The relationship between self-reported and objective neuropsychological impairments in patients with hoarding disorder

Moshier, SJ; Wootton, BM; Bragdon, LB; Tolin, DF; Davis, E; DiMauro, J; Diefenbach, GJ

The relationship between self-reported and objective neuropsychological impairments in patients with hoarding disorder

Moshier, SJ Wootton, BM Bragdon, LB Tolin, DF Davis, E DiMauro, J Diefenbach, GJ

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Publisher:: ELSEVIER SCIENCE BV
Publication Type:: Journal Article
Citation:: Journal of Obsessive-Compulsive and Related Disorders, 2016, 9, pp. 9-15
Issue Date:: 2016-04-01

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Field	Value	Language
dc.contributor.author	Moshier, SJ
dc.contributor.author	Wootton, BM
dc.contributor.author	Bragdon, LB
dc.contributor.author	Tolin, DF
dc.contributor.author	Davis, E
dc.contributor.author	DiMauro, J
dc.contributor.author	Diefenbach, GJ
dc.date.accessioned	2022-01-12T04:46:42Z
dc.date.available	2022-01-12T04:46:42Z
dc.date.issued	2016-04-01
dc.identifier.citation	Journal of Obsessive-Compulsive and Related Disorders, 2016, 9, pp. 9-15
dc.identifier.issn	2211-3649
dc.identifier.issn	2211-3657
dc.identifier.uri	http://hdl.handle.net/10453/152973
dc.description.abstract	Although hoarding disorder (HD) is characterized by self- and clinician-reported difficulties with cognitive functioning, studies of neuropsychological performance have yielded little evidence of consistent, clinical-level cognitive impairments. The aim of this study was to quantify this inconsistency and to examine whether this pattern is unique to HD. Fifty-three adults (20 with HD, 19 with obsessive compulsive disorder (OCD) and minimal hoarding symptoms, and 14 with OCD and a high degree of hoarding symptoms (OCD-H)) completed self-report and objective neuropsychological tests of inhibition, attention, and memory. The three groups differed significantly on self-reported attention and memory deficits, with the HD group reporting greater difficulties. However, the groups performed comparably on objective neuropsychological tests of inhibition, attention, immediate and delayed nonverbal memory, and immediate verbal memory. The OCD-H group demonstrated a greater rate of impairment on a test of delayed verbal memory. The HD group was characterized by lower concordance rates between self-report and objective memory impairment. The groups did not differ significantly in concordance rates for self-report and objective measures of attention and inhibition. Understanding the discrepancy between self-report and objective neuropsychological measures may help to better characterize the role of cognitive processes in HD.
dc.language	English
dc.publisher	ELSEVIER SCIENCE BV
dc.relation.ispartof	Journal of Obsessive-Compulsive and Related Disorders
dc.relation.isbasedon	10.1016/j.jocrd.2016.01.002
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1103 Clinical Sciences, 1701 Psychology
dc.title	The relationship between self-reported and objective neuropsychological impairments in patients with hoarding disorder
dc.type	Journal Article
utslib.citation.volume	9
utslib.for	1103 Clinical Sciences
utslib.for	1701 Psychology
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health/GSH.Clinical Psychology
utslib.copyright.status	closed_access	*
dc.date.updated	2022-01-12T04:46:41Z
pubs.publication-status	Published
pubs.volume	9

Abstract:

Although hoarding disorder (HD) is characterized by self- and clinician-reported difficulties with cognitive functioning, studies of neuropsychological performance have yielded little evidence of consistent, clinical-level cognitive impairments. The aim of this study was to quantify this inconsistency and to examine whether this pattern is unique to HD. Fifty-three adults (20 with HD, 19 with obsessive compulsive disorder (OCD) and minimal hoarding symptoms, and 14 with OCD and a high degree of hoarding symptoms (OCD-H)) completed self-report and objective neuropsychological tests of inhibition, attention, and memory. The three groups differed significantly on self-reported attention and memory deficits, with the HD group reporting greater difficulties. However, the groups performed comparably on objective neuropsychological tests of inhibition, attention, immediate and delayed nonverbal memory, and immediate verbal memory. The OCD-H group demonstrated a greater rate of impairment on a test of delayed verbal memory. The HD group was characterized by lower concordance rates between self-report and objective memory impairment. The groups did not differ significantly in concordance rates for self-report and objective measures of attention and inhibition. Understanding the discrepancy between self-report and objective neuropsychological measures may help to better characterize the role of cognitive processes in HD.

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http://hdl.handle.net/10453/152973