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Neuropsychological functioning in hoarding disorder

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Tolin, David F., Villavicencio, Anna, Umbach, Andrea, Kurtz, Matthew M.·2011·Psychiatry Research

Abstract

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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Crossref · 10.1016/j.psychres.2011.06.022

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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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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)
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
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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