Executive functioning in older adults with hoarding disorder
Open accessAbstract
Background: Hoarding disorder (HD) is a chronic and debilitating psychiatric condition. Midlife HD patients have been found to have neurocognitive impairment, particularly in areas of executive functioning, but the extent to which this is due to comorbid psychiatric disorders has not been clear. Aims/Method: The purpose of the present investigation was to examine executive functioning in geriatric HD patients without any comorbid Axis I disorders ( n = 42) compared with a healthy older adult comparison group ( n = 25). We hypothesized that older adults with HD would perform significantly worse on measures of executive functioning (Wisconsin Card Sort Task [Psychological Assessment Resources, Lutz, Florida, USA] ( Psychological Assessment Resources, 2003) and the Wechsler Adult Intelligence Scale‐IV digit span and letter–number sequencing tests [Pearson, San Antonio, TX, USA]). Results: Older adults with HD showed significant differences from healthy older controls in multiple aspects of executive functioning. Compared with healthy controls, older adults with HD committed significantly more total, non‐perseverative errors and conceptual level responses on the Wisconsin Card Sort Task and had significantly worse performance on the Wechsler Adult Intelligence Scale‐IV digit span and letter–number sequencing tests. Hoarding symptom severity was strongly correlated with executive dysfunction in the HD group. Conclusions: Compared with demographically‐matched controls, older adults with HD have dysfunction in several domains of executive functioning including mental control, working memory, inhibition, and set shifting. Executive dysfunction is strongly correlated with hoarding severity and is not because of comorbid psychiatric disorders in HD patients. These results have broad clinical implications suggesting that executive functioning should be assessed and taken into consideration when developing intervention strategies for older adults with HD. Copyright © 2013 John Wiley & Sons, Ltd.
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This weakness may also become more pronounced in older adults as it may interact with normal aging related decline.
“This weakness may also become more pronounced in older adults as it may interact with normal aging related decline (Ayers et al., 2013).”
From The profile of executive function in OCD hoarders and hoarding disorder (2014) · cites this paper as Ayers et al., 2013
Considerably greater cognitive dysfunction has been reported in geriatric hoarding patients.
“considerably greater cognitive dysfunction has been reported in geriatric hoarding patients (Ayers et al., 2013)”
From The profile of executive function in OCD hoarders and hoarding disorder (2014) · cites this paper as Ayers et al., 2013
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Analysis of patients referred for aged care assessment with concerns related to hoarding or squalor
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Phenomenology of Hoarding Disorder
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Self-citationThe Relationship Between Hoarding and Distractibility
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Obsessive-Compulsive and Related Disorders in Older Age
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The Psychology of Hoarding: Who Hoards? What do they Hoard? Why do they Hoard?
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- Authors
- Ayers, C. R., Wetherell, J. L., Schiehser, D., Almklov, E., Golshan, S., & Saxena, S.
- Affiliations
- University of California San Diego (US)
- Dartmouth College (US)
- VA San Diego Healthcare System (US)
- Venue
- International Journal of Geriatric Psychiatry
- Publisher
- Wiley
- Published
- 2013-02-26
- Volume
- 28
- Issue
- 11
- Pages
- 1175-1181
- ISSN
- 0885-6230 (ISSN-L)
- 1099-1166
- PMC
- PMC4037916
- OpenAlex
- W2150975331
- Cited by
- 80
- References
- 40
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 5 · 2023: 4 · 2022: 8 · 2021: 13 · 2020: 3 · 2019: 7 · 2018: 7 · 2017: 12 · 2016: 5 · 2015: 6 · 2014: 3 · 2013: 2
- FWCI
- 5.93
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- International Journal of Geriatric Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- U.S. Department of Veterans Affairs
- National Institute of Mental Health (K23MH067643)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Social Sciences › Psychology › Clinical Psychology › Historical and Modern Theater Studies
- Keywords
- hoarding disorder, executive function, older adults, neurocognitive impairment, Wechsler Adult Intelligence Scale-IV, digit span, letter-number sequencing, working memory, inhibition, set-shifting, psychiatric comorbidity
- MeSH terms
- Hoarding Disorder, Aged, Female, Humans, Male, Middle Aged, Neuropsychological Tests, Severity of Illness Index, Case-Control Studies, Executive Function
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