Cognitive Therapy and Research

, Volume 41, Issue 5, pp 799–805 | Cite as

A Preliminary Investigation of the Measurement of Object Interconnectedness in Hoarding Disorder

  • Mary E. Dozier
  • Charles T. Taylor
  • Natalie Castriotta
  • Tina L. Mayes
  • Catherine R. Ayers
Original Article

Abstract

A defining feature of hoarding disorder (HD) is excessive attachment to possessions. Several existing self-report measures assess emotional attachment to items but do not explicitly assess the level of interconnectedness between the individual and their items. The current study investigated a new self-report measure of object attachment based on a measure of interconnectedness among individuals. The visual nature of this measure may be especially useful in HD patients since hoarding is often characterized by low insight. Participants completed the Relationship between Self and Items (RSI) measure and measures of hoarding severity, clutter, anxiety, and depression. HD participants reported significantly higher scores on the RSI than did community controls. The RSI was positively associated with hoarding symptoms, but was not significantly correlated with symptoms of anxiety or depression. Results also suggested that the RSI is sensitive to change from pre to post-treatment. This brief, one-item measure may be useful as a screen for HD and to provide further clinical data on level of interconnectedness to possessions.

Keywords

Hoarding disorder Interconnectedness Anxiety 

References

  1. American Psychiatric Association (2013). Diagnostic and statistical manual of mental health disorders: DSM-5 (5th edn.). Washington, DC: American Psychiatric Publishing.CrossRefGoogle Scholar
  2. Aron, A., & Aron, E. N. (1986). Love as the expansion of self: Understanding attraction and satisfaction. New York: Hemisphere.Google Scholar
  3. Aron, A., Aron, E. N., & Smollan, D. (1992). Inclusion of Other in the Self Scale and the structure of interpersonal closeness. Journal of Personality and Social Psychology, 63(4), 596–612.CrossRefGoogle Scholar
  4. Aron, A., Aron, E. N., Tudor, M., & Nelson, G. (1991). Close relationships as including other in the self. Journal of Personality and Social Psychology, 60, 241–253.CrossRefGoogle Scholar
  5. Ayers, C. R., Dozier, M. E., Wetherell, J. L., Twamley, E. W., & Schiehser, D. M. (2016). Executive Functioning in Participants Over Age of 50 with Hoarding Disorder. The American Journal of Geriatric Psychiatry, 24(5), 342–349.CrossRefGoogle Scholar
  6. Crowne, D. P., & Marlowe, D. (1960). A new scale of social desirability independent of psychopathology. Journal of Consulting and Clinical Psychology, 24(4), 349–354.CrossRefGoogle Scholar
  7. Dozier, M. E., & Ayers, C. R. (2015). Validation of the Clutter Image Rating in older adults with hoarding disorder. International Psychogeriatrics/IPA, 27, 769–776.CrossRefGoogle Scholar
  8. Dozier, M. E., Schiehser, D. M., & Ayers, C. R. (2015). Self-Reported behavioral disturbances in older adults with hoarding disorder. The American Journal of Geriatric Psychiatry, 3(23), S90–S91.CrossRefGoogle Scholar
  9. Frost, R. O., & Gross, R. C. (1993). The hoarding of possessions. Behaviour research and therapy, 31, 367–381.CrossRefPubMedGoogle Scholar
  10. Frost, R. O., & Hartl, T. L. (1996). A cognitive-behavioural model of compulsive hoarding. Behaviour Research and Therapy, 34, 341–350.CrossRefPubMedGoogle Scholar
  11. Frost, R. O., Hartl, T. L., Christian, R., & Williams, N. (1995). The value of possessions in compulsive hoarding: patterns of use and attachment. Behaviour Research and Therapy, 33, 897–902.CrossRefPubMedGoogle Scholar
  12. Frost, R. O., Krause, M., & Steketee, G. (1996). Hoarding and obsessive compulsive symptoms. Behavior Modification, 20, 116–132.CrossRefPubMedGoogle Scholar
  13. Frost, R. O., Steketee, G., & Grisham, J. (2004). Measurement of compulsive hoarding: Saving inventory-revised. Behaviour Research Therapy, 42, 1163–1182CrossRefPubMedGoogle Scholar
  14. Frost, R. O., Steketee, G., Tolin, D. F., & Renaud, S. (2008). Development and validation of the clutter image rating. Journal of Psychopathology Behavioral Assessment, 30, 193–203CrossRefGoogle Scholar
  15. Furby, L. (1978). Possessions: Toward a theory of their meaning and function throughout the life cycle. In P. B. Bates (Ed.), Life span development and behavior (Vol. 1). New York: Academic Press.Google Scholar
  16. Grisham, J. R., Frost, R. O., Steketee, G., Kim, H. J., Tarkoff, A., & Hood, S. (2009). Formation of attachment to possessions in compulsive hoarding. Journal of Anxiety Disorders, 23, 357–361.CrossRefPubMedGoogle Scholar
  17. Neave, N., Jackson, R., Saxton, T., & Hönekopp, J. (2015). The influence of anthropomorphic tendencies on human hoarding behaviours. Personality and Individual Differences, 72, 214–219.CrossRefGoogle Scholar
  18. Norberg, M. M., Keyan, D., & Grisham, J. R. (2015). Mood influences the relationship between distress intolerance and discarding. Journal of Obsessive-Compulsive and Related Disorders, 6, 77–82.CrossRefGoogle Scholar
  19. Pierce, J. L., Kostova, T., & Dirks, K. T. (2003). The state of psychological ownership: Integrating and extending a century of research. Review of General Psychology, 7(1), 84–107.CrossRefGoogle Scholar
  20. StataCorp (2013). Stata Statistical Software: Release 13. College Station, TX: StataCorp LP.Google Scholar
  21. Steketee, G., Frost, R. O., & Kyrios, M. (2003). Cognitive aspects of compulsive hoarding. Cognitive Therapy and Research, 27(4), 463–479.CrossRefGoogle Scholar
  22. Strahan, R., & Gerbasi, K. C. (1972). Short, homogeneous versions of the Marlowe-Crowne Social Desirability Scale. Journal of Clinical Psychology, 28, 191–193.CrossRefGoogle Scholar
  23. Timpano, K. R., & Shaw, A. M. (2013). Conferring humanness: The role of anthropomorphism in hoarding. Personality and Individual Differences, 54(3), 383–388.CrossRefGoogle Scholar
  24. Tolin, D. F., Frost, R. O., & Steketee, G. (2010). A brief interview for assessing compulsive hoarding: The Hoarding Rating Scale-Interview. Psychiatry Research, 178, 147–152.CrossRefPubMedPubMedCentralGoogle Scholar
  25. Woody, S. R., Kellman-McFarlane, K., & Welsted, A. (2014). Review of cognitive performance in hoarding disorder. Clinical Psychology Review, 34, 324–336.CrossRefPubMedGoogle Scholar
  26. Yorulmaz, O., & Dermihan, N. (2015). Cognitive correlates of hoarding symptoms: An exploratory study with a non-Western community sample. Journal of Obsessive-Compulsive and Related Disorders, 7, 16–23.CrossRefGoogle Scholar
  27. Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta psychiatrica Scandinavica, 67, 361–370.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York (outside the USA)  2017

Authors and Affiliations

  1. 1.Research ServiceVA San Diego Healthcare SystemSan DiegoUSA
  2. 2.San Diego State University/University of California, San Diego Joint Doctoral Program in Clinical PsychologySan DiegoUSA
  3. 3.Department of PsychiatryUniversity of California, San Diego School of MedicineSan DiegoUSA
  4. 4.Psychology ServiceVA San Diego Healthcare SystemSan DiegoUSA

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