Search results for ‘Subject term:"obsessive compulsive disorders"’ Sort:
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Age of onset and progression of hoarding symptoms in older adults with hoarding disorder
- Authors:
- DOZIER Mary E., PORTER Ben, AYERS Catherine R.
- Journal article citation:
- Aging and Mental Health, 20(7), 2016, pp.736-742.
- Publisher:
- Taylor and Francis
Objectives:The authors investigated (1) age of onset of hoarding disorder (HD) symptoms and diagnosis, (2) late-onset HD, (3) progression of HD symptoms, and (4) association between demographics and hoarding progression. Method: Eighty-two older adults with HD provided retrospective ratings of their hoarding symptoms for each decade of life. Age of onset of symptoms (saving, difficulty discarding, and clutter) was operationalised as the first decade in which the participant reported at least minor symptom severity, and age of onset for possible HD diagnosis was operationalised as the first decade in which the participant reported all three symptoms. The authors used mixed effects modeling to examine the progression of HD symptoms. Results: The median age of onset for symptoms was between 10 and 20 years, and the median age of onset for possible HD diagnosis was between 20 and 30 years. Twenty-three percent of participants reported onset of possible HD diagnosis after the age of 40. All HD symptoms increased in severity over time. Men reported higher initial clutter and a slower increase in hoarding severity for all symptoms. Increased education was associated with slower increase in saving. Having at least one parent with hoarding tendencies was associated with higher initial hoarding symptoms. Conclusion: Generally, symptoms of HD begin relatively early and worsen across the lifespan. However, approximately one fourth of older adults with HD reported a possible onset after the age of 40. (Edited publisher abstract)
“Do they think I am a pack rat?”
- Authors:
- ANDERSEN Elizabeth, et al
- Journal article citation:
- Journal of Elder Abuse and Neglect, 25(5), 2013, pp.438-452.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This case study presents details of the life of one older man who lived in seclusion and squalor, surrounded by hoarded possessions. This man was one participant of a focused ethnography of eight older adults who received home care. All participants in the original ethnography were identified by their community care coordinators as exhibiting hoarding behaviours. The case study presented here provides rich narrative and photographic detail in order to add strength to what has already been presented in previous research articles about compulsive acquisition. The narratives reveal examples of debilitating dysfunction, distress associated with decision making, broad acquisition of free things, compulsive buying, and ritualistic discarding. Quotes included in the case study stem from the original ethnography. (Publisher abstract)
What do we know about hoarding behaviour and treatment approaches for older people? A thematic review
- Authors:
- STEILS Nicole, et al
- Publisher:
- NIHR Policy Research Unit in Health and Social Care Workforce, The Policy Institute, King's College London
- Publication year:
- 2022
- Pagination:
- 117
- Place of publication:
- London
This thematic literature review about hoarding behaviour provides an overview of research findings and debates for researchers, practitioners, and other interested parties, and to inform a wider study on social care responses to self-neglect and hoarding behaviour among older people in England. Hoarding behaviour is complex and not always easy to understand. Over the years, several clinical terms have been used in relation to hoarding behaviour, such as clutter(ing), squalor, or Diogenes syndrome. These terms are used to describe the excessive accumulation of items and possessions in people's homes. Hoarding behaviour can lead to dangerous circumstances such as unhygienic living conditions, greater risk of falls, increased risk of injury in fires, homelessness, and even death, as well as harm to other people. This review explores theories about and definitions of hoarding behaviour and hoarding disorder, known causes for and risk factors associated with hoarding behaviour. It also presents research findings on age of onset, progression, severity and prevalence of hoarding behaviour among older people. It also provides information on what is known about treatment and interventions, including therapeutic approaches, community-based schemes, and medication. Another section explores critical perspectives on hoarding behaviour discourses. Finally, the review offers some conclusions and considerations for practice. (Edited publisher abstract)
Self-neglect and hoarding: a guide to safeguarding and support
- Author:
- BARNETT Deborah
- Publisher:
- Jessica Kingsley
- Publication year:
- 2018
- Pagination:
- 264
- Place of publication:
- London
Hoarding and self-neglect are estimated to be a factor in 20% of social workers' cases when working with older people or adults with mental health issues. This guide introduces the patterns of self-neglect and how challenging they can be to identify. It offers practical and applicable tools and solutions for all professionals involved in working with people who self-neglect. It includes tips for assessment and decision-making in the support process, and updates following the implementation of the Care Act 2014, which deemed self-neglect a safeguarding matter. (Edited publisher abstract)
Age at onset and clinical features of late life compulsive hoarding
- Authors:
- AYERS Catherine R., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 25(2), February 2010, pp.142-149.
- Publisher:
- Wiley
Compulsive hoarding is a debilitating disorder, yet little is known about its onset or clinical features. Hoarding symptoms often come to clinical attention with older patients. However, no prior study has examined whether elderly compulsive hoarders have early or late onset of hoarding symptoms, whether their hoarding symptoms are idiopathic or secondary to other conditions, or whether their symptoms are similar to compulsive hoarding symptoms seen in younger and middle-aged populations. This study determines the onset and clinical features of late life compulsive hoarding, including psychiatric and medical relationships. A group of 18 participants over 60 with clinically significant compulsive hoarding were assessed using structured interviews, including the Mini International Neuropsychiatric Interview, Structured Clinical Interview for DSM-IV, Yale-Brown Obsessive Compulsive Scale, and UCLA Hoarding Severity Scale. Self-report Measures Included the Beck Anxiety Inventory, Beck Depression Inventory, Sheehan Disability Scale, and Savings Inventory-Revised. Psychosocial and medical histories were also obtained. Participants were asked to rate their hoarding symptoms and describe major life events that occurred during each decade of their lives. Results show that onset of compulsive hoarding symptoms was initially reported as being in mid-life but actually found to be in childhood or adolescence - no subjects reported late onset compulsive hoarding. Compulsive hoarding severity seemed to increase with each decade of life. Comorbid mood and anxiety disorders were common, but only 16% of patients met criteria for OCD. The vast majority of patients had never received treatment for hoarding behaviour. Older adults with compulsive hoarding were usually socially impaired and lived alone. In conclusion compulsive hoarding appears to be a progressive and chronic condition that begins early in life. Left untreated, its severity increases with age. Compulsive hoarding should be considered a distinct clinical syndrome, separate from OCD.
Animal hoarding: slipping into the darkness of comorbid animal and self-neglect
- Author:
- NATHANSON Jane N.
- Journal article citation:
- Journal of Elder Abuse and Neglect, 21(4), October 2009, pp.307-324.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Animal hoarding is a condition which involves keeping larger than usual numbers of pets without having the ability to properly house or care for them, while at the same time denying this inability. It is associated with extreme conditions of comorbid animal and self-neglect. In order for adult protective services workers to intervene most effectively, it becomes critical to elucidate some of the developmental factors of animal hoarding behaviour and its correlation with self-neglecting behaviours in general. This article presents an in-depth diagnostic perspective derived from the author's research and clinical experience. An analysis of the complex dynamics of the relationship between animal hoarders and their pets is presented in conjunction with accepted theories of self-neglect. With enhanced knowledge and understanding of animal hoarding, social service professionals will be better prepared to respond to these clients, elicit greater rapport and cooperation, and engage in the interdisciplinary efforts that are essential for optimal resolution.
You'd better watch out...
- Author:
- STEELE Linda
- Journal article citation:
- Community Care, 17.12.98, 1998, pp.18-19.
- Publisher:
- Reed Business Information
The author takes a seasonal look at the risks involved in allowing an isolated elderly man to indulge his compulsive-giving disorder.
Behaviour therapy for obsessive compulsive disorder in a 78-year-old woman
- Authors:
- COLVIN Catriona, BODDINGTON Stephen J.A.
- Journal article citation:
- International Journal of Geriatric Psychiatry, 12(4), April 1997, pp.488-491.
- Publisher:
- Wiley
Describes a case of late onset obsessive compulsive disorder (OCD) and determines the impact of a behavioural intervention of OCD symptoms in a 78 year old women. The patient had a history of depression experienced a sudden and rapid escalation of OCD following a domestic accidents. The results of the case study supports the use of behavioural interventions for elderly patients suffering from OCD. Risk factors and treatment designs are discussed in view of the literature.