Hostname: page-component-76fb5796d-45l2p Total loading time: 0 Render date: 2024-04-25T19:02:06.774Z Has data issue: false hasContentIssue false
  • English
  • Français

Validation of the clutter image rating in older adults with hoarding disorder

Published online by Cambridge University Press:  13 November 2014

Mary E. Dozier  and
Catherine R. Ayers
Mary E. Dozier
Affiliation:
Research Service, VA San Diego Healthcare System San Diego State University/University of California, San Diego Joint Doctoral Program in Clinical Psychology
Catherine R. Ayers*
Affiliation:
Research Service, VA San Diego Healthcare System Department of Psychiatry, University of California, San Diego School of Medicine Mental Health Care Line, VA San Diego Healthcare System
*
Correspondence should be addressed to: Catherine Ayers, Ph.D., Department of Psychiatry, University of California San Diego School of Medicine, ABPP 3350 La Jolla Village Drive 116B San Diego, CA 92161. Phone: +(858) 552-8585; ext. 2976. Email: cayers@ucsd.edu.
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

The Clutter Image Rating (CIR) was created to meet a gap in the research on compulsive hoarding: how to ascertain clutter level in an individual's home without a home visit, as not all clinicians have the ability to conduct a home visit. The CIR has proven itself to be both reliable and valid for use in adults with compulsive hoarding symptoms. However, there is currently a dearth of information on performance of the CIR in older adults diagnosed with hoarding disorder (HD). Because older adults have increased medical issues, including fall risks, evaluating the level of clutter in the house is especially critical in geriatric populations.

Method:

The current study was an investigation of the reliability and validity of the CIR in assessing late life HD. The internal consistency, convergent and divergent validity, and norms of the CIR were investigated in a large geriatric HD sample and compared with a midlife sample of individuals with HD. Criterion validity of the CIR was investigated through the comparison of participant ratings conducted in the clinic and clinician ratings conducted in the home.

Results:

The current study found similar levels of reliability and validity in a late life sample as in previous studies conducted in mid-life adults.

Conclusions:

Unlike previous studies, the current study did not find a significant relationship between the CIR and the non-clutter related subscales of the Savings Inventory-Revised. The CIR appears to be both reliable and valid for assessing clutter levels in older adults diagnosed with HD.

Keywords

clutter image ratinghoarding disorderolder adults
Type
Research Article
Information
International Psychogeriatrics , Volume 27 , Issue 5 , May 2015 , pp. 769 - 776
Copyright
Copyright © International Psychogeriatric Association 2014 

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

American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Health Disorders: DSM-5, 5th edn. Washington, DC: American Psychiatric Publishing.Google Scholar
Ayers, C. R. and Dozier, M. E. (2014). Predictors of hoarding severity in older adults with hoarding disorder. International Psychogeriatrics. Advance online publication. doi: 10.1017/S1041610214001677 Google ScholarPubMed
Ayers, C. R., Saxena, S., Golshan, S. and Wetherell, J. L. (2010). Age of onset and clinical features of late life compulsive hoarding. International Journal of Geriatric Psychiatry, 25, 142–149.CrossRefGoogle ScholarPubMed
Ayers, C. R., Schiehser, D., Lin, L. and Wetherell, J. L. (2012). Functional impairment in geriatric hoarding participants. Journal of Obsessive-Compulsive and Related Disorders, 1, 263–266.CrossRefGoogle Scholar
Beck, J. G., Stanley, M. A. and Zebb, B. J. (1995). Psychometric properties of the penn state worry questionnaire in older adults. Journal of Clinical Geropsychology, 1, 33–42.Google Scholar
Dimauro, J., Tolin, D. F., Frost, R. O. and Steketee, G. (2013). Do people with hoarding disorder under-report their symptoms? Journal of Obsessive-Compulsive and Related Disorders, 2, 130–136.CrossRefGoogle ScholarPubMed
Drury, H., Ajmi, S., Fernández de la Cruz, L., Nordsletten, A. E. and Mataix-Cols, D. (2014). Caregiver burden, family accommodation, health, and well-being in relatives of individuals with hoarding disorder. Journal of Affective Disorders, 159, doi: http://dx.doi.org/10.1016/j.jad.2014.01.023.CrossRefGoogle ScholarPubMed
Frost, R. and Hartl, T. (1996). A cognitive-behavioral model of compulsive hoarding. Behaviour Research and Therapy, 34, 341–350.CrossRefGoogle ScholarPubMed
Frost, R. O., Hristova, V., Steketee, G. and Tolin, D. F. (2013). Activities of daily living scale in hoarding disorder. Journal of Obsessive-Compulsive and Related Disorders, 2, 85–90.CrossRefGoogle ScholarPubMed
Frost, R. O., Pekareva-Kochergina, A. and Maxner, S. (2011). The effectiveness of a biblio- based support group for hoarding disorder. Behaviour Research and Therapy, 49, 628–634.CrossRefGoogle ScholarPubMed
Frost, R. O., Ruby, D. and Shuer, L. J. (2012). The buried in treasures workshop: waitlist control trial of facilitated support groups for hoarding. Behaviour Research and Therapy, 50, 661–667.CrossRefGoogle ScholarPubMed
Frost, R. O., Steketee, G. and Grisham, J. (2004). Measurement of compulsive hoarding: saving inventory-revised. Behavior Research and Therapy, 42, 1163–1182.CrossRefGoogle ScholarPubMed
Frost, R. O., Steketee, G., Tolin, D. F. and Renaud, S. (2008). Development and validation of the clutter image rating. Journal of Psychopathology and Behavioral Assessment, 30, 193–203.CrossRefGoogle Scholar
Gordon, O. M., Salkovskis, P. M. and Oldfield, V. B. (2013). Beliefs and experiences in hoarding. Journal of Anxiety Disorders, 27, 328–339.CrossRefGoogle ScholarPubMed
Grisham, J., Frost, R. O., Steketee, G., Kim, H. J. and Hood, S. (2006). Age of onset in compulsive hoarding. Journal of Anxiety Disorders, 20, 675–686.CrossRefGoogle ScholarPubMed
Grisham, J. R., Norberg, M. M., Williams, A. D., Certoma, S. P. and Kadib, R. (2010). Categorization and cognitive deficits in compulsive hoarding. Behaviour Research and Therapy, 48, 866–72.CrossRefGoogle ScholarPubMed
Kabacoff, R. I., Segal, D. L., Hersen, M. and Van Hasselt, V. B. (1997). Psychometric properties and diagnostic utility of the beck anxiety inventory and the state-trait anxiety inventory with older adult psychiatric outpatients. Journal of Anxiety Disorders, 11, 33–47.CrossRefGoogle ScholarPubMed
Kim, H., Steketee, G. and Frost, R. O. (2001). Hoarding by elderly people. Health and Social Work, 26, 176–184.CrossRefGoogle ScholarPubMed
Nordsletten, A. E., Fernández de la Cruz, L., Billotti, D. and Mataix-Cols, D. (2013). Finders keepers: the features differentiating hoarding disorder from normative collecting. Comprehensive Psychiatry, 54, 229–37.CrossRefGoogle ScholarPubMed
Nordsletten, A. E., Fernández de la Cruz, L. F., Pertusa, A., Reichenberg, A., Hatch, S. and Mataix-Cols, D. (2013). The structured interview for hoarding disorder (SIHD): development, usage, and further validation. Journal of Obsessive-Compulsive and Related Disorders, 2, 346–350.CrossRefGoogle Scholar
Saxena, S., Brody, A. L., Maidment, K. M. and Baxter, L. R. (2007). Paroxetine treatment of compulsive hoarding. Journal of Psychiatric Research, 41, 481–487.CrossRefGoogle ScholarPubMed
Segal, D. L., Coolidge, F. L., Cahill, B. S., O’Riley, A. A. (2008). Psychometric properties of the beck depression inventory-II (BDI-II) among community-dwelling older adults. Behavioral Modification, 32, 3–20.CrossRefGoogle ScholarPubMed
StataCorp. (2013). Stata Statistical Software: Release 13. College Station, TX: StataCorp LP.Google Scholar
Steketee, G., Schmalisch, C. S., Dierberger, A., DeNobel, D. and Frost, R. O. (2012). Symptoms and history of hoarding in older adults. Journal of Obsessive– Compulsive and Related Disorders, 1, 1–7.CrossRefGoogle Scholar
Tolin, D. F., Frost, R. O. and Steketee, G. (2010). A brief interview for assessing compulsive hoarding: the hoarding rating scale-interview. Psychiatry Research, 178, 147–52.CrossRefGoogle ScholarPubMed
Zigmond, A. S. and Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67, 361–370.CrossRefGoogle ScholarPubMed