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Psychiatry and Psychology

Psychology: Faculty Publications

Obsessive-compulsive disorder

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A Contemporary Psychometric Evaluation Of The Obsessive Compulsive Inventory-Revised (Oci-R), Bethany M. Wootton, Gretchen J. Diefenbach, Laura B. Bragdon, Gail Steketee, Randy O. Frost, David F. Tolin Sep 2015

A Contemporary Psychometric Evaluation Of The Obsessive Compulsive Inventory-Revised (Oci-R), Bethany M. Wootton, Gretchen J. Diefenbach, Laura B. Bragdon, Gail Steketee, Randy O. Frost, David F. Tolin

Psychology: Faculty Publications

Traditionally, hoarding symptoms were coded under obsessive-compulsive disorder (OCD), however, in DSM-5 hoarding symptoms are classified as a new independent diagnosis, hoarding disorder (HD). This change will likely have a considerable impact on the self-report scales that assess symptoms of OCD, since these scales often include items measuring symptoms of hoarding. This study evaluated the psychometric properties of one of the most commonly used self-report measures of OCD symptoms, the Obsessive-Compulsive Inventory-Revised (OCI-R), in a sample of 474 individuals with either OCD (n = 118), HD (n = 201), or no current or past psychiatric disorders (n = 155). Participants …


Hoarding Behaviour In An Italian Non-Clinical Sample, Francesco Bulli, Gabriele Melli, Claudia Carraresi, Eleonora Stopani, Alberto Pertusa, Randy O. Frost Jan 2014

Hoarding Behaviour In An Italian Non-Clinical Sample, Francesco Bulli, Gabriele Melli, Claudia Carraresi, Eleonora Stopani, Alberto Pertusa, Randy O. Frost

Psychology: Faculty Publications

Background: Hoarding is associated with significant impairment. Although traditionally considered as a symptom of obsessive-compulsive disorder (OCD), some authors have proposed that pathological hoarding could be considered as a stand alone condition. The prevalence of pathological hoarding behaviour has been shown to be high in some countries, but little is known about the prevalence and correlates of hoarding in the non-clinical population in Italy. Method: We studied the prevalence of self-reported hoarding behaviour using the Italian version of the Saving Inventory-Revised, as well as the association between hoarding and various clinical correlates, including obsessive-compulsive symptoms, compulsive buying, anxiety, and depression. …


An Exploration Of Comorbid Symptoms And Clinical Correlates Of Clinically Significant Hoarding Symptoms, Brian J. Hall, David F. Tolin, Randy O. Frost, Gail Steketee Jan 2013

An Exploration Of Comorbid Symptoms And Clinical Correlates Of Clinically Significant Hoarding Symptoms, Brian J. Hall, David F. Tolin, Randy O. Frost, Gail Steketee

Psychology: Faculty Publications

Background Hoarding disorder (HD) is currently being considered for inclusion in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), yet remains poorly understood. Consensus is building that hoarding may constitute a separate disorder, although comorbidity remains high and complicates the diagnostic picture. The purpose of this investigation was to explore patterns of comorbidity among people who engage in hoarding behavior in order to better understand its clinical presentation and phenomenology. Methods Data were collected from a large internet sample (N = 363) of people who self-identified as having hoarding problems, met criteria for clinically significant hoarding, and …


A Multitrait-Multimethod Matrix Investigation Of Hoarding, Joseph F. Meyer, Randy O. Frost, Timothy A. Brown, Gail Steketee, David F. Tolin Jan 2013

A Multitrait-Multimethod Matrix Investigation Of Hoarding, Joseph F. Meyer, Randy O. Frost, Timothy A. Brown, Gail Steketee, David F. Tolin

Psychology: Faculty Publications

Hoarding is a serious and potentially life-threatening mental health problem that, until recently, was considered a subtype of OCD. However, recent research suggests it is distinct and more prevalent than OCD. Three key defining features have emerged in factor analytic studies of hoarding scales: excessive acquisition, difficulty discarding, and excessive clutter. Covariation among these defining features has received limited attention. The primary aim of the current study was to examine the role of the three key features in defining hoarding disorder. Convergent and discriminant validity of the three hoarding factors were examined in a multitrait-multimethod matrix. A secondary aim was …


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 …


The Economic And Social Burden Of Compulsive Hoarding, David F. Tolin, Randy O. Frost, Gail Steketee, Krista D. Gray, Kristin E. Fitch Aug 2008

The Economic And Social Burden Of Compulsive Hoarding, David F. Tolin, Randy O. Frost, Gail Steketee, Krista D. Gray, Kristin E. Fitch

Psychology: Faculty Publications

The aim of the present study was to determine the economic and social burden of compulsive hoarding in a large sample of individuals with self-identified hoarding, as well as a separate sample of family members of individuals who hoard. Self-identified hoarding participants (N = 864, 94% female, 65% met research criteria for clinically relevant compulsive hoarding) and family informants (N = 655, 58% described a relative who appeared to meet research criteria for compulsive hoarding), completed an internet survey. Questions were derived in part from those used in the National Comorbidity Survey (NCS), and when possible, hoarding participants were compared …


Family Burden Of Compulsive Hoarding: Results Of An Internet Survey, David F. Tolin, Randy O. Frost, Gail Steketee, Kristin E. Fitch Mar 2008

Family Burden Of Compulsive Hoarding: Results Of An Internet Survey, David F. Tolin, Randy O. Frost, Gail Steketee, Kristin E. Fitch

Psychology: Faculty Publications

Compulsive hoarding, the acquisition of and failure to discard large numbers of possessions, is associated with substantial health risk, impairment in functioning, and economic burden. Despite clear indications that hoarding has a detrimental effect on people living with or near someone with a hoarding problem, no empirical research has examined these harmful effects. The aim of the present study was to examine the burden of hoarding on family members. Six hundred sixty-five family informants who reported having a family member or friend with hoarding behaviors completed an internet-based survey. Living with an individual who hoards during childhood was associated with …


An Open Trial Of Cognitive-Behavioral Therapy For Compulsive Hoarding, David F. Tolin, Randy O. Frost, Gail Steketee Jul 2007

An Open Trial Of Cognitive-Behavioral Therapy For Compulsive Hoarding, David F. Tolin, Randy O. Frost, Gail Steketee

Psychology: Faculty Publications

The aim of the present study was to provide preliminary data on the efficacy of a new cognitive-behavioral treatment (CBT) for compulsive hoarding. Fourteen adults with compulsive hoarding (10 treatment completers) were seen in two specialty CBT clinics. Participants were included if they met research criteria for compulsive hoarding according to a semistructured interview, were age 18 or above, considered hoarding their main psychiatric problem, and were not receiving mental health treatment. Patients received 26 individual sessions of CBT, including frequent home visits, over a 7-12 month period between December 2003-February 2005. Primary outcome measures were the Saving Inventory-Revised (SI-R), …