Skip to main content
Top
Gepubliceerd in:

18-10-2018

Validation of a Behavioral Measure of Acquiring and Discarding in Hoarding Disorder

Auteurs: Hannah C. Levy, Michael C. Stevens, David F. Tolin

Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment | Uitgave 1/2019

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Behavioral assessment is an important component of evidence-based assessment and treatment in anxiety and related disorders. The purpose of the current study was to validate a behavioral measure of difficulty discarding and acquiring, the core features of hoarding disorder (HD). Seventy-eight patients with a primary diagnosis of HD completed a computerized acquiring and discarding task; the task consisted of making simulated decisions about acquiring and discarding items of varying monetary value. A subset of patients (n = 42) went on to receive cognitive-behavioral therapy (CBT) for HD and completed the computer tasks again after treatment. An additional 30 age- and sex-matched healthy control participants (HCs) also completed the acquiring and discarding tasks. Results showed that HD patients saved and acquired more items than the HC group, and had longer response times during the tasks. In support of the convergent validity of the tasks, item decisions and reaction times were positively correlated with established measures of HD symptoms. Among treatment completers, items saved and acquired and response times decreased from pre- to post-CBT, suggesting that the tasks were sensitive to detect treatment-related changes in difficulty discarding and acquiring behaviors. The findings support the validity of the discarding and acquiring tasks in measuring HD symptoms, and are discussed in terms of the potential advantages of behavioral measures in HD treatment and research.
Literatuur
go back to reference American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.CrossRef American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.CrossRef
go back to reference DiMauro, J., Tolin, D. F., Frost, R. O., & Steketee, G. (2013). Do people with hoarding disorder under-report their symptoms? Journal of Obsessive-Compulsive and Related Disorders, 2, 130–136.CrossRefPubMedPubMedCentral DiMauro, J., Tolin, D. F., Frost, R. O., & Steketee, G. (2013). Do people with hoarding disorder under-report their symptoms? Journal of Obsessive-Compulsive and Related Disorders, 2, 130–136.CrossRefPubMedPubMedCentral
go back to reference Frost, R. O., & Shows, D. L. (1993). The nature and measurement of compulsive indecisiveness. Behaviour Research and Therapy, 31(7), 683–692.CrossRefPubMed Frost, R. O., & Shows, D. L. (1993). The nature and measurement of compulsive indecisiveness. Behaviour Research and Therapy, 31(7), 683–692.CrossRefPubMed
go back to reference Frost, R. O., Steketee, G., & Grisham, J. (2004). Measurement of compulsive hoarding: Saving inventory-revised. Behaviour Research and Therapy, 42(10), 1163–1182.CrossRefPubMed Frost, R. O., Steketee, G., & Grisham, J. (2004). Measurement of compulsive hoarding: Saving inventory-revised. Behaviour Research and Therapy, 42(10), 1163–1182.CrossRefPubMed
go back to reference Frost, R. O., Tolin, D. F., Steketee, G., Fitch, K. E., & Selbo-Bruns, A. (2009). Excessive acquisition in hoarding. Journal of Anxiety Disorders, 23(5), 632–639.CrossRefPubMedPubMedCentral Frost, R. O., Tolin, D. F., Steketee, G., Fitch, K. E., & Selbo-Bruns, A. (2009). Excessive acquisition in hoarding. Journal of Anxiety Disorders, 23(5), 632–639.CrossRefPubMedPubMedCentral
go back to reference Frost, R. O., Tolin, D. F., Steketee, G., & Oh, M. (2011). Indecisiveness and hoarding. International Journal of Cognitive Therapy, 4, 253–262.CrossRef Frost, R. O., Tolin, D. F., Steketee, G., & Oh, M. (2011). Indecisiveness and hoarding. International Journal of Cognitive Therapy, 4, 253–262.CrossRef
go back to reference Guy, W. (1976). Assessment manual for psychopharmacology. Washington, DC: U.S. Government Printing Office. Guy, W. (1976). Assessment manual for psychopharmacology. Washington, DC: U.S. Government Printing Office.
go back to reference Haynes, S. N., Keawe'aimoku Kaholokula, J., & Yoshioka, D. T. (2008). Behavioral assessment. In A. M. Nezu & C. Maguth Nezu (Eds.), Evidence-based outcome research: A practical guide to conducting randomized controlled trials for psychosocial interventions (pp. 67–93). New York: Oxford University Press. Haynes, S. N., Keawe'aimoku Kaholokula, J., & Yoshioka, D. T. (2008). Behavioral assessment. In A. M. Nezu & C. Maguth Nezu (Eds.), Evidence-based outcome research: A practical guide to conducting randomized controlled trials for psychosocial interventions (pp. 67–93). New York: Oxford University Press.
go back to reference Lawrence, N. S., Wooderson, S., Mataix-Cols, D., David, R., Speckens, A., & Phillips, M. L. (2006). Decision making and set shifting impairments are associated with distinct symptom dimensions in obsessive-compulsive disorder. Neuropsychology, 20(4), 409–419.CrossRefPubMed Lawrence, N. S., Wooderson, S., Mataix-Cols, D., David, R., Speckens, A., & Phillips, M. L. (2006). Decision making and set shifting impairments are associated with distinct symptom dimensions in obsessive-compulsive disorder. Neuropsychology, 20(4), 409–419.CrossRefPubMed
go back to reference Moshier, S. J., Wootton, B. M., Bragdon, L. B., Tolin, D. F., Davis, E., DiMauro, J., & Diefenbach, G. J. (2016). The relationship between self-reported and objective neuropsychological impairments in patients with hoarding disorder. Journal of Obsessive-Compulsive and Related Disorders, 9, 9–15.CrossRef Moshier, S. J., Wootton, B. M., Bragdon, L. B., Tolin, D. F., Davis, E., DiMauro, J., & Diefenbach, G. J. (2016). The relationship between self-reported and objective neuropsychological impairments in patients with hoarding disorder. Journal of Obsessive-Compulsive and Related Disorders, 9, 9–15.CrossRef
go back to reference Steketee, G., & Frost, R. O. (2003). Compulsive hoarding: Current status of the research. Clinical Psychology Review, 23, 905–927.CrossRefPubMed Steketee, G., & Frost, R. O. (2003). Compulsive hoarding: Current status of the research. Clinical Psychology Review, 23, 905–927.CrossRefPubMed
go back to reference Tolin, D. F., Kiehl, K. A., Worhunsky, P., Book, G. A., & Maltby, N. (2009). An exploratory study of the neural mechanisms of decision making in compulsive hoarding. Psychological Medicine, 39(2), 325–336.CrossRefPubMed Tolin, D. F., Kiehl, K. A., Worhunsky, P., Book, G. A., & Maltby, N. (2009). An exploratory study of the neural mechanisms of decision making in compulsive hoarding. Psychological Medicine, 39(2), 325–336.CrossRefPubMed
go back to reference Tolin, D. F., Stevens, M. C., Nave, A. M., Villavicencio, A., & Morrison, S. (2012a). Neural mechanisms of cognitive behavioral therapy response in hoarding disorder: A pilot study. Journal of Obsessive-Compulsive and Related Disorders, 1, 180–188.CrossRef Tolin, D. F., Stevens, M. C., Nave, A. M., Villavicencio, A., & Morrison, S. (2012a). Neural mechanisms of cognitive behavioral therapy response in hoarding disorder: A pilot study. Journal of Obsessive-Compulsive and Related Disorders, 1, 180–188.CrossRef
go back to reference Tolin, D. F., Stevens, M. C., Villavicencio, A. L., Norberg, M. M., Calhoun, V. D., Frost, R. O., . . . Pearlson, G. D. (2012b). Neural mechanisms of decision making in hoarding disorder. Archives of General Psychiatry, 69(8), 832–841.CrossRefPubMedPubMedCentral Tolin, D. F., Stevens, M. C., Villavicencio, A. L., Norberg, M. M., Calhoun, V. D., Frost, R. O., . . . Pearlson, G. D. (2012b). Neural mechanisms of decision making in hoarding disorder. Archives of General Psychiatry, 69(8), 832–841.CrossRefPubMedPubMedCentral
go back to reference Tolin, D. F., Frost, R. O., Steketee, G., & Muroff, J. (2015). Cognitive behavioral therapy for hoarding disorder: A meta-analysis. Depression and Anxiety, 32, 158–166.CrossRefPubMed Tolin, D. F., Frost, R. O., Steketee, G., & Muroff, J. (2015). Cognitive behavioral therapy for hoarding disorder: A meta-analysis. Depression and Anxiety, 32, 158–166.CrossRefPubMed
go back to reference Tolin, D. F., Worden, B. L., Wootton, B. M., & Gilliam, C. M. (2017). CBT for hoarding disorder: A group therapy program: Therapist's guide. West Sussex: Wiley-Blackwell.CrossRef Tolin, D. F., Worden, B. L., Wootton, B. M., & Gilliam, C. M. (2017). CBT for hoarding disorder: A group therapy program: Therapist's guide. West Sussex: Wiley-Blackwell.CrossRef
go back to reference Tolin, D. F., Gilliam, C. M., Davis, E., Springer, K., Levy, H. C., Frost, R. O., & Steketee, G. (in press). Psychometric properties of the hoarding rating scale-interview. Journal of Obsessive-Compulsive and Related Disorders, Psychometric properties of the Hoarding Rating Scale-Interview. Tolin, D. F., Gilliam, C. M., Davis, E., Springer, K., Levy, H. C., Frost, R. O., & Steketee, G. (in press). Psychometric properties of the hoarding rating scale-interview. Journal of Obsessive-Compulsive and Related Disorders, Psychometric properties of the Hoarding Rating Scale-Interview.
go back to reference Worden, B. L., DiLoreto, J., & Tolin, D. F. (2014). Insight and motivation. In R. O. Frost & G. Steketee (Eds.), The Oxford handbook of hoarding and acquiring. New York: Oxford University Press. Worden, B. L., DiLoreto, J., & Tolin, D. F. (2014). Insight and motivation. In R. O. Frost & G. Steketee (Eds.), The Oxford handbook of hoarding and acquiring. New York: Oxford University Press.
Metagegevens
Titel
Validation of a Behavioral Measure of Acquiring and Discarding in Hoarding Disorder
Auteurs
Hannah C. Levy
Michael C. Stevens
David F. Tolin
Publicatiedatum
18-10-2018
Uitgeverij
Springer US
Gepubliceerd in
Journal of Psychopathology and Behavioral Assessment / Uitgave 1/2019
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505
DOI
https://doi.org/10.1007/s10862-018-9701-7

Andere artikelen Uitgave 1/2019

Journal of Psychopathology and Behavioral Assessment 1/2019 Naar de uitgave