Abstract
We describe the Temperament and Character Inventory personality traits, demographic features, physical and mental health variables associated with hoarding behaviour in a random community sample of midlife participants in New Zealand. A sample of 404 midlife participants was recruited to a study of ageing. To assess hoarding behaviours participants completed the Savings Inventory-Revised (SI-R), personality was assessed by the Temperament and Character Inventory and self-reported health was measured by the Short Form-36v2 (SF-36v2). Other measures were used to assess socio-demographic variables and current mental disorders. Participants were split into four groups by SI-R total score (scores: 0–4, 5–30, 31–41 and >41). Those who scored >41 on the SI-R were classified as having pathological hoarding. Trend tests were calculated across the four hoarding groups for socio-demographic, personality, mental and physical health variables. SI-R scores ranged from 0 to 58. The prevalence of pathological hoarding was 2.5% and a further 4% reported sub-clinical symptoms of hoarding. Higher hoarding behaviour scores were related to higher Temperament and Character Inventory scores for Harm Avoidance and lower scores for Self-directedness. Persistence and Cooperativeness scores were lower too but to a lesser extent. Trend analysis revealed that those with higher hoarding behaviour scores were more likely to be single, female, unemployed, receive income support, have a lower socio-economic status, lower household income and have poorer self-reported mental health scores. Current depression rates were considerably higher in the pathological hoarding group. Increasing SI-R hoarding behaviour scores were associated with higher scores of negative affect (Harm Avoidance) and lower scores of autonomy (Self-directedness). Those with pathological hoarding or sub-clinical symptoms of hoarding also reported widespread mental and socio-economic problems. In this study it is clear to see the physical, mental and socio-economic problems experienced by those achieving the highest hoarding scores. The prevalence of pathological hoarding was 2.5%, similar to the prevalence reported by other studies. The personality traits associated with hoarding behaviours are discussed.
Highlights
There has been considerable interest in hoarding behaviour over the last two decades
Frost & Hartl’s 1996 working definition is widely accepted and is very similar to the DSM-5 criteria: persistent difficulty throwing away possessions regardless of their value, a need to save the items and distress associated with throwing things away, cluttered living areas to the extent that they can no longer be used for their intended purpose and significant distress or impairment because of the hoarding behaviours (American Psychiatric Association, 2013)
In this study we have examined associations of personality, demographic variables, selfreported physical and mental health with four groups of hoarding behaviour defined by scores on the Savings Inventory-Revised (SI-R)
Summary
There has been considerable interest in hoarding behaviour over the last two decades. The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) (American Psychiatric Association, 1994) considered hoarding as a symptom of obsessive compulsive personality disorder and, in extreme cases, as a feature of obsessive compulsive disorder (OCD). Frost & Hartl’s 1996 working definition is widely accepted and is very similar to the DSM-5 criteria: persistent difficulty throwing away possessions regardless of their value, a need to save the items and distress associated with throwing things away, cluttered living areas to the extent that they can no longer be used for their intended purpose and significant distress or impairment because of the hoarding behaviours (American Psychiatric Association, 2013) Until recently there was considerable variation in how researchers defined hoarding (Pertusa et al, 2010). Frost & Hartl’s 1996 working definition is widely accepted and is very similar to the DSM-5 criteria: persistent difficulty throwing away possessions regardless of their value, a need to save the items and distress associated with throwing things away, cluttered living areas to the extent that they can no longer be used for their intended purpose and significant distress or impairment because of the hoarding behaviours (American Psychiatric Association, 2013)
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