Cited by 80Obsessive-Compulsive Spectrum DisordersDementia and Cognitive Impairment ResearchHistorical and Modern Theater Studies

Executive functioning in older adults with hoarding disorder

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Ayers, Catherine R., Wetherell, Julie Loebach, Schiehser, Dawn, Almklov, Erin, Golshan, Shahrokh, Saxena, Sanjaya·2013·International Journal of Geriatric Psychiatry

Abstract

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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Research works printed but not linked: 2

  1. First MB Gibbon M Spitzer RL Williams JBW Benjamin LS Clinical Interview for DSM-IV Axis II Personality Disorders, (SCID-II) 1997 American Psychiatric Press, Inc. Structured Washington, D.C.
  2. Frost RO Steketee G Grisham J Measurement of compulsive hoarding: saving inventory-revised Behav Res Ther 2004b 42 10 1163 1182 15350856

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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
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
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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