Medicine and Health Sciences Commons^™

Buying-Shopping Disorder - Is There Enough Evidence To Support Its Inclusion In Icd-11?, Astrid Müller, Matthias Brand, Laurence Claes, Zsolt Demetrovics, Martina De Zwaan, Fernando Fernández-Aranda, Randy O. Frost, Susana Jimenez-Murcia, Michael Lejoyeux, Sabine Steins-Loeber, James E. Mitchell, Richard Moulding, Maja Nedeljkovic, Patrick Trotzke, Aviv Weinstein, Michael Kyrios

Psychology: Faculty Publications

The phenomenon of buying-shopping disorder (BSD) was described over 100 years ago. Definitions of BSD refer to extreme preoccupation with shopping and buying, to impulses to purchase that are experienced as irresistible, and to recurrent maladaptive buying excesses that lead to distress and impairments. Efforts to stop BSD episodes are unsuccessful, despite the awareness of repeated break-downs in self-regulation, experiences of post-purchase guilt and regret, comorbid psychiatric disorders, reduced quality of life, familial discord, work impairment, financial problems, and other negative consequences. A recent meta-analysis indicated an estimated point prevalence of BSD of 5%. In this narrative review, the authors …

Scrupulosity And Hoarding, Randy O. Frost, Isabella Gabrielson, Sophia Deady, Kathryn Bonner Dernbach, Greta Guevara, Maggie Peebles-Dorin, Keong Yap, Jessica R. Grisham

Psychology: Faculty Publications

Objective: Recent evidence suggests that avoiding waste may be a prominent motive to save in hoarding disorder. Such beliefs are reminiscent of scrupulosity obsessions in OCD. This paper reports on three studies examining scrupulosity-like beliefs in hoarding and the development and validation of a measure of material scrupulosity.

Methods: Study one examined the reliability and validity of a measure of material scrupulosity (MOMS) and its relationship to hoarding in a college student sample, as well as the relationship between hoarding and OCD-base scrupulosity. Study 2 examined the psychometric properties of the MOMS in a replication of study 1 with a …

Psychometric Properties Of The Hoarding Rating Scale-Interview, David F. Tolin, Christina M. Gilliam, Elizabeth Davis, Kristen Springer, Hannah C. Levy, Randy O. Frost, Gail Steketee, Michael C. Stevens

Psychology: Faculty Publications

The present study tested the psychometric properties of an expanded version of the Hoarding Rating Scale (HRS-I), a semistructured interview for hoarding disorder (HD). Eighty-seven adults with HD and 44 healthy control (HC) participants were assessed using the HRS-I and completed a battery of self-report measures of HD severity, negative affect, and functional impairment. All interviews were audio recorded. From the HD participants, 21 were randomly selected for inter-rater reliability (IRR) analysis and 11 for test-retest reliability (TRR) analysis. The HRS-I showed excellent internal consistency (α = 0.87). IRR and TRR in the HD sample were good (intra-class coefficients = …

Changes In Saving Cognitions Mediate Hoarding Symptom Change In Cognitive-Behavioral Therapy For Hoarding Disorder, Hannah C. Levy, Blaise L. Worden, Christina M. Gilliam, Christine D'Urso, Gail Steketee, Randy O. Frost, David F. Tolin

Psychology: Faculty Publications

Cognitive-behavioral therapy (CBT) is an empirically-supported treatment for hoarding disorder (HD). However, meta-analytic studies suggest that CBT is only modestly effective, and a significant number of individuals with HD remain symptomatic following treatment. To inform the development of more effective and targeted treatments, it will be important to clarify the mechanisms of treatment response in CBT for HD. To this end, the current study examined whether change in maladaptive saving beliefs mediated symptom change in CBT for HD. Sixty-two patients with primary HD completed measures of maladaptive saving cognitions and hoarding severity at pre-, mid-, and post-CBT. Results showed that …

Behavioral And Emotional Consequences Of Thought Listing Versus Cognitive Restructuring During Discarding Decisions In Hoarding Disorder, Randy O. Frost, Clarissa Ong, Gail Steketee, David F. Tolin

Psychology: Faculty Publications

An essential criterion for hoarding disorder (HD) is difficulty discarding or parting with possessions, yet few studies have examined reactions to actual discarding behaviors. The present study examined whether individuals with HD differed from non-hoarding community controls (CC) in discarding behavior and emotional reactions to discarding. A second purpose was to examine the course of experienced distress following discarding. A third purpose was to determine whether HD participants responded differently to a simple thought listing (TL) instruction or to a cognitive restructuring (CR) protocol. Participants were asked to decide whether to keep or discard (a) a personal possession and (b) …

Acceptability Of Treatments And Services For Individuals With Hoarding Behaviors, Carolyn I. Rodriguez, Amanda Levinson, Sapana R. Patel, Kim Rottier, Jordana Zwerling, Susan Essock, Lee Shuer, Randy O. Frost, Helen Blair Simpson

Psychology: Faculty Publications

Objective To explore the acceptability of currently available treatments and services for individuals who self-report hoarding behaviors. Method Between 10/2013 and 8/2014, participants were invited to complete an online survey that provided them descriptions of eleven treatments and services for hoarding behaviors and asked them to evaluate their acceptability using quantitative (0 [not at all acceptable]−10 [completely acceptable]) Likert scale ratings. The a priori definition of acceptability for a given resource was an average Likert scale score of six or greater. Two well-validated self-report measures assessed hoarding symptom severity: the Saving Inventory-Revised and the Clutter Image Rating Scale. Results Two …

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 …

Motives For Acquiring And Saving In Hoarding Disorder, Ocd, And Community Controls, Randy O. Frost, Gail Steketee, David F. Tolin, Nicole Sinopoli, Dylan Ruby

Psychology: Faculty Publications

Hoarding disorder (HD) was classified as a separate disorder in DSM-5 (. APA, 2013). However, only recently research on hoarding has begun in earnest, and as of yet, very little research exists on the motivation to acquire and save the excessive volume of possessions seen in patients with this disorder. This investigation examined the frequency of four motives for acquiring and saving possessions that are often reported anecdotally by people with HD (information, emotional reasons, avoid waste, and aesthetic reasons). Comparisons in a sample of 443 participants indicated that those with HD reported higher frequencies of each of these four …

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 …

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 …

The Buried In Treasures Workshop: Waitlist Control Trial Of Facilitated Support Groups For Hoarding, Randy O. Frost, Dylan Ruby, Lee J. Shuer

Psychology: Faculty Publications

Hoarding is a serious form of psychopathology that has been associated with significant health and safety concerns, as well as the source of social and economic burden (Tolin, Frost, Steketee, & Fitch, 2008; Tolin, Frost, Steketee, Gray, & Fitch, 2008). Recent developments in the treatment of hoarding have met with some success for both individual and group treatments. Nevertheless, the cost and limited accessibility of these treatments leave many hoarding sufferers without options for help. One alternative is support groups that require relatively few resources. Frost, Pekareva-Kochergina, and Maxner (2011) reported significant declines in hoarding symptoms following a non-professionally run …

Comparison Of Object And Animal Hoarding, Randy O. Frost, Gary Patronek, Elizabeth Rosenfield

Psychology: Faculty Publications

Recent research has highlighted the prevalence and harmful consequences of hoarding,1 and investigators have proposed inclusion of hoarding disorder in DSM-5.2 An unanswered question about the proposed disorder is whether people who hoard animals would meet diagnostic criteria for it. This article discusses the similarities and differences between object and animal hoarding. People who hoard animals appear to meet the basic diagnostic criteria for hoarding disorder. Their homes are cluttered, disorganized, and dysfunctional. They have great difficulty relinquishing animals to people who can more adequately care for them, and they form intense attachments (urges to save) that result in significant …