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Do traumatic events influence the clinical expression of compulsive hoarding?
Kiara R Cromer1, Norman B Schmidt, Dennis L Murphy
1Department of Psychology, Florida State University, Tallahassee, FL 32306-1270, USA. cromer@psy.fsu.edu
Traumatic life events (TLEs) are linked to compulsive hoarding in obsessive-compulsive disorder (OCD). Experiencing TLEs significantly worsens hoarding symptoms, particularly the accumulation of clutter.
Area of Science:
- Psychiatry
- Clinical Psychology
- Trauma Studies
Background:
- Traumatic experiences are hypothesized to trigger obsessive-compulsive symptoms.
- Compulsive hoarding, a symptom of obsessive-compulsive disorder (OCD), may be influenced by trauma.
Purpose of the Study:
- To investigate the relationship between traumatic life events (TLEs) and compulsive hoarding in individuals with OCD.
- To determine if TLEs influence the severity of hoarding symptoms.
Main Methods:
- 180 individuals with OCD were interviewed using the Posttraumatic Stress Disorder module of the Structured Clinical Interview for DSM-IV (SCID).
- Participants were classified based on hoarding criteria and history of TLEs.
- Hoarding symptom severity was assessed, including factors like clutter, discarding difficulty, and acquisition.
Main Results:
- 24% of individuals with OCD met criteria for hoarding.
- Hoarders were significantly more likely to have experienced at least one TLE compared to non-hoarders.
- TLEs were associated with significantly greater hoarding symptom severity, specifically the clutter factor, independent of other variables.
Conclusions:
- Traumatic life events are significantly associated with compulsive hoarding in OCD.
- The accumulation of clutter in hoarding disorder appears most strongly linked to a history of trauma.
- Findings suggest trauma may play a crucial role in the development and severity of hoarding symptoms in OCD.
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