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A comparison between community and treatment-seeking samples of hoarding disorder

Published online by Cambridge University Press:  22 November 2024

Bárbara Perdigão Stumpf ,
Fábio Lopes Rocha Open the ORCID record for Fábio Lopes Rocha [Opens in a new window] ,
Leonardo F. Fontenelle Open the ORCID record for Leonardo F. Fontenelle [Opens in a new window]  and
Izabela Guimarães Barbosa Open the ORCID record for Izabela Guimarães Barbosa [Opens in a new window]
Bárbara Perdigão Stumpf
Affiliation:
Laboratório Interdisciplinar de Investigação Médica, Faculdade de Medicina, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil Instituto de Previdência dos Servidores do Estado de Minas Gerais, Belo Horizonte, Brazil Programa de Pós-Graduação em Neurociências, UFMG, Belo Horizonte, Brazil
Fábio Lopes Rocha
Affiliation:
Instituto de Previdência dos Servidores do Estado de Minas Gerais, Belo Horizonte, Brazil
Leonardo F. Fontenelle
Affiliation:
Instituto D’OR de Pesquisa e Ensino, Rio de Janeiro, Brazil Substance Abuse Research Program, Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil Turner Institute for Brain and Mental Health, Monash University, Victoria, Australia
Izabela Guimarães Barbosa*
Affiliation:
Laboratório Interdisciplinar de Investigação Médica, Faculdade de Medicina, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil Programa de Pós-Graduação em Neurociências, UFMG, Belo Horizonte, Brazil Departamento de Psiquiatria, Faculdade de Medicina, UFMG, Belo Horizonte, Brazil
*
Corresponding author: Izabela Guimarães Barbosa; Email: moc.liamg@bgalebazi
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Abstract

Objective

Hoarding disorder studies are primarily based on persons who seek treatment and demonstrate good insight. The aim of the present study is to evaluate whether there are differences between community and treatment-seeking samples of individuals with hoarding disorder (HD).

Methods

Fourteen people with HD from the community and twenty treatment-seeking people with HD were assessed by a battery of instruments to evaluate HD features and other associated characteristics.

Results

Compared to the treatment-seeking sample, the HD community sample was older, had poorer insight, and had a lower prevalence of comorbid obsessive-compulsive disorder (OCD). There were no differences in gender, education, presence of psychiatric comorbidities, quality of life, and hoarding behavior characteristics between the samples. The final logistic regression model with the Dimensional Obsessive-Compulsive Scale (DOCS) as the single predictor of treatment-seeking status was statistically significant, indicating that it was able to distinguish between the two samples. The model explained between 20.7% and 27.9% of the variance of subjects, and correctly classified 67.6% of cases.

Conclusions

Our results indicate that there appear to be few differences between the treatment-seeking and community samples of individuals with HD. The presence of comorbid OCD in treatment-seeking groups seems to be more frequent than in HD community samples.

Keywords

Comorbiditycommunity mental health servicespublic healthOCDobsessioncompulsionhoardingaccumulation
Type
Original Research
Information
CNS Spectrums , Volume 29 , Issue 5 , October 2024 , pp. 385 - 389
Copyright
© The Author(s), 2024. Published by Cambridge University Press

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