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dc.contributor.authorSeedat, S.
dc.contributor.authorStein, D.J.
dc.identifier.citationSeedat S, Stein DJ. Hoarding in obsessive-compulsive disorder and related disorders: A preliminary report of 15 cases. Psychiatry and clinical neurosciences (Carlton Print)en_US
dc.description.abstractHoarding, the repetitive collection of excessive quantities of poorly useable items of little or no value with failure to discard these items over time, is characterized in DSM-IV as a symptom of obsessive-compulsive disorder (OCD) and obsessive-compulsive personality disorder (OCPD) but has, until recently, received scant empirical investigation. We describe the demographics, phenomenology, associated psychopathology and family history in 15 subjects presenting with hoarding behavior. Fifteen subjects were recruited from an OCD clinic and newspaper advertisement and assessed with the comprehensive Structured Clinical Interview for DSM-IV (SCID I and II), the Yale-Brown Obsessive Compulsive Scale (Y-BOCS), and a hoarding questionnaire (devised by the authors). The sample comprised 11 women and four men who hoarded a mean of seven item types, with a mean duration of 13.2 +/- 3.9 years (range 2-15 years). Their mean age was 41.8 +/- 14.3 years (range 20-65 years). The most common motive for hoarding was the fear of discarding items of practical value. Nine subjects met DSM-IV criteria for OCD, 9 met criteria for OCPD, for symptoms and behaviors other than hoarding, while six subjects met criteria for a putative OCD spectrum disorder (Tourette's, body dysmorphic disorder, trichotillomania). Six subjects reported little or no control over their hoarding, but only one subject saw her symptoms as an 'illness' warranting treatment. Pathological hoarding is usually a covert and chronic behavior causing distress and/or impairment, and may be related to OCD and OCPD. Hoarding may meet the criterion for a compulsion in DSM-IV, yet there is evidence to suggest that hoarding may manifest in a variety of other psychiatric conditions. While a range of pharmacologic and behavioral treatments have been tried, their effectiveness in managing hoarding behaviors requires additional research.en_US
dc.description.sponsorshipThis work is supported by the Medical Research Council Unit on Anxiety and Stress Disorders(South Africa).en_US
dc.relation.url .en_US
dc.rightsAttribution 3.0 United States*
dc.subjectobsessive-compulsive disorder,en_US
dc.titleHoarding in obsessive-compulsive disorder and related disorders: a preliminary report of 15 casesen_US
dc.contributor.departmentMedical Research Council Unit on Anxiety and Stress Disorders, Department of Psychiatry, University of Stellenbosch, Cape Town, South Africa.en_US
dc.identifier.journalPsychiatry and Clinical Neurosciencesen_US
dc.research.unitRisk & Resilience in Mental Disordersen_US

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Attribution 3.0 United States
Except where otherwise noted, this item's license is described as Attribution 3.0 United States