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Related Experiment Video

Updated: May 13, 2026

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Executive functioning in older adults with hoarding disorder.

Catherine R Ayers1, Julie Loebach Wetherell, Dawn Schiehser

  • 1Research Service, Veterans Affairs San Diego Healthcare System, San Diego, CA, USA; Psychology Service, Veterans Affairs San Diego Healthcare System, San Diego, CA, USA; Department of Psychiatry, University of California, San Diego, CA, USA.

International Journal of Geriatric Psychiatry
|February 27, 2013
PubMed
Summary
This summary is machine-generated.

Older adults with hoarding disorder (HD) show significant executive functioning deficits, including in working memory and inhibition. These deficits correlate with hoarding severity and are independent of other psychiatric conditions.

Keywords:
executive dysfunctiongeriatrichoarding disorderneuropsychology

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Area of Science:

  • Neuroscience
  • Psychiatry
  • Gerontology

Background:

  • Hoarding disorder (HD) is a chronic psychiatric condition.
  • Midlife HD patients exhibit neurocognitive impairments, particularly in executive functioning.
  • The role of comorbid psychiatric disorders in HD-related executive dysfunction remains unclear.

Purpose of the Study:

  • To investigate executive functioning in geriatric patients with hoarding disorder (HD) but no comorbid Axis I disorders.
  • To compare the executive functioning of older adults with HD to that of healthy older adults.
  • To determine if executive functioning deficits in older adults with HD are linked to hoarding severity.

Main Methods:

  • Compared geriatric HD patients (n=42) without comorbid Axis I disorders to healthy older adults (n=25).
  • Assessed executive functioning using the Wisconsin Card Sort Task and the Wechsler Adult Intelligence Scale-IV (digit span and letter-number sequencing).

Main Results:

  • Older adults with HD demonstrated significant executive functioning impairments compared to healthy controls.
  • HD patients made more errors on the Wisconsin Card Sort Task and performed worse on WAIS-IV executive measures.
  • Hoarding symptom severity strongly correlated with the degree of executive dysfunction in the HD group.

Conclusions:

  • Geriatric HD patients exhibit executive dysfunction in mental control, working memory, inhibition, and set shifting.
  • Executive dysfunction in HD is linked to hoarding severity and not attributable to comorbid psychiatric conditions.
  • Assessment of executive functioning is crucial for developing effective interventions for older adults with HD.