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Exploring emotions and cognitions in hoarding: a Q-methodology analysis
Adam Postlethwaite1, Stephen Kellett2, Nathan Simmonds-Buckley3
1Sheffield Health and Social Care NHS Foundation Trust, Sheffield, UK.
This study identified four distinct cognitive-emotional clusters in people with hoarding disorder, revealing significant heterogeneity. Further research is needed to understand these differences in hoarding disorder.
Area of Science:
- Psychology
- Clinical Psychology
- Psychiatry
Background:
- Cognitions and emotions are central to the cognitive behavioural model of hoarding disorder.
- Understanding these factors is crucial for effective treatment of hoarding disorder.
Purpose of the Study:
- To explore the thoughts and feelings of individuals prone to hoarding using Q-methodology.
- To identify distinct participant clusters based on their cognitive and emotional profiles in hoarding disorder.
Main Methods:
- A 49-statement Q-set was developed from interviews and literature review.
- Forty-one participants with problematic hoarding completed the Q-sort.
- By-person factor analysis identified participant clusters, compared on psychometric measures.
Main Results:
- Four distinct clusters were identified among 83% of participants: 'overwhelmed', 'aware of consequences', 'object complexity', and 'object-affect fusion'.
- No significant differences were found between clusters regarding hoarding severity, anxiety, depression, or impulsivity.
Conclusions:
- The identified clusters highlight significant heterogeneity in individuals with hoarding disorder.
- Further research is warranted to investigate the emotional and cognitive distinctions between these hoarding disorder clusters.
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