Exploration of anxiety sensitivity and distress tolerance as vulnerability factors for hoarding behaviors.

Publisher: Wiley Country of Publication: United States NLM ID: 9708816 Publication Model: Print Cited Medium: Internet ISSN: 1520-6394 (Electronic) Linking ISSN: 10914269 NLM ISO Abbreviation: Depress Anxiety Subsets: MEDLINE

Original Publication: New York, NY : Wiley, c1997-

Attitude to Health*; Anxiety Disorders/*diagnosis ; Anxiety Disorders/*epidemiology ; Depression/*diagnosis ; Obsessive-Compulsive Disorder/*diagnosis ; Obsessive-Compulsive Disorder/*epidemiology; Adolescent ; Anxiety Disorders/psychology ; Bleeding Time ; Depression/psychology ; Female ; Humans ; Male ; Obsessive-Compulsive Disorder/psychology ; Sensitivity and Specificity ; Severity of Illness Index ; Surveys and Questionnaires ; Young Adult

Background: The phenomenon of compulsive hoarding, characterized by the acquisition of and failure to discard a large number of possessions, is increasingly recognized as a significant public health burden. Despite the magnitude of the impairment associated with this condition, empirical research is still in the nascent stages and many facets of the phenomenology, underlying vulnerability and risk factors for hoarding, are as of yet unknown.
Method: The overall aim of the current investigation was to examine the association between hoarding behaviors and two potential vulnerability factors-anxiety sensitivity (AS) and distress tolerance (DT). In addition, we investigated the robustness of these associations as well as the interaction between the two hypothesized risk factors. Three studies (total N=745) involving independent nonclinical samples assessed hoarding, AS, DT, and relevant covariates using a range of measures. Resutlts: Findings revealed that AS and hoarding are significantly and robustly associated with one another beyond general depressive, anxiety, and nonhoarding obsessive-compulsive symptoms. Hoarding was also found to be associated with low DT. Consistent with prediction, AS and DT interacted such that DT may play a less important role among individuals with low AS. By contrast, low DT appears to increase vulnerability to hoarding symptoms among individuals high in AS. Results are discussed with regard to future research and treatment implications. Depression and Anxiety, 2009. Published 2009 Wiley-Liss, Inc.

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R21 MH062056 United States MH NIMH NIH HHS; F31 DA021457 United States DA NIDA NIH HHS; Z01 MH000336-29 United States ImNIH Intramural NIH HHS; F31 DC012457 United States DC NIDCD NIH HHS; R01 MH064734-04A1 United States MH NIMH NIH HHS; R21 MH62056 United States MH NIMH NIH HHS; F31 DA021457-01 United States DA NIDA NIH HHS; F31 DA12457-01 United States DA NIDA NIH HHS; F31 MH080467 United States MH NIMH NIH HHS; P50 HD052120 United States HD NICHD NIH HHS; R01 MH064734 United States MH NIMH NIH HHS; F31 MH080467-01A1 United States MH NIMH NIH HHS

Date Created: 20090107 Date Completed: 20090814 Latest Revision: 20220408

20221213

PMC2770430

10.1002/da.20469

19123454