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Psychiatry and Psychology

Psychology: Faculty Publications

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Activities Of Daily Living Scale In Hoarding Disorder, Randy O. Frost, Veselina Hristova, Gail Steketee, David F. Tolin Jan 2013

Activities Of Daily Living Scale In Hoarding Disorder, Randy O. Frost, Veselina Hristova, Gail Steketee, David F. Tolin

Psychology: Faculty Publications

Research on hoarding over the last two decades has shown that hoarding disorder appears to be a distinct disorder that burdens the individual, the community and the families of people who hoard. Although hoarding clearly interferes with the daily functioning, especially in the context of extensive clutter, no validated measures of this interference have been developed. The present research examined the psychometric properties of the Activities of Daily Living in Hoarding scale (ADL-H) in two large samples of individuals with significant hoarding problems, one identified through the internet (n=363) and a second through clinical diagnostic interviews (n=202). The ADL-H scale …


Do People With Hoarding Disorder Under-Report Their Symptoms?, Jennifer Dimauro, David F. Tolin, Randy O. Frost, Gail Steketee Jan 2013

Do People With Hoarding Disorder Under-Report Their Symptoms?, Jennifer Dimauro, David F. Tolin, Randy O. Frost, Gail Steketee

Psychology: Faculty Publications

Previous research indicates that people with hoarding sometimes under- or over-report the severity of their symptoms. This article examines the results of two separate studies that evaluate severity ratings made by participants with hoarding disorder (HD) in comparison to ratings by family members or independent evaluators. In Study 1, HD participants' ratings of the severity of the clutter in their home and their hoarding behaviors were less severe than those made by their friends or family members. This result may be accounted for by family members' rejecting attitudes towards the participant. In Study 2, HD participants appeared to under-report specific …


Characteristics Of Hoarding In Older Adults, Gretchen J. Diefenbach, Jennifer Dimauro, Randy O. Frost, Gail Steketee, David F. Tolin Jan 2013

Characteristics Of Hoarding In Older Adults, Gretchen J. Diefenbach, Jennifer Dimauro, Randy O. Frost, Gail Steketee, David F. Tolin

Psychology: Faculty Publications

Objective: This study determined the clinical characteristics of late-life hoarding disorder (HD). Methods: Older adults (age 60 and older) with HD (n = 55) and without psychiatric diagnoses (n = 39) were compared on psychiatric, functional, cognitive, and health-related measures. Associations between age and clinical characteristics in a large sample of mixed age (n = 210; age range: 20-78) participants with HD were also determined. Results: Individuals with late-life HD were characterized by substantial impairments in psychiatric, functional, cognitive, and medical status. Health risks (e.g., risks of falls and fire) were also common. However, older age was generally not associated …


Comorbidity In Hoarding Disorder, Randy O. Frost, Gail Steketee, David F. Tolin Oct 2011

Comorbidity In Hoarding Disorder, Randy O. Frost, Gail Steketee, David F. Tolin

Psychology: Faculty Publications

Background: Hoarding Disorder (HD) is currently under consideration for inclusion as a distinct disorder in DSM-5 (1). Few studies have examined comorbidity patterns in people who hoard, and the ones that have suffer from serious methodological shortcomings including drawing from populations already diagnosed with obsessive compulsive disorder (OCD), using outdated definitions of hoarding, and relying on inadequate assessments of hoarding. The present study is the first large-scale study of comorbidity in a sample of people meeting recently proposed criteria for hoarding disorder (1) and relying on validated assessment procedures. Methods: We compared psychiatric comorbidity in a large HD sample (n …


A Brief Interview For Assessing Compulsive Hoarding: The Hoarding Rating Scale-Interview, David F. Tolin, Randy O. Frost, Gail Steketee Jun 2010

A Brief Interview For Assessing Compulsive Hoarding: The Hoarding Rating Scale-Interview, David F. Tolin, Randy O. Frost, Gail Steketee

Psychology: Faculty Publications

This article describes the development and validation of the Hoarding Rating Scale-Interview (HRS-I), a brief (5-10 min) five-item semi-structured interview that assesses the features of compulsive hoarding (clutter, difficulty discarding, acquisition, distress and impairment). Trained interviewers administered the HRS-I to 136 adults (73 compulsive hoarding, 19 OCD, 44 non-clinical controls) along with a battery of self-report measures. An initial assessment was conducted in the clinic, and a second assessment was conducted in participants' homes. The HRS-I showed high internal consistency and reliability across time and context. The HRS-I clearly differentiated hoarding and non-hoarding participants, and was strongly associated with other …