Development and Validation of the Clutter Image Rating

Journal of Psychopathology and Behavioral Assessment (Impact Factor: 1.55). 01/2008; 30(3):193-203. DOI: 10.1007/s10862-007-9068-7

ABSTRACT Few instruments are available to assess compulsive hoarding and severity of clutter. Accuracy of assessment is important to
understanding the clinical significance of the problem. To overcome problems associated with over- and under-reporting of
hoarding symptoms, the clutter image rating (CIR) was developed. This pictorial scale contains nine equidistant photographs
of severity of clutter representing each of three main rooms of most people’s homes: living room, kitchen, and bedroom. The
psychometric properties of this measure were examined in two studies. Internal consistency, test–retest, and interobserver
reliabilities were good and convergent validity with other questionnaire and interview measures was also good. The CIR correlated
more strongly with measures of clutter than with other hoarding and psychopathology scales. The CIR’s very brief pictorial
assessment method makes it useful in clinical and treatment contexts for measuring the clutter dimension of compulsive hoarding.

  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Background Previous literature on Hoarding Disorder (HD) has largely recruited individuals with self-identified hoarding difficulties or informant-ratings of individuals who are not seeking help. Little is known about the reliability of self- and informant-ratings of hoarding severity and insight, and whether individuals who self-identify with HD differ from those who do not. Method Twenty-four pairs of individuals meeting criteria for HD and their relatives took part in the study, plus 40 relatives of individuals meeting likely criteria for HD who did not agree to participate. All participants completed a clinician-administered diagnostic interview for HD and online questionnaires assessing hoarding severity, squalor and insight. Results Good correspondence was found between self- and informant-ratings of hoarding severity, although informants gave significantly higher squalor ratings. Relative to clinician-ratings, informants under-estimated the insight of HD individuals. Higher hoarding severity and lower insight informant-ratings were made for individuals with HD who did agree to participate, compared to those who did. Conclusions A multi-informant approach guided by expert clinicians is desirable for the assessment of HD, particularly in low-insight individuals. When individuals do not seek help for HD, family members may benefit from education and support to help them understand how best to assist their relatives.
    Journal of Obsessive-Compulsive and Related Disorders 04/2015; 5(1):37-42. DOI:10.1016/j.jocrd.2015.01.005 · 0.81 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Hoarding Disorder is rarely examined in populations of non-European and/or non-Euro-American descent, especially in East Asian nations like China. Across two studies, the current investigation set out to examine the psychometric properties of a Chinese version of a widely used measure of hoarding symptoms—the Savings Inventory Revised (SIR)—and to explore the nature of hoarding beliefs compared to a separate US sample.ProceduresFor the first study, 1,828 college students in China completed a Mandarin translation of the SIR and measures of anxiety, depression, and obsessive-compulsive disorder. For the second study, 303 students from China and 87 students from the US completed the SIR and a novel hoarding beliefs questionnaire.FindingsIn the first study, the Chinese-version of the SIR demonstrated convergent and discriminant validity, as well as internal reliability and preliminary construct validity. However, evidence of temporal stability was modest and requires further investigation. In the second study, the Chinese sample endorsed greater hoarding symptoms and hoarding beliefs compared to the US sample, although only themes of usefulness and wastefulness were associated with hoarding in the Chinese samples, whereas a wider range of beliefs was linked with hoarding in the US sample. In addition, the factor structure of the SIR from the first study did not replicate in second study, suggesting that construct validity of the Chinese SIR may require further corroboration.Conclusions The current study established preliminary evidence for the reliability and validity of the Chinese SIR, although future research is needed to confirm its temporal stability and factor structure. Hoarding beliefs in China may be centered on themes of usefulness and wastefulness compared to more heterogeneous themes in the West, suggesting differential manifestations of hoarding tendencies in cultures of non-European and/or non-Euro-American descent.
    Comprehensive Psychiatry 11/2014; 57. DOI:10.1016/j.comppsych.2014.11.006 · 2.26 Impact Factor
  • Source


Available from
Dec 19, 2014