Current Psychiatry Reports

, Volume 10, Issue 4, pp 297–303

Recent advances in compulsive hoarding

Authors

    • Department of PsychiatryUniversity of California at San Diego
Article

DOI: 10.1007/s11920-008-0048-8

Cite this article as:
Saxena, S. Curr Psychiatry Rep (2008) 10: 297. doi:10.1007/s11920-008-0048-8

Abstract

Compulsive hoarding is a common and often disabling neuropsychiatric disorder. This article reviews the conceptualization, phenomenology, diagnosis, etiology, neurobiology, and treatment of compulsive hoarding. Compulsive hoarding is part of a discrete clinical syndrome that includes difficulty discarding, urges to save, excessive acquisition, indecisiveness, perfectionism, procrastination, disorganization, and avoidance. It was thought to be part of obsessive-compulsive disorder or obsessive-compulsive personality disorder, but recent evidence indicates that it should be classified as a separate disorder with its own diagnostic criteria. Compulsive hoarding is a genetically discrete, strongly heritable phenotype. Neuroimaging and neuropsychological studies are elucidating its neurobiology, implicating dysfunction of ventral and medial prefrontal cortical areas that mediate decision-making, attention, and emotional regulation. Effective treatments include pharmacotherapy and cognitive-behavioral therapy. More research will be required to determine the prevalence, etiology, and pathophysiology of compulsive hoarding and to develop better treatments

Download to read the full article text

Copyright information

© Current Medicine Group LLC 2008