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Family and social functioning in adults with hoarding disorder

Published online by Cambridge University Press:  15 June 2020

Eliza J. Davidson Open the ORCID record for Eliza J. Davidson [Opens in a new window] ,
Mary E. Dozier ,
Tina L. Mayes ,
Kylie A. Baer  and
Catherine R. Ayers
Eliza J. Davidson
Affiliation:
Research Service, VA San Diego Healthcare System, San Diego, CA, USA San Diego State University/University of California, San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA, USA
Mary E. Dozier
Affiliation:
Research Service, VA San Diego Healthcare System, San Diego, CA, USA Department of Psychology, Mississippi State University, Mississippi State, MS, USA
Tina L. Mayes
Affiliation:
Research Service, VA San Diego Healthcare System, San Diego, CA, USA Department of Psychiatry, University of California, San Diego School of Medicine, San Diego, CA, USA Mental Health Care Line, VA San Diego Healthcare System, San Diego, CA, USA
Kylie A. Baer
Affiliation:
Research Service, VA San Diego Healthcare System, San Diego, CA, USA
Catherine R. Ayers*
Affiliation:
Department of Psychiatry, University of California, San Diego School of Medicine, San Diego, CA, USA Mental Health Care Line, VA San Diego Healthcare System, San Diego, CA, USA
*
Author for correspondence: Catherine R. Ayers, Email: [email protected]
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Abstract

Hoarding is associated with problems engaging in social activities, lower social support, increased isolation and poses substantial challenges to family functioning. The aim of this investigation was to explore the relationship between hoarding severity and family and social functioning variables in 60 treatment-seeking adults with hoarding disorder (HD). Participants completed a battery of self-report measures during a baseline assessment completed prior to treatment. Forty-seven percent of participants reported they live alone. Forty-eight percent of participants reported that family and friends never visit them in their home, and 33% indicated they never had visitors to their home, not even service workers or repair people. Twelve percent of participants indicated they never visit with family or friends outside of their home; however, 55% of participants endorsed phoning family or friends more than 9 times each month. Increased clutter and hoarding severity was associated with a lower frequency of family and friends visiting in the home. Family competence and conflict were both positively associated with hoarding severity. Our results shed light on family and social impairment in HD and their relationship with symptom severity; however, additional research should examine social dysfunction among non-treatment-seeking individuals who may be more impaired or isolated.

Keywords

Hoarding disorderfamily functioningsocial functioning
Type
Articles
Information
Children Australia , Volume 45 , Special Issue 3: Special Issue: Hoarding , September 2020 , pp. 159 - 163
Copyright
© The Author(s) 2020. Published by Cambridge University Press

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