TY - JOUR
T1 - Relationship between symptom severity, psychiatric comorbidity, social/occupational impairment, and suicidality in hoarding disorder
AU - Archer, Christian A.
AU - Moran, Kyara
AU - Garza, Karen
AU - Zakrzewski, Jessica J.
AU - Martin, Anna
AU - Chou, Chia Ying
AU - Uhm, Soo Y.
AU - Chan, Joanne
AU - Gause, Michael
AU - Salazar, Mark
AU - Plumadore, Julian
AU - Smith, Lauren C.
AU - Komaiko, Kiya
AU - Howell, Gillian
AU - Vigil, Ofilio
AU - Bain, David
AU - Stark, Sandra
AU - Mackin, R. Scott
AU - Eckfield, Monika
AU - Vega, Eduardo
AU - Tsoh, Janice Y.
AU - Delucchi, Kevin L.
AU - Mathews, Carol A.
N1 - Publisher Copyright:
© 2018 The Authors
PY - 2019/4
Y1 - 2019/4
N2 - Social and occupational functioning deficits contribute to overall disability in hoarding disorder (HD), and psychiatric symptoms are likely strong contributors. In turn, social/occupational impairment and psychiatric illness are known to contribute to suicidality. However, few studies have examined the relationship between these factors. We examined these relationships in 313 treatment seeking individuals with HD, measuring hoarding severity with the Saving Inventory, Revised and functional impairment with the Activities of Daily Living for Hoarding Disorder (ADL-H). We created a composite social/occupational function variable assessing employment, cohabitation, and marriage. A path analysis was used to assess the relationship between social functioning, occupational functioning, hoarding related functional impairment in activities of daily living, hoarding severity, psychiatric burden, and suicidality in HD. At least one lifetime psychiatric comorbidity was noted in 61% of participants. High rates of unemployment, living alone, never marrying or being divorced/separated, and lifetime suicide attempts were present. Hoarding severity and hoarding-related functional impairment were associated with social/occupational impairment, and, along with psychiatric burden, with suicidality in this population. These findings suggest that thorough psychiatric evaluation and assessment of suicidality is warranted for those with HD, and that hoarding-related functional impairment is closely related to measures of real-world social functioning.
AB - Social and occupational functioning deficits contribute to overall disability in hoarding disorder (HD), and psychiatric symptoms are likely strong contributors. In turn, social/occupational impairment and psychiatric illness are known to contribute to suicidality. However, few studies have examined the relationship between these factors. We examined these relationships in 313 treatment seeking individuals with HD, measuring hoarding severity with the Saving Inventory, Revised and functional impairment with the Activities of Daily Living for Hoarding Disorder (ADL-H). We created a composite social/occupational function variable assessing employment, cohabitation, and marriage. A path analysis was used to assess the relationship between social functioning, occupational functioning, hoarding related functional impairment in activities of daily living, hoarding severity, psychiatric burden, and suicidality in HD. At least one lifetime psychiatric comorbidity was noted in 61% of participants. High rates of unemployment, living alone, never marrying or being divorced/separated, and lifetime suicide attempts were present. Hoarding severity and hoarding-related functional impairment were associated with social/occupational impairment, and, along with psychiatric burden, with suicidality in this population. These findings suggest that thorough psychiatric evaluation and assessment of suicidality is warranted for those with HD, and that hoarding-related functional impairment is closely related to measures of real-world social functioning.
KW - Comorbidity
KW - Functional impairment
KW - Hoarding
KW - Social functioning
KW - Suicide
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U2 - 10.1016/j.jocrd.2018.11.001
DO - 10.1016/j.jocrd.2018.11.001
M3 - Article
AN - SCOPUS:85056820666
SN - 2211-3649
VL - 21
SP - 158
EP - 164
JO - Journal of Obsessive-Compulsive and Related Disorders
JF - Journal of Obsessive-Compulsive and Related Disorders
ER -