An examination of the role of intolerance of distress and uncertainty in hoarding symptoms
Abstract
Background Hoarding disorder (HD) is a common and debilitating disorder characterized by an accumulation of and failure to discard one's possessions. The identification and examination of underlying factors that may contribute to hoarding symptoms are needed to elucidate the nature of the disorder and refine existing treatments. Two transdiagnostic vulnerability factors that have been associated with hoarding symptoms are distress intolerance (DI) and intolerance of uncertainty (IU). Objectives This study examined the relationships between DI, IU, and symptoms of hoarding in two samples consisting of outpatients and individuals recruited from Amazon's Mechanical Turk. We hypothesized that DI and IU would show unique and interactive associations with hoarding symptoms. Results Across both samples, DI and IU were significantly associated with hoarding symptoms. However, DI and IU did not interact in their prediction of symptoms, and only IU remained a significant predictor, when accounting for relevant covariates. Conclusions Results suggest that IU is a robust predictor of hoarding symptoms and may be a promising and novel treatment target for HD.
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- Authors
- Mathes, B. M., Oglesby, M. E., Short, N. A., Portero, A. K., Raines, A. M., & Schmidt, N. B.
- Affiliations
- Florida State University (US)
- Southeast Louisiana Veterans Health Care System (US)
- Corresponding author
- Schmidt, Norman B.
- Venue
- Comprehensive Psychiatry
- Publisher
- Elsevier BV
- Published
- 2017-01
- Volume
- 72
- Pages
- 121-129
- ISSN
- 0010-440X (ISSN-L)
- OpenAlex
- W2539440524
- Cited by
- 37
- References
- 66
- Citations by year
- 2026: 2 · 2025: 1 · 2023: 3 · 2022: 4 · 2021: 7 · 2020: 3 · 2019: 7 · 2018: 8 · 2017: 2
- FWCI
- 7.60
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Comprehensive Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- Nature
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Clinical Psychology › Perfectionism, Procrastination, Anxiety Studies
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- hoarding disorder, hoarding symptoms, intolerance of uncertainty, distress intolerance, treatment goals, outpatients, online recruitment
- MeSH terms
- Hoarding Disorder, Adolescent, Adult, Aged, Aged, 80 and over, Anxiety Disorders, Female, Humans, Male, Middle Aged, Risk Factors, Uncertainty, Young Adult, Hoarding
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