Hostname: page-component-cd9895bd7-jn8rn Total loading time: 0 Render date: 2024-12-22T19:02:51.687Z Has data issue: false hasContentIssue false
  • English
  • Français

Predictors of hoarding severity in older adults with hoarding disorder

Published online by Cambridge University Press:  13 August 2014

Catherine R. Ayers  and
Mary E. Dozier
Catherine R. Ayers*
Affiliation:
Research Service, VA San Diego Healthcare System, San Diego, CA, USA Psychology Service, VA San Diego Healthcare System, San Diego, CA, USA Department of Psychiatry, University of California, San Diego School of Medicine, La Jolla, CA, USA
Mary E. Dozier
Affiliation:
Research Service, VA San Diego Healthcare System, San Diego, CA, USA San Diego State University/University of California, San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA, USA
*
Correspondence should be addressed to: Dr Catherine Ayers, PhD, ABPP, 3350 La Jolla Village Drive 116B, San Diego, CA 92161, USA. Phone: +1-858-552-8585, Ext. 2976. Email: [email protected].
Get access

Abstract

Background:

The recent addition of hoarding disorder (HD) to the Diagnostic and Statistical Manual of Mental Health Disorders, 5th edition, has highlighted the dearth of information about the demographic, sociologic, and medical predictors of HD severity, particularly in older adults. Although there have been several previous studies examining the characteristics of older adults with HD, and one investigation of psychiatric correlates of hoarding symptom severity in non-clinical older adults, there has been little investigation about which characteristics predict hoarding symptom severity in older adults with HD.

Methods:

Participants were 71 older adults who were enrolled for one of the two studies of HD at the VA San Diego Healthcare System between January 2010 and January 2014.

Results:

There were multiple differences in the predictive ability of patient characteristics between the more cognition-related symptoms of HD and the more concrete measure of clutter, including gender-based differences and anxiety severity. Further, married participants were more likely to report lower hoarding severity, and there was no significant relationship between hoarding severity and intervention attempts or hoarding and reported falls in the past three years.

Conclusions:

Multiple predictive factors have been presented, which may result in further studies to investigate possible predictive differences in cognition and clutter symptoms of HD. Future studies should examine the possibility of the predictive factors also identified to be moderators of treatment outcomes.

Keywords

aginganxietyolder adultshoarding disorder
Type
Research Article
Information
International Psychogeriatrics , Volume 27 , Special Issue 7: Late Life Anxiety , July 2015 , pp. 1147 - 1156
Creative Commons
This is a work of the U.S. Government and is not subject to copyright protection in the United States.
Copyright
Copyright © International Psychogeriatric Association 2014

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Health Disorders: DSM-5 5th edn, Washington, DC: American Psychiatric Publishing.Google Scholar
Ayers, C. R., Saxena, S., Espejo, E., Twamley, E., Granholm, E. and Wetherell, J. L. (2014). Novel treatment for geriatric hoarding disorder: an open trial of cognitive rehabilitation paired with behavior therapy. American Journal of Geriatric Psychiatry, 22, 248–252.Google Scholar
Ayers, C. R., Saxena, S., Golshan, S. and Wetherell, J. L. (2010). Age at onset and clinical features of late life compulsive hoarding. International Journal of Geriatric Psychiatry, 25, 142–149.CrossRefGoogle ScholarPubMed
Diefenbach, G. J., DiMauro, J., Frost, R., Stektee, G. and Tolin, D. F. (2013). Characteristics of hoarding in older adults. American Journal of Geriatric Psychiatry, 21, 1043–1047.CrossRefGoogle ScholarPubMed
Dimauro, J., Tolin, D. F., Frost, R. O. and Steketee, G. (2013). Do people with hoarding disorder under-report their symptoms? Journal of Obsessive-Compulsive and Related Disorders, 2, 130–136.CrossRefGoogle ScholarPubMed
Frost, R. O., Steketee, G. and Grisham, J. (2004). Measurement of compulsive hoarding: saving inventory-revised. Behaviour Research and Therapy, 42, 1163–1182.Google Scholar
Frost, R. O., Steketee, G., Tolin, D. F. and Renaud, S. (2008). Development and validation of the clutter image rating. Journal of Psychopathology and Behavioral Assessment, 30, 193–203.Google Scholar
Gordon, O. M., Salkovskis, P. M. and Oldfield, V. B. (2013). Beliefs and experiences in hoarding. Journal of Anxiety Disorders, 27, 328–339.Google Scholar
Grisham, J. R., Norberg, M. M., Williams, A. D., Certoma, S. P. and Kadib, R. (2010). Categorization and cognitive deficits in compulsive hoarding. Behaviour Research and Therapy, 48, 866–872.Google Scholar
Iervolino, A. C. et al. (2009). Prevalence and heritability of compulsive hoarding: a twin study. American Journal of Psychiatry, 166, 1156–1161.CrossRefGoogle ScholarPubMed
Nasreddine, Z. S. et al. (2005). The Montreal Cognitive Assessment (MoCA): a brief screening tool for mild cognitive impairment. Journal of the American Geriatrics Society, 53, 695–699.CrossRefGoogle Scholar
Nordsletten, A. E., Fernández de la Cruz, L., Billotti, D. and Mataix-Cols, D. (2013). Finders keepers: the features differentiating hoarding disorder from normative collecting. Comprehensive Psychiatry, 54, 229–237.Google Scholar
Reid, J. M. et al. (2011). Hoarding behaviors among non-clinical elderly adults: correlations with hoarding cognitions, obsessive-compulsive symptoms, and measures of general psychopathology. Journal of Anxiety Disorders, 25, 1116–1122.Google Scholar
Reiss, S., Peterson, R. A., Gursky, D. M. and McNally, R. J. (1986). Anxiety sensitivity, anxiety frequency, and the prediction of fearfulness. Behaviour Research and Therapy, 24, 1–8.Google Scholar
Samuels, J. F. et al. (2008). Prevalence and correlates of hoarding behavior in a community-based sample. Behaviour Research and Therapy, 46, 836–844.Google Scholar
Saxena, S., Brody, A. L., Maidment, K. M. and Baxter, L. R. (2007). Paroxetine treatment of compulsive hoarding. Journal of Psychiatric Research, 41, 481–487.CrossRefGoogle ScholarPubMed
Sheehan, D. V., Lecrubier, Y., Sheehan, K. H. et al. (1998). The mini-international neuropsychiatric interview (M.I.N.I): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry, 59, 22–33.Google Scholar
StataCorp. (2013). Stata Statistical Software: Release 13. College Station, TX: StataCorp LP.Google Scholar
Timpano, K. R., Buckner, J. D., Richey, A., Murphy, D. L. and Schmidt, N. B. (2009). Exploration of anxiety sensitivity and distress tolerance as vulnerability factors for hoarding behaviors. Depression and Anxiety, 26, 343–353.Google Scholar
Timpano, K. R. et al. (2011). The epidemiology of the proposed DSM-5 hoarding disorder: exploration of the acquisition specifier, associated features, and distress. Journal of Clinical Psychiatry, 72, 780–786.CrossRefGoogle ScholarPubMed
Tolin, D. F., Frost, R. O. and Steketee, G. (2010). A brief interview for assessing compulsive hoarding: The Hoarding Rating Scale Interview. Psychiatry Research, 178, 147–52.Google Scholar
Zigmond, A. S. and Snaith, R. P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67, 361–370.Google Scholar