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Clinical Features and Treatment Characteristics of Compulsive Hoarding in Japanese Patients with Obsessive-Compulsive Disorder

Published online by Cambridge University Press:  07 November 2014

Hisato Matsunaga ,
Kazuhisa Hayashida ,
Nobuo Kiriike ,
Toshihiko Nagata  and
Dan J. Stein
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Abstract

Introduction:

Compulsive hoarding has been studied primarily in Western countries. Here we sought to examine compulsive hoarding in Japanese patients with obsessive-compulsive disorder (OCD). The heterogeneous nature of hoarding was also investigated.

Methods:

One hundred and sixty-eight OCD outpatients were initially assessed to determine the presence or absence of compulsive hoarding, and whether hoarding was primary or secondary to another symptom dimension for which they had received treatment for 1 year.

Results:

Of the participants, 54 patients were found to have compulsive hoarding. Hoarders were significantly more likely than non-hoarding patients to have more severe psychopathology including elevated severity of OCD symptoms, poorer insight, higher prevalence of comorbid schizotypal or obsessive-compulsive personality disorder, closer association with symmetry dimension, and poorer treatment outcome. Comparisons of subjects with primary and secondary hoarding found that the former group had more severe clinical features, while the latter group hoarded a wider variety of items, including apparently bizarre ones.

Conclusion:

The prevalence and clinical characteristics of compulsive hoarding in OCD subjects was similar to those reported in Western countries, supporting its trans-cultural consistency. The distinction between primary and secondary hoarding in OCD is clinically useful, and may contribute to the debate about whether hoarding should be a separate diagnostic entity.

Type
Original Research
Information
CNS Spectrums , Volume 15 , Issue 4 , April 2010 , pp. 258 - 266
Copyright
Copyright © Cambridge University Press 2010

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References

REFERENCES

1. Mataix-Cols, D, Rosario-Campos, MC, Leckman, JF. A multidimensional model of obsessive-compulsive disorder. Am J Psychiatry. 2005; 162: 228–238.CrossRefGoogle ScholarPubMed
2. Mathis, MA, Diniz, JB, Rosario, MC et al. , What is the optimal way to subdivide obsessive-compulsive disorder? CNS Spectr. 2006; 11: 762–768, 771–774, 776–779.CrossRefGoogle ScholarPubMed
3. Goodman, W, Price, L, Rasmussen, SA et al. , The Yale-Brown Obsessive-Compulsive Scale, I: development, use, and reliability. Arch Gen Psychiatry. 1989; 46: 1006–1011.CrossRefGoogle ScholarPubMed
4. Goodman, W, Price, L, Rasmussen, SA et al. , The Yale-Brown Obsessive-Compulsive Scale, II: validity. Arch Gen Psychiatry. 1989; 46: 1012–1016.CrossRefGoogle ScholarPubMed
5. Bloch, MH, Landeros-Weisenberger, A, Rasario, MC, Pittenger, C, Leckman, JFMeta-Analysis of the symptom structure of obsessive-compulsive disorder. Am J Psychiatry. 2008; 165: 1532–1542.CrossRefGoogle ScholarPubMed
6. Leckman, JF, Grice, DE, Boardman, J et al. , Symptoms of obsessive-compulsive disorder. Am J Psychiatry. 1997; 154: 911–917.Google ScholarPubMed
7. Hasler, G, Pinto, A, Greenberg, BD et al. , Familiality of factor analysis-derived YBOCS dimensions in OCD-affected sibling pairs from the OCD collaborative genetics study. Biol Psychiatry. 2007; 61: 617–625.CrossRefGoogle ScholarPubMed
8. Mataix-Cols, D, Wooderson, S, Lawrence, N, Brammer, MJ, Speckens, A, Phillips, ML. Distinct neural correlates of washing, checking, and hoarding symptom dimensions in obsessive-compulsive disorder. Arch Gen Psychiatry. 2004; 61: 564–576.CrossRefGoogle ScholarPubMed
9. Leckman, JF, Rauch, SL, Mataix-Cols, D. Symptom dimension in obsessive-compulsive disorder: Implication for the DSM-V. CNS Spectr. 2007; 12(5): 376–387, 400.CrossRefGoogle ScholarPubMed
10. Matsunaga, H, Maebayashi, K, Hayashida, K et al. , Symptom Structure in Japanese Patients with Obsessive-Compulsive Disorder. Am J Psychiatry. 2008; 165: 251–253.CrossRefGoogle ScholarPubMed
11. Damecour, CL, Charron, M. Hoarding; a symptom, not a syndrome. J Clin Psychiatry. 1998; 59: 267–272.CrossRefGoogle Scholar
12. Frost, RO, Steketee, G. Hoarding: clinical aspects and treatment strategies. In: Jenike, MA, Bear, L, Minichiello, WE, Eds. Obsessive-Compulsive Disorder: Practical Management. St Louis, MO: Mosby Inc; 1998: 533–554.Google Scholar
13. Steketee, G, Frost, R. Compulsive hoarding: current status of the research. Clin Psychol Rev. 2003; 23: 905–927.CrossRefGoogle ScholarPubMed
14. Frost, RO, Steketee, G, Williams, LF, Mood, Warren R., personality disorder symptom and disability in obsessive compulsive hoarder; a comparison with clinical and non-clinical controls. Behav Res Ther. 2000; 38: 1071–1081.CrossRefGoogle Scholar
15. Samuels, JF, Bienvenu, OJ, Riddle, MA et al. , Hoarding in obsessive-compulsive disorder: results from a case-control study. Behav Res Ther. 2002; 40: 517–528.CrossRefGoogle ScholarPubMed
16. Seedat, S, Stein, DJ. Hoarding in obsessive-compulsive disorder and related disorders: a preliminary report of 15 cases. Psychiatry Clin Neurosci. 2002; 56: 17–23.CrossRefGoogle ScholarPubMed
17. Fontenelle, LF, Mendlowicz, MV, Soares, ID, Versiani, M. Patients with obsessive-compulsive disorder and hoarding symptoms: a distinctive clinical cubtype? Compr Psychiatry. 2004; 45: 375–383.CrossRefGoogle Scholar
18. Samuels, JF, Bienvenu, OJ. Pinto, A et al. , Hoarding in obsessive-compulsive disorder; results from the OCD collaborative genetics study. Behav Res Ther. 2007; 45: 673–686.CrossRefGoogle ScholarPubMed
19. Pertusa, A, Fullana, MA, Singh, S, Alonso, P, Menchón, JM, Mataix-Cols, D. Compulsive hoarding: OCD symptom, distinct clinical syndrome, or both? Am J Psychiatry. 2008; 165: 1289–1298.CrossRefGoogle ScholarPubMed
20. Wheaton, M, Timpano, KR, LaSalle-Ricci, VH, Murphy, D. Characterizing the hoarding phenotype in individuals with OCD: Associations with comorbidity, severity and gender. J Anxiety Disord. 2008; 22: 243–252.CrossRefGoogle ScholarPubMed
21. Baer, L. Factor analysis of symptom subtypes of obsessive-compulsive disorder and their relation to personality and tic disorders. J Clin Psychiatry. 1994; 55(suppl 3): 18–23.Google ScholarPubMed
22. Mataix-Cols, D, Rauch, SL, Manzo, PA, Jenike, MA, Baer, L. Use of factor-analyzed symptom dimensions to predict outcome with serotonin reuptake inhibitors and placebo in the treatment of obsessive-compulsive disorder. Am J Psychiatry. 1999; 156: 1409–1416.CrossRefGoogle ScholarPubMed
23. Mataix-Cols, D, Marks, IM, Greist, JH, Kobak, KA, Baer, L. Obsessive-Compulsive symptom dimensions as predictors of compliance with and response to behavior therapy; results from a controlled trial. Psychother Psychosom. 2002; 71: 255–262.CrossRefGoogle ScholarPubMed
24. Grisham, JR, Brown, TA, Lieverant, GI, Campbell-Sills, L. The distinctiveness of compulsive hoarding from obsessive-compulsive disorder. J Anxiety Disord. 2005; 19: 767–779.CrossRefGoogle ScholarPubMed
25. Leckman, JF, Bloch, MH. A developmental and evolutionally perspective on obsessive-compulsive disorder: Whence and whither compulsive hoarding. Am J Psychiatry. 2008; 165: 1229–1233.CrossRefGoogle Scholar
26. Saxena, S, Brody, AL, Maidment, KM et al. , Cerebral glucose metabolism in obsessive-compulsive hoarding. Am J Psychiatry. 2004; 161: 1038–1048.CrossRefGoogle ScholarPubMed
27. Saxena, S. Is compulsive hoarding a genetically and neurobiologicaly discrete syndrome? Implications for diagnostic classification. Am J Psychiatry. 2007; 164: 380–384.CrossRefGoogle ScholarPubMed
28. Matsunaga, H, Seedat, S. Obsessive-Compulsive Spectrum Disorders: Cross-National and Ethnic Issues. CNS Spectr. 2007; 12: 392–400.CrossRefGoogle ScholarPubMed
29. First, MB, Spitzer, RL, Gibbon, M et al. , Structured Clinical Interview for DSM-IV Axis I Disorders. Patient Edition (SCID-P). New York, NY: New York State Psychiatric Institute, Biometric research; 1997. (Japanese version translated by Takahashi, S, Kitamura, T, Okano, T, Tomita, T, Kikuchi, A. Tokyo, Japan: Nippon-Hyoron-Sya; 2003).Google Scholar
30. Matsunaga, H, Kiriike, N, Oya, K, Oya, K, Okino, K, Stein, DJ. Impulsive-Control Disorders in Japanese Adult Patients with Obsessive-Compulsive Disorder. Compr Psychiatry. 2005; 46: 43–49.CrossRefGoogle Scholar
31. First, MB, Gibbon, M, Spitzer, RL et al. , Structured Clinical Interview for DSM-IV Axis-II Personality Disorders (SCID-II). Washington DC: American Psychiatric Association; 1997. (Japanese version translated by Takahashi, S, Osone, A. Tokyo, Japan: Igaku-Shoin; 2002).Google Scholar
32. Spielberger, CD, Gorsuch, R, Lushene, RE. Manual for the state-trait anxiety inventory (Self-Evaluation Questionnaire). Pao Alto, CA: Consultants Psychologists Press; 1970.Google Scholar
33. Zung, WW. A self-rating depression scale. Arch Gen Psychiatry. 1965; 12: 63–70.CrossRefGoogle ScholarPubMed
34. Nakajima, T, Nakamura, M, Taga, C et al. , Reliability and validity of the Japanese version of the Yale-Brown Obsessive Compulsive Scale. Psychiatry Clin Neurosci. 1995; 49: 121–126.CrossRefGoogle ScholarPubMed
35. Matsunaga, H, Kiriike, N, Matsui, T et al. , Obsessive-compulsive disorder patients with poor Insight. Compr Psychiatry. 2002; 43: 150–157.CrossRefGoogle ScholarPubMed
36. Pallanti, S, Quercioli, L. Treatment-refractory obsessive-compulsive disorder; Methodological issues, operational definitions and therapeutic lines. Prog Neuropsychopharmacol Biol Psychiatry. 2006; 30: 400–412.CrossRefGoogle ScholarPubMed
37. Matsunaga, H, Nagata, T, Hayashida, K, Ohya, K, Kiriike, N, Stein, DJ. A long-term effectiveness and safety of atypical antipsychotic agents in augmenting SSRI-refractory obsessive-compulsive disorder. J Clin Psychiatry. 2009; 70: 863–868.CrossRefGoogle ScholarPubMed
38. Lochner, C, Kinnear, CJ, Hemmings, SMJ et al. , Hoarding in Obsessive-Compulsive Disorder: Clinical and Genetic Correlates. J Clin Psychiatry. 2005; 66: 1155–1160.CrossRefGoogle ScholarPubMed
39. Mataix-Cols, D, Bear, L, Rauch, SL, Jenike, MA. Relation of factor-analyzed symptom dimensions of obsessive-compulsive disorder to personality disorders. Acta Psychiatr Scand. 2000; 102: 199–202.CrossRefGoogle ScholarPubMed
40. Samuels, JF, Bienvenu, OJ, Grados, MA et al. , Prevalence and correlates of hoarding behaviour in a community-sample. Behav Res Ther. 2008; 46: 836–844.CrossRefGoogle Scholar