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The relationship between self-reported and objective neuropsychological impairments in patients with hoarding disorder


Moshier, SJ and Wootton, BM and Bragdon, LB and Tolin, DF and Davis, E and DiMauro, J and Diefenbach, GJ, The relationship between self-reported and objective neuropsychological impairments in patients with hoarding disorder, Journal of Obsessive-Compulsive and Related Disorders, 9 pp. 9-15. ISSN 2211-3649 (2016) [Refereed Article]

DOI: doi:10.1016/j.jocrd.2016.01.002


Although hoarding disorder (HD) is characterized by self- and clinician-reported difficulties with cognitive functioning, studies of neuropsychological performance have yielded little evidence of consistent, clinical-level cognitive impairments. The aim of this study was to quantify this inconsistency and to examine whether this pattern is unique to HD. Fifty-three adults (20 with HD, 19 with obsessive compulsive disorder (OCD) and minimal hoarding symptoms, and 14 with OCD and a high degree of hoarding symptoms (OCD-H)) completed self-report and objective neuropsychological tests of inhibition, attention, and memory. The three groups differed significantly on self-reported attention and memory deficits, with the HD group reporting greater difficulties. However, the groups performed comparably on objective neuropsychological tests of inhibition, attention, immediate and delayed nonverbal memory, and immediate verbal memory. The OCD-H group demonstrated a greater rate of impairment on a test of delayed verbal memory. The HD group was characterized by lower concordance rates between selfreport and objective memory impairment. The groups did not differ significantly in concordance rates for self-report and objective measures of attention and inhibition. Understanding the discrepancy between self-report and objective neuropsychological measures may help to better characterize the role of cognitive processes in HD.

Item Details

Item Type:Refereed Article
Keywords:Hoarding disorder, Obsessive–compulsive disorder, Neuropsychological assessment, Attention, Impulsivity, Memory
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Mental health services
Objective Division:Health
Objective Group:Public health (excl. specific population health)
Objective Field:Mental health
UTAS Author:Wootton, BM (Dr Bethany Wootton)
ID Code:118284
Year Published:2016
Web of Science® Times Cited:13
Deposited By:Psychology
Deposited On:2017-07-10
Last Modified:2017-07-10

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