Hoarding behavior in dementia. A preliminary report.
ABSTRACT Hoarding behavior has been reported in several mental disorders and is occasionally reported by the caregivers of dementia patients. Such behavior may have adverse effects on the patients and increase the burden of the caregivers. This study was conducted to investigate the prevalence of hoarding behavior in patients with dementia and identify the characteristics and psychiatric symptoms associated with it. The sample was 133 dementia patients admitted to a geropsychiatric ward. Of the 133 dementia patients, 30 (22.6%) showed hoarding. Hoarding was found in various types of dementia. Patients with hoarding had a higher prevalence of repetitive behaviors, hyperphagia, and pilfering. Results suggested that hoarding behavior is a common symptom in dementia patients and a complex phenomenon. Better understanding of the underlying pathogenesis may highlight specific pharmacological or behavioral methods for treatment of the behavior.
- [Show abstract] [Hide abstract]
ABSTRACT: Abstract Objectives: To determine whether squalor-dwelling Adult Protective Services (APS) clients were more cognitively impaired than non-squalor dwelling APS clients referred for decision-making capacity assessments. Methods: The authors performed a retrospective medical record review of neuropsychological and demographic data gathered during decisional capacity assessments. Squalor-dwelling was defined by unsanitary living conditions that posed a danger to the occupant's health or safety. Mean neuropsychological test scores were compared between squalor-dwelling (n = 50) and non-squalor dwelling (n = 180) subjects. Results: Squalor-dwelling clients were significantly younger than non-squalor dwelling clients. There were no distribution differences between gender, education, race, or rural-dwelling status. Although both groups performed poorly on each neuropsychological measure, squalor dwellers demonstrated better memory and general cognitive performance. Conclusions: Cognition, depression, gender, race, education, dementia diagnosis, and rural-dwelling status seem insufficient to explain squalor-dwelling behaviors. Other biological and psychosocial variables should be considered.Journal of Elder Abuse & Neglect 08/2014;
- [Show abstract] [Hide abstract]
ABSTRACT: The current study took an Interpretive Phenomenological Analysis approach to investigate the lived experiences of 12 family members of persons who hoard to better understand family members' cognitions, emotions, perceptions, experiences, and responses in their interactions with their loved ones who hoard. Five overarching themes for the participants' experiences of having a person who hoards in the family emerged: negative feelings toward the persons who hoard; lack of understanding of hoarding behavior; experiences of loss; internal barriers to seeking support; and internal conflicts. Clinical implications and recommendations for future research are discussed, including a proposed application of an ambiguous loss framework for understanding and working with the experiences of family members of persons who hoard.Journal of Marital and Family Therapy 07/2013; 39(3):388-402. · 1.01 Impact Factor
Article: Vermüllung[Show abstract] [Hide abstract]
ABSTRACT: Seit 1985 wird in der deutschsprachigen Fachliteratur der Begriff „Vermüllung“ benutzt, um die schwere Verwahrlosung des Wohnbereichs durch Anhäufen von Sammelgut und Müll zu bezeichnen. Im englischen Schrifttum erscheint das Thema unter den (nicht synonymen) Termini „hoarding“ oder„Diogenes-Syndrom“. Vermüllung ist primär ein Problem der Sozial- und Gerontopsychiatrie, tritt aber auch bei jungen Menschen ohne begleitende Psychopathologie auf. Als wichtige mögliche Ursache sind Zwangsstörungen zu nennen, jedoch können auch verschiedene andere Erkrankungen zur Vermüllung führen. Eine 58-jährige Patientin mit schwerer Vermüllung auf dem Hintergrund einer Zwangsstörung wird vorgestellt.Der Nervenarzt 01/2006; 77(5). · 0.80 Impact Factor