³

et al. 2021

Braz. J. Psychiatry

View full text Add to dashboard Cite

Objectives: Despite the inclusion of hoarding disorder (HD) in the DSM-5, there is little epidemiological data on hoarding from low and middle-income countries. This study, the first from India, examines the prevalence and correlates of HD among primary care patients in the state of Kerala, India. Methods: To assess correlates, the Hoarding Rating Scale-Interview (HRS-I) and other structured instruments were administered to 7,555 subjects selected by stratified random sampling from 71 primary health centers. Results: The prevalence of HD was 1.02% (95%CI 0.8-1.3). Those with HD were more likely to be older and live alone. In the binary logistic regression analysis, after controlling for significant sociodemographic variables, subjects with HD had a higher odds of reporting chronic illness, depression, anxiety disorder, alcohol abuse, and tobacco dependence. Subjects with HD had significantly higher disability scores than unaffected individuals. Conclusion: Although HD is not uncommon in India, this disorder is rarely reported in specialty settings in India, which suggests that awareness and detection should be improved, considering the co-occurring negative correlates and disability among affected individuals.

show abstract

Section: Discussioncontrasting

confidence: 78%

Section: Discussionmentioning

confidence: 98%

Prevalence of hoarding disorder among primary care patients

Jaisoorya

Thamby

Manoj³

et al. 2021

Braz. J. Psychiatry

View full text Add to dashboard Cite

show abstract

“…Current cognitive–behavioral models posit that individuals with HD save items because of impaired decision-making processes, maladaptive beliefs about possessions, and behavioral avoidance. Decision-making impairments may relate, in part, to impaired cognitive function as evidenced by neuropsychological testing (see Woody, Kellman-McFarlane, & Welsted, 2014) and standardized self-report (Samuels et al, 2018). Clinical observation suggests that patients with HD frequently seem to have difficulty focusing on topics and tasks and often become easily overwhelmed under task demands.…”

mentioning

confidence: 99%

“…Here, we focus on subjective cognitive impairment, which may predict functioning and quality of life beyond the contribution of objective neuropsychological test scores (e.g., Hill et al, 2017). HD is associated with a wide range of self-reported cognitive impairments (Samuels et al, 2018), including memory, distractibility, and inattention; these impairments in cognitive function are thought to maintain the avoidance of decision-making characteristic of HD. In particular, distractibility is a promising potential mediator.…”

mentioning

confidence: 99%

Efficacy and mediators of a group cognitive–behavioral therapy for hoarding disorder: A randomized trial.

Tolin

Wootton

Levy

et al. 2019

Journal of Consulting and Clinical Psychology

View full text Add to dashboard Cite

Objective: Hoarding disorder (HD) is a common and potentially debilitating psychiatric disorder. Thus far, psychological treatments have yielded modest effects and/or were time-consuming and costly to deliver. The aim of the present study was to test the efficacy of a brief group cognitive-behavioral therapy (CBT) for adults with HD and to test hypothesized mediators of treatment outcome. Method: Eighty-seven adults with a primary diagnosis of HD were randomized to either immediate CBT or wait list. CBT consisted of 16 weekly, 90-min group sessions that emphasized in-session practice of discarding and refraining from acquiring, decision-making and problem-solving training, emotional distress tolerance, motivational interviewing strategies, and contingency management. Participants were assessed at pretreatment, midtreatment, and posttreatment by an independent evaluator unaware of treatment condition. Results: CBT was efficacious for the symptoms of HD compared with wait list. Saving-related cognitions, but not subjective cognitive impairment, partially mediated treatment outcomes. Conclusion: Brief Group CBT is an efficacious and feasible treatment for adults with HD, and is partially mediated by reductions in maladaptive beliefs about possessions. Superiority trials comparing CBT to active treatments, and additional research into mechanisms of treatment outcome, are warranted. What is the public health significance of this article?Hoarding disorder (HD) is a common and often severe psychiatric illness. As a new diagnosis, it has received less research attention than many other disorders. Treatment efficacy for HD also lags behind that of many other psychiatric disorders. This study suggests that a relatively brief (16session) Group CBT is efficacious for adults with HD, with 83% of patients classified as improved. These results support the consideration of Group CBT as a first-line treatment for HD.

show abstract

“…There is evidence to support the association between executive functions and repetitive behaviors across a range of populations apart from ASD, including Alzheimer's disease (Cullen et al, 2005), typical development (Tregay et al, 2009;Evans et al 2004), obsessive compulsive disorder (Samuels et al, 2018;Synder et al, 2015) and genetic syndromes associated with ASD (e.g. ; although the evidence is often inconsistent (e.g.…”

Section: The Executive Function Account Of Repetitive Behavior: Evide...mentioning

confidence: 99%

The Executive Function Account of Repetitive Behavior: Evidence From Rubinstein-Taybi Syndrome

Waite

Beck

Powis

et al. 2022

American Journal on Intellectual and Developmental Disabilities

View full text Add to dashboard Cite

In this study, we focus on Rubinstein-Taybi syndrome (RTS) to explore the associations between executive function deficits and repetitive behaviors. Thirty individuals with RTS completed direct assessments of inhibition, working memory and set-shifting. Informants completed repetitive behavior and executive function questionnaires. Repetitive questions were associated with poorer inhibition and working memory. Stereotypy was associated with poorer inhibition. Adherence to routines was associated with poorer set-shifting, but only on the parental report measure. No other associations were evident. There is evidence of an association between specific repetitive behaviors and executive functioning in RTS, suggesting executive dysfunction may underpin behavioral difference in RTS. The findings point towards specific associations that are of interest for further research across populations in which repetitive behaviors are present.

show abstract

Self-reported executive function and hoarding in adults with obsessive-compulsive disorder

Cited by 11 publications

References 50 publications

Prevalence of hoarding disorder among primary care patients

Prevalence of hoarding disorder among primary care patients

Efficacy and mediators of a group cognitive–behavioral therapy for hoarding disorder: A randomized trial.

The Executive Function Account of Repetitive Behavior: Evidence From Rubinstein-Taybi Syndrome

Contact Info

Product

Resources

About