ArticleInternational journal of geriatric psychiatry2013
Executive functioning in older adults with hoarding disorder.
Article in International journal of geriatric psychiatry, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it, 79 citations in OpenAlex.
- Evidence to guide ethical decision-making in the management of older people living in squalor: a narrative review.Internal medicine journal · 2022Pooled it
- Cognitive rehabilitation and exposure/sorting therapy for hoarding disorder: A randomized controlled trial.Journal of consulting and clinical psychology · 2026Trial
- Visually mediated functioning improves following treatment of hoarding disorder.Journal of affective disorders · 2020Trial
- Novel treatment for geriatric hoarding disorder: an open trial of cognitive rehabilitation paired with behavior therapy.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2014Trial
- Cognitive Rehabilitation and Exposure/Sorting Therapy (CREST) for Hoarding Disorder in Older Adults: A Randomized Clinical Trial.The Journal of clinical psychiatryTrial
- Professionals' and non-professionals' experiences of working with people with Hoarding Disorder: A thematic synthesis.The British journal of clinical psychology · 2026Article
- Hoarding Symptoms in Late Life Depression are Associated With Greater Executive Dysfunction and Disability and Poorer Response to Depression Treatment.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2024Article
- Cognitive inflexibility, obsessive-compulsive symptoms and traits and poor post-pandemic adjustment.Neuroscience applied · 2024Review
- Reduced resting-state functional connectivity between insula and inferior frontal gyrus and superior temporal gyrus in hoarding disorder.Frontiers in psychiatry · 2024Article
- Reactance, Decisional Procrastination, and Hesitation: A Latent Class Analysis of Clutter Behavior.International journal of environmental research and public health · 2023Article
- Anosognosia in hoarding disorder is predicted by alterations in cognitive and inhibitory control.Scientific reports · 2022Article
- Managing hoarding and squalor.Australian prescriber · 2021Review
- Diogenes Syndrome: Identification and Distinction from Hoarding Disorder.Case reports in psychiatry · 2021Article
- Article
- A Comparison of Cognitive Restructuring and Thought Listing for Excessive Acquiring in Hoarding Disorder.Cognitive therapy and research · 2019Article
- Distinct resting state functional connectivity abnormalities in hoarding disorder and major depressive disorder.Journal of psychiatric research · 2019Article
- Validation of a Behavioral Measure of Acquiring and Discarding in Hoarding Disorder.Journal of psychopathology and behavioral assessment · 2019Article
- Pharmacotherapy for Hoarding Disorder: How did the Picture Change since its Excision from OCD?Current neuropharmacology · 2019Review
- Why Is Working Memory Performance Unstable? A Review of 21 Factors.Europe's journal of psychology · 2018Review
- The Etiology of Hoarding Disorder: A Review.Psychopathology · 2017Review
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundHoarding disorder (HD) is a chronic and debilitating psychiatric condition. Midlife HD patients have been found to have neurocognitive impairment, particularly in areas of executive functioning, but the extent to which this is due to comorbid psychiatric disorders has not been clear. AIMS/
methodThe purpose of the present investigation was to examine executive functioning in geriatric HD patients without any comorbid Axis I disorders (n = 42) compared with a healthy older adult comparison group (n = 25). We hypothesized that older adults with HD would perform significantly worse on measures of executive functioning (Wisconsin Card Sort Task [Psychological Assessment Resources, Lutz, Florida, USA] ( Psychological Assessment Resources, 2003) and the Wechsler Adult Intelligence Scale-IV digit span and letter-number sequencing tests [Pearson, San Antonio, TX, USA]).
resultsOlder adults with HD showed significant differences from healthy older controls in multiple aspects of executive functioning. Compared with healthy controls, older adults with HD committed significantly more total, non-perseverative errors and conceptual level responses on the Wisconsin Card Sort Task and had significantly worse performance on the Wechsler Adult Intelligence Scale-IV digit span and letter-number sequencing tests. Hoarding symptom severity was strongly correlated with executive dysfunction in the HD group.
conclusionsCompared with demographically-matched controls, older adults with HD have dysfunction in several domains of executive functioning including mental control, working memory, inhibition, and set shifting. Executive dysfunction is strongly correlated with hoarding severity and is not because of comorbid psychiatric disorders in HD patients. These results have broad clinical implications suggesting that executive functioning should be assessed and taken into consideration when developing intervention strategies for older adults with HD.
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Registered trials
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