Diagnosis and Assessment of Hoarding Disorder

Department of Psychology, Smith College, Northampton, Massachusetts 01063, USA.
Annual Review of Clinical Psychology (Impact Factor: 12.67). 04/2011; 8(1):219-42. DOI: 10.1146/annurev-clinpsy-032511-143116
Source: PubMed


The acquisition and saving of a large number of possessions that interfere with the use of living areas in the home are remarkably common behaviors that can pose serious threats to the health and safety of the affected person and those living nearby. Recent research on hoarding has led the DSM-5 Anxiety, Obsessive-Compulsive Spectrum, Post-traumatic, and Dissociative Disorders Work Group to propose the addition of hoarding disorder to the list of disorders in the upcoming revision of the diagnostic manual. This review examines the research related to the diagnosis and assessment of hoarding and hoarding disorder. The proposed criteria appear to accurately define the disorder, and preliminary studies suggest they are reliable. Recent assessment strategies for hoarding have improved our understanding of the nature of this behavior. Areas in need of further research have been highlighted.

Download full-text


Available from: David F Tolin, Dec 19, 2014
  • Source
    • "Compulsive hoarding is often 'ego-syntonic', and the Y–BOCS is not a specific measure of this disorder. Frost et al. have developed specific measures for hoarding (Frost et al., 2012). Analysis of one large trials database indicates that the 'hoarding/symmetry' dimension predicts a poorer outcome to SSRI treatment compared with other OCD dimensions (Stein et al., 2008). "
    [Show abstract] [Hide abstract]
    ABSTRACT: This narrative review gathers together a range of international experts to critically appraise the existing trial-based evidence relating to the efficacy and tolerability of pharmacotherapy for obsessive compulsive disorder in adults. We discuss the diagnostic evaluation and clinical characteristics followed by treatment options suitable for the clinician working from primary through to specialist psychiatric care. Robust data supports the effectiveness of treatment with selective serotonin reuptake inhibitors (SSRIs) and clomipramine in the short-term and the longer-term treatment and for relapse prevention. Owing to better tolerability, SSRIs are acknowledged as the first-line pharmacological treatment of choice. For those patients for whom first line treatments have been ineffective, evidence supports the use of adjunctive antipsychotic medication, and some evidence supports the use of high-dose SSRIs. Novel compounds are also the subject of active investigation. Neurosurgical treatments, including ablative lesion neurosurgery and deep brain stimulation, are reserved for severely symptomatic individuals who have not experienced sustained response to both pharmacological and cognitive behavior therapies. Copyright © 2015. Published by Elsevier Ireland Ltd.
    Full-text · Article · Feb 2015 · Psychiatry Research
    • "The internal consistency in our sample was excellent (α ¼0.96). The SI-R effectively distinguishes individuals with hoarding disorder from individuals without the disorder with a clinical cutoff score of 41 (Frost et al., 2012). The Saving Cognitions Inventory-Revised (SCI) is a self-report questionnaire that measures the beliefs and attitudes about possessions that are often associated with hoarding behavior (Steketee et al., 2003). "
    [Show abstract] [Hide abstract]
    ABSTRACT: Compulsive hoarding is a debilitating illness that is characterized by excessive collection of and failure to discard items, irrespective of their uselessness or hazardousness. Anecdotal evidence suggests that individuals who hoard may be more creative than individuals without hoarding behavior; however, this hypothesis has never been tested empirically. In the present study, we examined the relationship between hoarding symptoms and performance on a series of creativity measures. We also explored the extent to which hoarding symptoms were associated with factors such as personality, impulsivity, distress tolerance, and attitudes about money and the environment. Our findings revealed no significant associations between hoarding behavior and any measure of creativity. Hoarding behavior was also unrelated to attitudes about money or concern about the environment. However, consistent with previous research, hoarding tendencies were correlated with higher levels of neuroticism and impulsivity, as well as with lower levels of conscientiousness and distress tolerance. Implications of these findings are discussed.
    No preview · Article · Jul 2014 · Psychiatry Research
  • Source
    • "Freud posited that the anal triad of orderliness, parsimony, and obstinacy are the precursors to OCD and the anal retentive personality (Frost et al., 2012). Anal-retentive personality traits were represented in the DSM-IV-TR diagnostic criteria for OCPD, which included hoarding (Frost et al., 2012). One of the reasons that hoarding may have become associated with OCD was the inclusion of two hoarding items in the Yale-Brown Obsessive- Compulsive Scale (Y-BOCS), which became the most widely used rating scale for OCD (Mataix-Cols et al., 2010). "

    Preview · Article · Dec 2013
Show more