Hostname: page-component-76fb5796d-dfsvx Total loading time: 0 Render date: 2024-04-27T03:21:56.032Z Has data issue: false hasContentIssue false
  • English
  • Français

Comorbidity in Compulsive Hoarding: A Case Report

Published online by Cambridge University Press:  07 November 2014

Alicia Kaplan  and
Eric Hollander
Get access Rights & Permissions [Opens in a new window]

Abstract

A 56-year-old male presented with compulsive hoarding along with attention-deficit/hyperactivity disorder and schizotypal personality disorder. Hoarding has been described as difficult to treat both pharmacologically and behaviorally, and this patient's comorbid conditions also contributed to his overall impairment. The patient's treatment regimen of fluvoxamine, amphetamine salts, and risperidone, along with behavioral therapy, has helped with hoarding behaviors, motivation, procrastination, and increased socialization. Hoarding may be a unique subtype of obsessive-compulsive disorder with poorer prognosis and distinct neuroanatomic dysfunction. Augmentation with stimulants may provide benefits in aspects of hoarding such as procrastination, especially in patients with comorbid attention-deficit hyperactivity disorder.

Type
Case Report
Information
CNS Spectrums , Volume 9 , Issue 1 , January 2004 , pp. 71 - 73
Copyright
Copyright © Cambridge University Press 2004

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1.Diagnostic and Statistical Manual of Mental Disorder. 4th ed. Washington, DC: American Psychiatric Press; 1994.Google Scholar
Baer, L. Factor analysis of symptom subtypes in obsessive-compulsive disorder and their relationship to tic and personality disorders. J Clin Psychiatry. 1994;55:18–23.Google Scholar
3.Leckman, JF, Zhang, H, Alsobrook, JP, Pauls, DL. Symptom dimensions in obsessive-compulsive disorder: toward quantitative phenotypes. Am J Med Genet. 2001;105:28–30.3.0.CO;2-8>CrossRefGoogle ScholarPubMed
4.Mataix-Cols, D, Rauch, SL, Manzo, PA, Jenike, MA, Baer, L. Use of Factor-analyzed symptom dimensions to predict outcome with serotonin reuptake inhibitors and placebo in the treatment of obsessive-compulsive disorder. Am J Psychiatry. 1999;156:1409–1416.CrossRefGoogle ScholarPubMed
5.Winsberg, ME, Cassic, KS, Koran, LM. Hoarding in obsessivecompulsive disorder: a report of 20 cases. J Clin Psychiatry. 1999;60:591–597.CrossRefGoogle ScholarPubMed
6.Frost, RO, Gross, RC. The hoarding of possessions. Behav Res Ther. 1993;31:367–381.CrossRefGoogle ScholarPubMed
7.Rasmussen, SA, Eisen, JL. The epidemiology and clinical features of obsessive-compulsive disorder. Psychiatr Clin North Am. 1992;15:743–758.CrossRefGoogle ScholarPubMed
8.Frost, RO, Krause, MS, Steketee, G. Hoarding and obsessive compulsive symptoms. Behav Mod. 1996;20:116–132.CrossRefGoogle ScholarPubMed
9.Luchins, DJ, Goldman, MB, Lieb, M, Hanrahan, P. Repetitive behaviors in chronically institutionalized schizophrenic patients. Schizophr Res. 1992;8:119–123.CrossRefGoogle ScholarPubMed
10.Greenberg, D, Witzum, E, Levy, A. Hoarding as a psychiatric symptom. J clin Psychiatry. 1990;51:417–421.Google ScholarPubMed
11.McDougle, CJ, Kresch, LE, Goodman, WK, et, al. A case-controlled study of repetitive thoughts and behavior in adults with autistic disorder and obsessive-compulsive disorder. Am J Psychiatry. 1995;152:772–777.Google ScholarPubMed
12.Frost, RO, Steketee, G, Williams, LF, et al.Mood, personality disorder symptoms and disability in obsessive compulsive hoarders: a comparison with clinical and nonclinical controls. Behav Res Ther. 2000;38:1071–1081.CrossRefGoogle ScholarPubMed
13.Jenike, MA, Baer, L, Minichiello, WE, Schwartz, CE, Carey, RJ Jr. Concomitant obsessive-compulsive disorder and schizotypal personality disorder. Am J Psychiatry. 1986;143:530–532.Google ScholarPubMed
14.Frost, RO, Show, DL. The nature and measurement of compulsive indecisiveness. Behav Res Ther. 1993;31:683–692.CrossRefGoogle ScholarPubMed
15.Saxena, S, Brody, AL, Baxter, LR. Functional neuroanatomy of symptom expression and treatment response in OCD. Abstract presented at: annual meeting of the American College of Neuropsychopharmacology. December 7-12, 2002.Google Scholar
16.Saxena, S, Rauch, SL. Functional neuroimaging and the neuroanatomy of obsessive-compulsive disorder. Psychiatr Clin North Am. 2000;23:563–586.CrossRefGoogle ScholarPubMed
17.Mataix-Cols, D, Cullen, S, Lange, K, et al.Neural correlates of anxiety associated with obsessive-compulsive symptom dimensions in normal volunteers. Biol Psychiatry. 2003;53:482–493.CrossRefGoogle ScholarPubMed
18.Saxena, S, Maidment, KM, Vapnik, T, et al.Obsessive-compulsive hoarding: symptom severity and response to multimodal treatment. J Clin Psychiatry 2002;63:21–27.CrossRefGoogle ScholarPubMed