The profile of executive function in OCD hoarders and hoarding disorder

Morein-Zamir, Sharon and Papmeyer, Martina and Pertusa, Alberto and Chamberlain, Samuel R. and Fineberg, Naomi A. and Sahakian, Barbara J. and Mataix-Cols, David and Robbins, Trevor W. (2013) The profile of executive function in OCD hoarders and hoarding disorder. Psychiatry Research, 215 (3). pp. 659-667. ISSN 01651781

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Official URL: https://doi.org/10.1016/j.psychres.2013.12.026

Abstract

Hoarding disorder is a new mental disorder in DSM-5. It is classified alongside OCD and other presumably related disorders in the Obsessive-Compulsive and Related Disorders chapter. We examined cognitive performance in two distinct groups comprising individuals with both OCD and severe hoarding, and individuals with hoarding disorder without comorbid OCD. Participants completed executive function tasks assessing inhibitory control, cognitive flexibility, spatial planning, probabilistic learning and reversal and decision making. Compared to a matched healthy control group, OCD hoarders showed significantly worse performance on measures of response inhibition, set shifting, spatial planning, probabilistic learning and reversal, with intact decision making. Despite having a strikingly different clinical presentation, individuals with only hoarding disorder did not differ significantly from OCD hoarders on any cognitive measure suggesting the two hoarding groups have a similar pattern of cognitive difficulties. Tests of cognitive flexibility were least similar across the groups, but differences were small and potentially reflected subtle variation in underlying brain pathology together with psychometric limitations. These results highlight both commonalities and potential differences between OCD and hoarding disorder, and together with other lines of evidence, support the inclusion of the new disorder within the new Obsessive-Compulsive and Related Disorders chapter in DSM-5.

Item Type: Journal Article
Additional Information: Open Access funded by Wellcome Trust
Keywords: Hoarding, Obsessive compulsive disorder, OCD, Cognition, Hoarding disorder
Faculty: Faculty of Science & Technology
Depositing User: Repository Admin
Date Deposited: 09 Jun 2016 15:06
Last Modified: 12 Oct 2017 12:26
URI: http://arro.anglia.ac.uk/id/eprint/612391

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