Neuropsychological functioning in hoarding disorder
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Hoarding disorder (HD) is increasingly viewed as distinct from obsessive-compulsive disorder (OCD). In particular, some researchers have suggested that HD is characterized by substantial problems of neurocognitive function; however, HD patients have not yet been compared to OCD patients in this respect. The aim of the present study was to compare neuropsychological test performance in HD patients (n=27), OCD patients (n=12), and healthy controls (n=26). Consistent with previous research, HD patients showed an attenuated ability to sustain attention and poorer employment of adaptive memory strategies compared to healthy controls. HD and OCD patients did not differ significantly on these measures, although moderate effect sizes suggested that hoarders showed somewhat greater attenuation of attentional capacity. Rates of true impairment on any particular neuropsychological test were fairly low across all three groups, although 67% of HD patients (compared to 58% of OCD patients and 42% of healthy controls) scored in the impaired range on at least one measure (odds ratio=2.22). Results are discussed in terms of emerging conceptualizations of HD as a distinct illness.
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The neuropsychological profile of patients with hoarding closely resembles that of ADHD inattentive subtype patients, with symptoms of diminished sustained attention.
“the neuropsychological profile of patients with hoarding closely resembles that of ADHD inattentive subtype patients, with symptoms of diminished sustained attention”
From The neurobiological link between OCD and ADHD (2014) · cites this paper as Tolin et al. 2011
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Self-citationNeurocognitive performance in unmedicated patients with hoarding disorder.
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Scrupulosity and contamination OCD are not associated with deficits in response inhibition
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Visually mediated functioning improves following treatment of hoarding disorder
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Planning functioning and impulsiveness in obsessive–compulsive disorder
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Evaluating an Animal Model of Compulsive Hoarding in Humans
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Clinical characteristics of hoarding disorder in Japanese patients
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Attention, response inhibition, and hoarding: A neuropsychological examination
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Self-citationPsychological and electrophysiological indices of inattention in hoarding
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Should I Keep It? Thoughts Verbalized During a Discarding Task
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Cognitive impairment in hoarding disorder: a systematic review
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Electrophysiological dynamics of visuocortical processing in hoarding disorder
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An investigation of delay and probability discounting in hoarding disorder
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- Authors
- Tolin, D. F., Villavicencio, A., Umbach, A., & Kurtz, M. M.
- Affiliations
- Yale University (US)
- Wesleyan University (US)
- Corresponding author
- Tolin, David F.
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2011-10
- Volume
- 189
- Issue
- 3
- Pages
- 413-418
- ISSN
- 0165-1781 (ISSN-L)
- PMC
- PMC3185111
- OpenAlex
- W2009693895
- Cited by
- 117
- References
- 55
- Citations by year
- 2026: 2 · 2025: 3 · 2023: 5 · 2022: 5 · 2021: 14 · 2020: 6 · 2019: 7 · 2018: 12 · 2017: 12 · 2016: 7 · 2015: 12 · 2014: 11 · 2013: 13 · 2012: 4
- FWCI
- 10.69
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R01MH074934)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Clinical Psychology › Perfectionism, Procrastination, Anxiety Studies
- Social Sciences › Decision Sciences › Information Systems and Management › Personal Information Management and User Behavior
- Keywords
- hoarding disorder, obsessive-compulsive disorder, neuropsychological performance, attention, memory strategies, cognitive impairment, diagnostic validity
- MeSH terms
- Adaptation, Psychological, Adolescent, Adult, Aged, Analysis of Variance, Attention, Cognition Disorders, Female, Humans, Male, Memory, Middle Aged, Neuropsychological Tests, Obsessive-Compulsive Disorder, Psychiatric Status Rating Scales, Speech Disorders, Statistics as Topic, Young Adult, Self Report
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