Hoarding disorder can affect anyone, regardless of age, sex or economic status. It's not clear, though, how common hoarding disorder is. That's partly because some people never seek treatment.
Risk factors include:
May. 08, 2014
- Age. Hoarding usually starts around ages 11 to 15, and it tends to get worse with age. Younger children may start saving items, such as broken toys, pencil nubs, outdated school papers and broken appliances. Hoarding is more common in older adults than in younger adults.
- Personality. Many people who have hoarding disorder have a temperament that includes indecisiveness.
- Family history. There is a strong association between having a family member who has hoarding disorder and having the disorder yourself.
- Stressful life events. Some people develop hoarding disorder after experiencing a stressful life event that they had difficulty coping with, such as the death of a loved one, divorce, eviction or losing possessions in a fire.
- Social isolation. People with hoarding disorder are typically socially withdrawn and isolated. In many cases, the hoarding leads to social isolation. But, on the other hand, some people may turn to the comfort of hoarding because they're lonely.
- Hoarding disorder. In: Diagnostic and Statistical Manual of Mental Disorders DSM-5. 5th ed. Arlington, Va.: American Psychiatric Association; 2013. http://www.psychiatryonline.org. Accessed Feb. 12, 2014.
- Highlights of changes from DSM-IV-TR to DSM-5. American Psychiatric Association. http://www.dsm5.org/Documents/changes%20from%20dsm-iv-tr%20to%20dsm-5.pdf. Accessed Feb. 12, 2014.
- Obsessive compulsive and related disorders. American Psychiatric Association. http://www.dsm5.org/Pages/Default.aspx. Accessed Feb. 12, 2014.
- Hoarding fact sheet. International OCD Foundation. http://www.ocfoundation.org/hoarding/fact_sheet.aspx. Accessed Feb. 12, 2014.
- Hoarding: The basics. Anxiety and Depression Association of America. http://www.adaa.org/understanding-anxiety/obsessive-compulsive-disorder-ocd/hoarding-basics. Accessed Feb. 12, 2014.
- Ale CM, et al. Family-based behavioral treatment of pediatric compulsive hoarding: A case example. Clinical Case Studies. 2014;13:9.
- Symonds A, et al. Shining a light on hoarding disorder. Nursing. 2013;43:22.
- Murroff J, et al. Cognitive behavior therapy for hoarding disorder: Follow-up findings and predictors of outcome. Depression and Anxiety. In press. Accessed Feb. 14, 2014.
- Pallanti S, et al. Pharmacological, experimental therapeutic, and transcranial magnetic stimulation treatments for compulsivity and impulsivity. CNS Spectrums. 2014;19:50.
- Whiteside SP (expert opinion). Mayo Clinic, Rochester, Minn. March 3, 2014.
- Hall-Flavin DK (expert opinion). Mayo Clinic, Rochester, Minn. March 4, 2014.
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