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BioPsychoSocial Medicine
Published in: BioPsychoSocial Medicine 1/2019

Open Access 01-12-2019 | Developmental Disorder | Research

Relevance of hoarding behavior and the traits of developmental disorders among university students: a self-reported assessment study

Authors: Kosuke Kajitani, Rikako Tsuchimoto, Jun Nagano, Tomohiro Nakao

Published in: BioPsychoSocial Medicine | Issue 1/2019

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Abstract

Background

Previous studies have shown that hoarding behavior usually starts at a subclinical level in early adolescence and gradually worsens; however, a limited number of studies have examined the prevalence of hoarding behavior and its association with developmental disorders in young adults. The aims of this study were to estimate the prevalence of hoarding behavior and to identify correlations between hoarding behavior and developmental disorder traits in university students.

Methods

The study participants included 801 university students (616 men, 185 women) who completed questionnaires (ASRS: Adult ADHD Self-Report Scale version 1.1, AQ16: Autism-Spectrum Quotient with 16 items, and CIR: Clutter Image Rating).

Results

Among 801 participants, 27 (3.4%) exceeded the CIR cut-off score. Moreover, the participants with hoarding behavior had a significantly higher percentage of ADHD traits compared to participants without hoarding behavior (HB(+) vs HB(−), 40.7% vs 21.7%). In addition, 7.4% of HB(+) participants had autism spectrum disorder (ASD) traits, compared to 4.1% of HB(−) participants. A correlation analysis revealed that the CIR composite score had a stronger correlation with the ASRS inattentive score than with the hyperactivity/impulsivity score (CIR composite vs ASRS IA, r = 0.283; CIR composite vs ASRS H/I, r = 0.147).

Conclusions

The results showed a high prevalence of ADHD traits in the university students with hoarding behavior. Moreover, we found that the hoarding behavior was more strongly correlated with inattentive symptoms rather than with hyperactivity/impulsivity symptoms. Our results support the concept of a common pathophysiology behind hoarding behavior and ADHD in young adults.
Literature
1.
Frost RO, Gross RC. The hoarding of possessions. Behav Res Ther. 1993;31(4):367–81.CrossRef
2.
Frost RO, Steketee G, Tolin DF. Comorbidity in hoarding disorder. Depress Anxiety. 2011;28(10):876–84.CrossRef
3.
Samuels JF, Bienvenu OJ 3rd, Pinto A, Fyer AJ, McCracken JT, Rauch SL, et al. Hoarding in obsessive-compulsive disorder: results from the OCD collaborative genetics study. Behav Res Ther. 2007;45(4):673–86.CrossRef
4.
Samuels JF, Bienvenu OJ, Grados MA, Cullen B, Riddle MA, Liang KY, et al. Prevalence and correlates of hoarding behavior in a community-based sample. Behav Res Ther. 2008;46(7):836–44.CrossRef
5.
Weiss KJ, Khan A. Hoarding, Housing, and DSM-5. J Am Acad Psychiatry Law. 2015;43(4):492–8.PubMed
6.
American-Psychiatric-Association. Diagnostic and statistical manual of mental disorders, fifth edition. Arlington, VA: American Psychiatric Association; 2013.CrossRef
7.
Iervolino AC, Perroud N, Fullana MA, Guipponi M, Cherkas L, Collier DA, et al. Prevalence and heritability of compulsive hoarding: a twin study. Am J Psychiatry. 2009;166(10):1156–61.CrossRef
8.
Timpano KR, Buckner JD, Richey JA, Murphy DL, Schmidt NB. Exploration of anxiety sensitivity and distress tolerance as vulnerability factors for hoarding behaviors. Depress Anxiety. 2009;26(4):343–53.CrossRef
9.
Sansone RA, Sansone LA. Hoarding: obsessive symptom or syndrome? Psychiatry (Edgmont). 2010;7(2):24–7.
10.
Weiss KJ. Hoarding, hermitage, and the law: why we love the Collyer brothers. J Am Acad Psychiatry Law. 2010;38(2):251–7.PubMed
11.
Hwang JP, Tsai SJ, Yang CH, Liu KM, Lirng JF. Hoarding behavior in dementia. A preliminary report. Am J Geriatr Psychiatry. 1998;6(4):285–9.PubMed
12.
Samuels J, Bienvenu OJ 3rd, Riddle MA, Cullen BA, Grados MA, Liang KY, et al. Hoarding in obsessive compulsive disorder: results from a case-control study. Behav Res Ther. 2002;40(5):517–28.CrossRef
13.
Hall BJ, Tolin DF, Frost RO, Steketee G. An exploration of comorbid symptoms and clinical correlates of clinically significant hoarding symptoms. Depress Anxiety. 2013;30(1):67–76.CrossRef
14.
Ayers CR, Saxena S, Golshan S, Wetherell JL. Age at onset and clinical features of late life compulsive hoarding. Int J Geriatr Psychiatry. 2010;25(2):142–9.CrossRef
15.
Reid JM, Arnold E, Rosen S, Mason G, Larson MJ, Murphy TK, et al. Hoarding behaviors among nonclinical elderly adults: correlations with hoarding cognitions, obsessive-compulsive symptoms, and measures of general psychopathology. J Anxiety Disord. 2011;25(8):1116–22.CrossRef
16.
Dozier ME, Porter B, Ayers CR. Age of onset and progression of hoarding symptoms in older adults with hoarding disorder. Aging Ment Health. 2016;20(7):736–42.CrossRef
17.
Grisham JR, Frost RO, Steketee G, Kim HJ, Hood S. Age of onset of compulsive hoarding. J Anxiety Disord. 2006;20(5):675–86.CrossRef
18.
Hacker LE, Park JM, Timpano KR, Cavitt MA, Alvaro JL, Lewin AB, et al. Hoarding in children with ADHD. J Atten Disord. 2016;20(7):617–26.CrossRef
19.
Storch EA, Nadeau JM, Johnco C, Timpano K, McBride N, Jane Mutch P, et al. Hoarding in youth with autism spectrum disorders and anxiety: incidence, clinical correlates, and behavioral treatment response. J Autism Dev Disord. 2016;46(5):1602–12.CrossRef
20.
Kessler RC, Adler L, Ames M, Demler O, Faraone S, Hiripi E, et al. The World Health Organization adult ADHD self-report scale (ASRS): a short screening scale for use in the general population. Psychol Med. 2005;35(2):245–56.CrossRef
21.
Corbisiero S, Hartmann-Schorro RM, Riecher-Rossler A, Stieglitz RD. Screening for adult attention-deficit/hyperactivity disorder in a psychiatric outpatient population with specific focus on sex differences. Front Psychiatry. 2017;8:115.CrossRef
22.
Kiatrungrit K, Putthisri S, Hongsanguansri S, Wisajan P, Jullagate S. Validity and reliability of adult ADHD self-report scale Thai version (ASRS-V1.1 TH). Shanghai Arch Psychiatry. 2017;29(4):218–27.PubMedPubMedCentral
23.
Baron-Cohen S, Wheelwright S, Skinner R, Martin J, Clubley E. The autism-spectrum quotient (AQ): evidence from Asperger syndrome/high-functioning autism, males and females, scientists and mathematicians. J Autism Dev Disord. 2001;31(1):5–17.CrossRef
24.
Hoekstra RA, Vinkhuyzen AA, Wheelwright S, Bartels M, Boomsma DI, Baron-Cohen S, et al. The construction and validation of an abridged version of the autism-spectrum quotient (AQ-short). J Autism Dev Disord. 2011;41(5):589–96.CrossRef
25.
Allison C, Auyeung B, Baron-Cohen S. Toward brief “red flags” for autism screening: the short autism spectrum quotient and the short quantitative checklist for autism in toddlers in 1,000 cases and 3,000 controls [corrected]. J Am Acad Child Adolesc Psychiatry. 2012;51(2):202–12 e7.CrossRef
26.
Kurita H, Osada H, Miyamoto Y, Shimizu K. Autism-Spectrum quotient Japanese version (AQ-J) cutoff for Asperger’s disorder. Jpn J Clin Psychiatry. 2004;33(2):209–14.
27.
Frost RO, Steketee G, Tolin DF, Renaud S. Development and validation of the clutter image rating. J Psychopathol Behav Assess. 2008;30:193–203.CrossRef
28.
Mataix-Cols D, Frost RO, Pertusa A, Clark LA, Saxena S, Leckman JF, et al. Hoarding disorder: a new diagnosis for DSM-V? Depress Anxiety. 2010;27(6):556–72.CrossRef
29.
Cath DC, Nizar K, Boomsma D, Mathews CA. Age-specific prevalence of hoarding and obsessive compulsive disorder: a population-based study. Am J Geriatr Psychiatry. 2017;25(3):245–55.CrossRef
30.
Ivanov VZ, Nordsletten A, Mataix-Cols D, Serlachius E, Lichtenstein P, Lundstrom S, et al. Heritability of hoarding symptoms across adolescence and young adulthood: a longitudinal twin study. PLoS One. 2017;12(6):e0179541.CrossRef
31.
Mueller A, Mitchell JE, Crosby RD, Glaesmer H, de Zwaan M. The prevalence of compulsive hoarding and its association with compulsive buying in a German population-based sample. Behav Res Ther. 2009;47(8):705–9.CrossRef
32.
Timpano KR, Exner C, Glaesmer H, Rief W, Keshaviah A, Brahler E, et al. The epidemiology of the proposed DSM-5 hoarding disorder: exploration of the acquisition specifier, associated features, and distress. J Clin Psychiatry. 2011;72(6):780–6; quiz 878-9.CrossRef
33.
Hartl TL, Duffany SR, Allen GJ, Steketee G, Frost RO. Relationships among compulsive hoarding, trauma, and attention-deficit/hyperactivity disorder. Behav Res Ther. 2005;43(2):269–76.CrossRef
34.
Fullana MA, Vilagut G, Mataix-Cols D, Adroher ND, Bruffaerts R, Bunting B, et al. Is ADHD in childhood associated with lifetime hoarding symptoms? An epidemiological study. Depress Anxiety. 2013;30(8):741–8.CrossRef
35.
Tolin DF, Villavicencio A. Inattention, but not OCD, predicts the core features of hoarding disorder. Behav Res Ther. 2011;49(2):120–5.CrossRef
36.
Grisham JR, Norberg MM, Williams AD, Certoma SP, Kadib R. Categorization and cognitive deficits in compulsive hoarding. Behav Res Ther. 2010;48(9):866–72.CrossRef
37.
Ziegler S, Pedersen ML, Mowinckel AM, Biele G. Modelling ADHD: a review of ADHD theories through their predictions for computational models of decision-making and reinforcement learning. Neurosci Biobehav Rev. 2016;71:633–56.CrossRef
38.
Lawrence NS, Wooderson S, Mataix-Cols D, David R, Speckens A, Phillips ML. Decision making and set shifting impairments are associated with distinct symptom dimensions in obsessive-compulsive disorder. Neuropsychology. 2006;20(4):409–19.CrossRef
39.
Morris SH, Jaffee SR, Goodwin GP, Franklin ME. Hoarding in children and adolescents: a review. Child Psychiatry Hum Dev. 2016;47(5):740–50.CrossRef
40.
Hirschtritt ME, Darrow SM, Illmann C, Osiecki L, Grados M, Sandor P, et al. Genetic and phenotypic overlap of specific obsessive-compulsive and attention-deficit/hyperactive subtypes with Tourette syndrome. Psychol Med. 2018;48(2):279–93.CrossRef
41.
Grassi G, Micheli L, Di Cesare Mannelli L, Compagno E, Righi L, Ghelardini C, et al. Atomoxetine for hoarding disorder: a pre-clinical and clinical investigation. J Psychiatr Res. 2016;83:240–8.CrossRef
42.
Tolin DF, Meunier SA, Frost RO, Steketee G. Course of compulsive hoarding and its relationship to life events. Depress Anxiety. 2010;27(9):829–38.CrossRef
43.
Storch EA, Rahman O, Park JM, Reid J, Murphy TK, Lewin AB. Compulsive hoarding in children. J Clin Psychol. 2011;67(5):507–16.CrossRef
44.
Burton CL, Arnold PD, Soreni N. Three reasons why studying hoarding in children and adolescents is important. J Can Acad Child Adolesc Psychiatry. 2015;24(2):128–30.PubMedPubMedCentral
45.
Tolin DF, Frost RO, Steketee G, Muroff J. Cognitive behavioral therapy for hoarding disorder: a meta-analysis. Depress Anxiety. 2015;32(3):158–66.CrossRef
46.
Sonuga-Barke EJ, Koerting J, Smith E, McCann DC, Thompson M. Early detection and intervention for attention-deficit/hyperactivity disorder. Expert Rev Neurother. 2011;11(4):557–63.CrossRef
47.
Catala-Lopez F, Hutton B, Nunez-Beltran A, Page MJ, Ridao M, Macias Saint-Gerons D, et al. The pharmacological and non-pharmacological treatment of attention deficit hyperactivity disorder in children and adolescents: a systematic review with network meta-analyses of randomised trials. PLoS One. 2017;12(7):e0180355.CrossRef
48.
Katzman MA, Bilkey TS, Chokka PR, Fallu A, Klassen LJ. Adult ADHD and comorbid disorders: clinical implications of a dimensional approach. BMC Psychiatry. 2017;17(1):302.CrossRef
49.
Ruta L, Mugno D, D’Arrigo VG, Vitiello B, Mazzone L. Obsessive-compulsive traits in children and adolescents with Asperger syndrome. Eur Child Adolesc Psychiatry. 2010;19(1):17–24.CrossRef
50.
Scahill L, Dimitropoulos A, McDougle CJ, Aman MG, Feurer ID, McCracken JT, et al. Children's Yale-Brown obsessive compulsive scale in autism spectrum disorder: component structure and correlates of symptom checklist. J Am Acad Child Adolesc Psychiatry. 2014;53(1):97–107 e1.CrossRef
51.
La Buissonniere-Ariza V, Wood JJ, Kendall PC, McBride NM, Cepeda SL, Small BJ, et al. Presentation and correlates of hoarding behaviors in children with autism spectrum disorders and comorbid anxiety or obsessive-compulsive symptoms. J Autism Dev Disord. 2018;48(12):4167–78.CrossRef
52.
Novara C, Bottesi G, Dorz S, Sanavio E. Hoarding symptoms are not exclusive to hoarders. Front Psychol. 2016;7:1742.CrossRef
53.
Tolin DF, Meunier SA, Frost RO, Steketee G. Hoarding among patients seeking treatment for anxiety disorders. J Anxiety Disord. 2011;25(1):43–8.CrossRef
54.
Kajitani K, Tsuchimoto R, Matsushita T, Fukumori H. Correlation between Taijin-Kyofu-sho and attention deficit hyperactivity disorder among university students: a self-reported assessment study. Psychiatry J. 2019;2019:7953123.CrossRef
55.
Mitsui N, Asakura S, Shimizu Y, Fujii Y, Kako Y, Tanaka T, et al. Temperament and character profiles of Japanese university students with depressive episodes and ideas of suicide or self-harm: a PHQ-9 screening study. Compr Psychiatry. 2013;54(8):1215–21.CrossRef
56.
Luchins DJ, Goldman MB, Lieb M, Hanrahan P. Repetitive behaviors in chronically institutionalized schizophrenic patients. Schizophr Res. 1992;8(2):119–23.CrossRef
Metadata
Title
Relevance of hoarding behavior and the traits of developmental disorders among university students: a self-reported assessment study
Authors
Kosuke Kajitani
Rikako Tsuchimoto
Jun Nagano
Tomohiro Nakao
Publication date
01-12-2019

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