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Testing the validity and acceptability of the diagnostic criteria for Hoarding Disorder: a DSM-5 survey

Published online by Cambridge University Press:  13 May 2011

D. Mataix-Cols ,
L.. Fernández de la Cruz ,
T. Nakao  and
A. Pertusa
D. Mataix-Cols*
Affiliation:
King's College London, Institute of Psychiatry, London, UK
L.. Fernández de la Cruz
Affiliation:
King's College London, Institute of Psychiatry, London, UK
T. Nakao
Affiliation:
King's College London, Institute of Psychiatry, London, UK
*
*Address for correspondence: D. Mataix-Cols, Ph.D., Departments of Psychosis Studies and Psychology, King's College London, Institute of Psychiatry, PO Box 69, De Crespigny Park, London SE5 8AF, UK. (Email: [email protected])
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Abstract

Background

The DSM-5 Obsessive-Compulsive Spectrum Sub-Workgroup is recommending the creation of a new diagnostic category named Hoarding Disorder (HD). The validity and acceptability of the proposed diagnostic criteria have yet to be formally tested.

Method

Obsessive-compulsive disorder/hoarding experts and random members of the American Psychiatric Association (APA) were shown eight brief clinical vignettes (four cases meeting criteria for HD, three with hoarding behaviour secondary to other mental disorders, and one with subclinical hoarding behaviour) and asked to decide the most appropriate diagnosis in each case. Participants were also asked about the perceived acceptability of the criteria and whether they supported the inclusion of HD in the main manual.

Results

Altogether, 211 experts and 48 APA members completed the survey (30% and 10% response rates, respectively). The sensitivity and specificity of the HD diagnosis and the individual criteria were high (80–90%) across various types of professionals, irrespective of their experience with hoarding cases. About 90% of participants in both samples thought the criteria would be very/somewhat acceptable for professionals and sufferers. Most experts (70%) supported the inclusion of HD in the main manual, whereas only 50% of the APA members did.

Conclusions

The proposed criteria for HD have high sensitivity and specificity. The criteria are also deemed acceptable for professionals and sufferers alike. Training of professionals and the development and validation of semi-structured diagnostic instruments should improve diagnostic accuracy even further. A field trial is now needed to confirm these encouraging findings with real patients in real clinical settings.

Keywords

DiagnosisDSM-5Hoarding DisorderOCD
Type
Original Articles
Information
Psychological Medicine , Volume 41 , Issue 12 , December 2011 , pp. 2475 - 2484
Copyright
Copyright © Cambridge University Press 2011

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References

APA (2010). Proposed Draft Revisions to DSM Disorders and Criteria (DSM-5 Development). American Psychiatric Association (www.dsm5.org). Accessed 20 December 2010.Google Scholar
Anderson, SW, Damasio, H, Damasio, AR (2005). A neural basis for collecting behaviour in humans. Brain 128, 201–212.CrossRefGoogle ScholarPubMed
Frost, RO, Hartl, TL (1996). A cognitive-behavioral model of compulsive hoarding. Behaviour Research & Therapy 34, 341–350.CrossRefGoogle ScholarPubMed
Lowe, JR, Widiger, TA (2009). Clinicians' judgments of clinical utility: a comparison of the DSM-IV with dimensional models of general personality. Journal of Personality Disorders 23, 211–229.CrossRefGoogle ScholarPubMed
Mataix-Cols, D, Frost, RO, Pertusa, A, Clark, LA, Saxena, S, Leckman, JF, Stein, DJ, Matsunaga, H, Wilhelm, S (2010). Hoarding disorder: a new diagnosis for DSM-V? Depression & Anxiety 27, 556–572.CrossRefGoogle ScholarPubMed
Pertusa, A, Frost, RO, Fullana, MA, Samuels, J, Steketee, G, Tolin, D, Saxena, S, Leckman, JF, Mataix-Cols, D (2010 a). Refining the diagnostic boundaries of compulsive hoarding: a critical review. Clinical Psychology Review 30, 371–386.CrossRefGoogle ScholarPubMed
Pertusa, A, Frost, RO, Mataix-Cols, D (2010 b). When hoarding is a symptom of OCD: a case series and implications for DSM-V. Behaviour Research & Therapy 48, 1012–1020.CrossRefGoogle ScholarPubMed
Pertusa, A, Fullana, MA, Singh, S, Alonso, P, Menchon, JM, Mataix-Cols, D (2008). Compulsive hoarding: OCD symptom, distinct clinical syndrome, or both? American Journal of Psychiatry 165, 1289–1298.CrossRefGoogle ScholarPubMed
Plimpton, EH, Frost, RO, Abbey, BC, Dorer, W (2009). Compulsive hoarding in children: six case studies. International Journal of Cognitive Therapy 2, 88–104.CrossRefGoogle Scholar
Rottman, BM, Ahn, WK, Sanislow, CA, Kim, NS (2009). Can clinicians recognize DSM-IV personality disorders from five-factor model descriptions of patient cases? American Journal of Psychiatry 166, 427–433.CrossRefGoogle ScholarPubMed
Samuel, DB, Widiger, TA (2006). Clinicians' judgments of clinical utility: a comparison of the DSM-IV and five-factor models. Journal of Abnormal Psychology 115, 298–308.CrossRefGoogle ScholarPubMed
Spitzer, RL, Gibbon, M, Skodol, AE, Williams, JBW, First, MB (2002). DSM-IV-TR Casebook: A Learning Companion to the Diagnostic and Statistical Manual of Mental Disorders, fourth edition, text revision. American Psychiatric Publishing: Arlington.CrossRefGoogle Scholar
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